Exam 10: Promoting a Healthy Pregnancy

A 24-year-old pregnant woman at 26 weeks' gestation is experiencing her third pregnancy.The patient's obstetric history includes one full-term birth and one preterm birth; both children are alive and well.Today,the patient arrives at the clinic with complaints of fatigue,insomnia,and continuous backache.She reports that she is a nurse on an oncology unit and is worried about continuing to work her 12-hour shifts.What advice by the nurse would be most appropriate?

A nurse is educating a pregnant woman who has a history of pica about healthier eating.Which nutrients should the nurse include in the teaching plan?

The clinic nurse is assessing a woman in her 30th week of pregnancy.Her fundal height is 23 centimeters.What other assessment finding would the nurse correlate with this condition?

A patient in the prenatal clinic had a negative rubella titer.Which action by the nurse is most appropriate?

The nurse in a family practice clinic is working with a woman of childbearing age who recently was married and has no plans to have children yet.Which action by the nurse is most important?

A perinatal clinic nurse educated a pregnant woman about basic prenatal exercises.On a return visit,which statement by the patient indicates that teaching goals have been met?

The prenatal clinic nurse meets with a 30-year-old woman who is experiencing her first pregnancy.The patient's quadruple-marker screen result is positive at 17 weeks of gestation.Which action by the nurse is most important?

A woman comes to the clinic for her 24-week prenatal visit.This is her second pregnancy.The patient does not wish to know her weight and when her clinic record is reviewed,her total weight gain for this pregnancy is 5 pounds.She is very concerned about her changing body shape.What disorder does the nurse suspect?

A woman who is 26 weeks pregnant has a blood pressure of 158/100 mm Hg.Which action by the nurse is most appropriate?

The nurse teaches the prenatal class attendees about herbal medications that may cause uterine contractions and preterm labor.Which of the following herbal preparations should be avoided because they act as uterine stimulants?

A woman in her second trimester continues to smoke a pack of cigarettes a day despite stating that she understands why smoking is bad for her and for her fetus.Which action by the nurse is best?

A pregnant woman lifts weights regularly with a partner.What modification to this activity should the nurse suggest?

A woman is admitted to the hospital with a birth plan that specifies the Bradley method of childbirth.Which actions by the nurse are most appropriate for this patient?

A nurse is describing various childbirth options to an expectant couple.The woman states "I want to do Lamaze because I hear you will have no pain with this method." Which response by the nurse is best?

The perinatal nurse would assess which newborn system as a priority after birth if a woman admitted to cocaine use during her pregnancy?

The prenatal clinic nurse visits with a 32-year-old man.His partner is pregnant with her first child and is now at 12 weeks of gestation.The man states that he has been experiencing nausea and vomiting,fatigue,and weight gain.Which action by the nurse is most appropriate?

A woman in her second trimester wants to continue her weight-lifting and exercise plan.Which exercise would the nurse advise against participating in?

A perinatal nurse is assessing a pregnant woman's medications and finds that one of them is categorized as Category

A nurse is conducting a class on the Lamaze method of childbirth.Which core values does this nurse plan to teach?

An 18-year-old woman at 18 weeks' gestation is being seen in the prenatal clinic.Her weight gain is 25 pounds over her prepregnant weight.Which is the perinatal nurse's best approach to care at this visit?