Exam 27: Pregnant Females

A client at 33 weeks' gestation has a complete blood cell count (CBC) drawn. When the client hears that her hemoglobin level was higher before her pregnancy, she asks if this will increase the risk to her unborn baby. What information should be provided to the client?

The nurse is monitoring a pregnant client in labor and palpates the abdomen until the end of the contraction. During end of shift report, the nurse states, "Uterus rigidity is comparable to a nose. This client may require an oxytocin drop." Based on this comment, which feature of the contract is the nurse describing?

The nurse is discussing dietary recommendations with a client who has been experiencing a larger than recommended weight gain during her pregnancy. The client reports reducing the amount of empty calories and of red meat consumed while significantly increasing intake of fish, poultry, fresh fruits, and vegetables. Based on this data, which response by the nurse is the most appropriate?

The healthcare provider is using Leopold maneuvers to assess fetal positioning. Which maneuver is being used in the image?

The healthcare provider is performing an assessment on a pregnant client. The examiner notes a softening in the area being assessed. Which probable sign of pregnancy is being assessed?

A client is diagnosed with Group B Streptococcus at 33 weeks' gestation. The client becomes tearful when the diagnosis is discussed. She asks what will be done next. Which information should the nurse provide to the client?

While performing data collection for a client who has recently had her pregnancy confirmed, the client reports taking daily herbal supplements. What action by the nurse is of the highest priority?

A client at 15 weeks' gestation has just been advised she has tested positive for syphilis. The client is tearful and inquires about the risk to her infant. Which of the elements will be included in the management of the condition?

During a prenatal counseling session a client indicates concern about her potential HIV positive status. The client states she does not want to "jinx" the pregnancy by getting tested because if she is positive, so is the baby. Which statement by the nurse is indicated?

The nurse is interviewing a female client who reports no menstrual periods for 2 months and breast soreness. The nurse would document this data as which classification of signs of pregnancy?

The nurse is interviewing a primigravida client who is 17 weeks pregnant. During the data collection the client reports she has not felt the baby move yet. Which response by the nurse is the most appropriate?

A pregnant client reports concern about the development of reddish marks on her abdomen and breasts. The client asks about having a cream prescribed to help them disappear. Which information will the nurse include when providing education to the client regarding this inquiry?

A client at 33 weeks' gestation calls the healthcare provider's office and reports she was attempting to nap when she became dizzy and felt faint. Which assessment data is the priority in this situation?

The client who is at 5 weeks' gestation presents in the emergency department (ED) with complaints of severe abdominal and pelvic pain. A vaginal examination reveals tenderness and a palpable mass near the uterus. Based upon your knowledge, which can the nurse anticipate will take place first?

The nurse is performing a pelvic examination on a client who is 20 weeks pregnant and notes a white, odorless discharge from the vagina. Based on this data, which action by the nurse is the most appropriate?

The nurse is examining a client in the third trimester of pregnancy. Which finding would require immediate intervention by the nurse?

The nurse is planning a prenatal education class for a group of women who are in their second trimester of pregnancy. Regarding the gestation of the pregnancy, which topics are considered most appropriate?

The nurse is interviewing a client who is 36 weeks pregnant. Which client statement would require immediate intervention by the nurse?

A client who is 38 weeks pregnant reports increased urinary frequency. Based on this data, which response by the nurse is indicated?

The nurse is assessing a postpartum client and notes the peri-pad has whitish-yellow discharge. Which term will the nurse use when documenting this finding in the medical record?