Exam 9: The Prenatal Assessment

The prenatal nurse believes in advocating for the patient.What action by the nurse best reflects this role?

A pregnant woman asks a neighbor who is a nurse about using a midwife instead of a physician for her prenatal,labor,and childbirth care.What information does the neighbor share with the pregnant woman about certified nurse midwives (CNMs)?

A nurse is assessing a 40-year old primigravida who is an insulin-dependent diabetic and who smokes.What does the nurse understand about these conditions related to prenatal screening tests?

The nurse schedules a patient for her first prenatal appointment with the certified nurse-midwife (CNM)in the clinic.About what topics does the nurse help the patient formulate questions to ask the CNM?

The nurse recognizes that a pregnant adolescent must successfully complete developmental tasks to be an effective mother.Which tasks does the nurse understand this to include?

A pregnant woman in her first trimester is having her first prenatal visit.She tells the nurse that she takes red raspberry leaf regularly.What response by the nurse is best?

A woman in the OB clinic complains of multiple,fluid-filled blisters in her genital area that make walking extremely painful.What information should the nurse provide this patient?

The nurse auscultates fetal heart tones on a woman in her third trimester of pregnancy and counts a heart rate of 92 beats/minute.Which action by the nurse is best?

A woman calls the prenatal clinic to inquire if she should have the seasonal influenza vaccination.What advice should the nurse provide?

A woman who is a Jehovah's Witness returns for a second prenatal visit and is discussing her plan of care with the nurse.The patient has returned a signed form in which she refuses all blood products.What action by the nurse is best?

A nurse assesses the pregnant woman for recreational drug use as part of the first prenatal visit.What harmful effects of recreational drugs does the nurse teach the woman about?

A pregnant teen is in the clinic for a prenatal visit.The nurse needs to obtain informed consent.What action by the nurse is best?

A woman is 10 weeks pregnant with her third baby.She has two living children with normal delivery histories.Using the GTPAL system,the nurse would document this woman's obstetrical history as ____________________.

A patient in the emergency department is complaining of fever,burning with urination,bloody urine,and amenorrhea for 1 month.To evaluate her symptoms,what action by the nurse is best?

A nurse has taught a pregnant woman about good nutrition during pregnancy at her first prenatal visit.What statement by the patient indicates that more teaching is needed?

The clinic nurse talks with a patient about her possible pregnancy.The patient has experienced amenorrhea for 2 months,nausea during the day with vomiting every other morning,and breast tenderness.She is convinced she is pregnant and is reluctant to pay for a pregnancy test.Which action by the nurse is best?

A nurse is teaching a group of middle school girls about the complications associated with teen pregnancy.What topics should the nurse include?

The nurse advocates for smoking cessation during pregnancy and teaches pregnant women about the effects of tobacco exposure.Which of the following are potential harmful effects of prenatal tobacco use that the nurse should plan to include in the teaching?

A student asks what the phrase "probable signs of pregnancy" means.The instructor provides which answer?

A woman comes for her first prenatal appointment at 31 weeks' gestation with her first pregnancy.Which of the following are appropriate statements by the nurse?