Exam 26: The Pregnant Female

The nurse is assessing a postpartum client and notes the peri-pad has whitish-yellow discharge.The nurse would correctly document this vaginal discharge as which of the following?

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.What information should be included in the teaching provided to the client regarding this inquiry?

The nurse is preparing to assess the fetal heart tones for a client whose fetus is in the LOA position.Review the photograph below and draw an "X" to indicate the best location to assess for the heart tones.

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 of the following topics are considered most appropriate?

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.The most appropriate response by the nurse would be:

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

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.What assessment data should be collected by the nurse first?

The nurse is interviewing a client who is 36 weeks pregnant.Which of the following statements,if made by the client,would require immediate intervention by the nurse?

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?

The nurse is reading the history and physical on a pregnant client and reads that the cervix was noted as soft in texture and nontender during the pelvic examination.The nurse would correctly identify this as which of the following?

The healthcare provider is performing an assessment on a pregnant client.The examiner notes a softening in the area being assessed.Review the photograph below and identify the probable sign of pregnancy being assessed.

The nurse is assessing the abdomen of a client who is 20 weeks gestation.Indicate the anticipated height of the fundus.

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,and fresh fruits and vegetables.What response is indicated by the nurse?

The client who is at 5 weeks gestation is seen in the Emergency Department 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 of the following can the nurse anticipate will take place first?

A client has been 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.What information should be provided to the client?

The nurse is monitoring a pregnant client in labor and is wants to determine the length of time from the beginning of the contraction until the end of the contraction.The nurse is assessing which of the following in this client?

The nurse is performing a pelvic examination on a client who is 20 weeks pregnant and notes a white,odorless discharge from the vagina.The nurse would correctly choose which of the following actions?

The nurse is caring for a pregnant client who desires to know the estimated date of birth (EDB)for the baby.The client reports the last menstrual period (LMP)was April 10.Using Naegele's Rule,the nurse would correctly calculate the EDB as which of the following?

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?

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?