Exam 4: Prenatal Care and Adaptations to Pregnancy

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The nurse explains that the softening of the cervix and vagina is a probable sign of pregnancy called _____ sign.

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D

A woman reports that her last normal menstrual period began on August 5, 2010. Using Nägele's rule, her expected date of delivery would be _____, 2011.

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C

During the physical examination for the first prenatal visit, it is noted that Chadwick's sign is present. This refers to the:

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A

The nurse encourages adequate intake of folic acid because it is thought to decrease the incidence of:

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A pregnant woman is experiencing nausea in the early morning. What recommendations would the nurse offer to alleviate this symptom?

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At her initial prenatal visit a woman asks, "When can I hear the baby's heartbeat?" The nurse would respond that the fetal heartbeat can be auscultated with a specially adapted stethoscope or fetoscope at _____ weeks.

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An ultrasound confirms that a 16-year-old girl is pregnant. The nurse recognizes the need for prenatal care and counseling for adolescents because:

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The patient who is 40 weeks pregnant complains of a sense of weakness and dizziness when she lies on her back. The nurse assesses this as an indication of:

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A woman asks the nurse about the frequency of prenatal visits. In an uncomplicated pregnancy, the nurse would tell her that appointments are scheduled:

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In a routine prenatal visit, the nurse examining a patient who is 37 weeks pregnant notices that the fetal heart rate (FHR) has dropped to 120 beats/min from a rate of 160 beats/min earlier in the pregnancy. The nurse should:

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A woman tells the nurse that she is quite sure she is pregnant. The nurse recognizes which as a positive sign of pregnancy?

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A woman who is 7 weeks pregnant tells the nurse that this is not her first pregnancy. She has a 2-year-old son and had one previous spontaneous abortion. Using the TPAL system, the patient's obstetric history would be recorded as:

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During the second prenatal visit, the nurse attempts to locate the fetal heartbeat with an electronic Doppler device. When this instrument is used, fetal heart tones can be detected as early as _____ weeks.

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The nurse reminds the prenatal patient that she should add ________ kcal to her daily intake to nourish the fetus.

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The nurse is aware that ______________ maneuver can assess the position and presentation of the fetus.

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The patient who is 28 weeks pregnant shows a 10-pound weight gain from 2 weeks ago. The nurse should initially:

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The nurse explains that the number of years between menarche and the date of conception is known as _____ age.

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The nurse cautions the patient that, because of hormonal changes in late pregnancy, the pelvic joints relax. What does this result in? Select all that apply.

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The patient remarks that she has heard some foods will enhance brain development of the fetus. The nurse replies that foods high in docosahexaenoic acid (DHA) are thought to enhance brain development. Such foods include:

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A pregnant woman inquires about exercising during pregnancy. In planning the teaching for this woman, the nurse should include what information?

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