Question 1

The nurse is assisting the healthcare provider during a vaginal examination. The healthcare provider notes the cervix has a bluish-purple change in coloration. Based on this data, which will the nurse document in the medical record?

Accepted Answer

A)  Goodell sign. 
B)  Leukorrhea. 
C)  Chadwick sign. 
D)  Mucous plug.

Question 2

The nurse is reviewing the tests planned for a pregnant client. Traditionally, assessment for gestational diabetes will be performed between 24 and 28 weeks' gestation. Which findings in the client's history will prompt the test to be performed earlier in the pregnancy?

Accepted Answer

A)  The client is a multigravida. 
B)  The client has a history of a previous stillbirth. 
C)  The client has a strong family history of diabetes. 
D)  The client experienced infertility prior to becoming pregnant. 
E)  The client's last baby was large for gestational age.

Question 3

The nurse is assessing a client in the third trimester of pregnancy and notes a yellowish discharge from both breasts. Which action by the nurse is the most appropriate?

Accepted Answer

A)  Ask the client if she is preparing for breastfeeding. 
B)  Notify the healthcare provider. 
C)  Document the findings as normal. 
D)  Obtain a culture of the discharge immediately.

Question 4

The nurse is assessing the abdomen of a client who is 20 weeks gestation. Which is the anticipated height of the fundus based on this data?

Accepted Answer

A)  A. 
B)  B. 
C)  C. 
D)  D.

Question 5

The nurse is preparing a teaching plan for a group of pregnant clients. Which should the nurse include in this teaching session?

Accepted Answer

A)  Do not use soap on my nipples. 
B)  Sleep 8-10 hours each night. 
C)  Eat four servings of dairy products daily. 
D)  Do not take iron supplements due to constipation. 
E)  Avoid resting in a back lying position.

Question 6

While reviewing a pregnant client's medical record, the nurse notes that the cervix was soft in texture and nontender during the pelvic examination. Based on this data, which would the nurse identify as a normal finding?

Accepted Answer

A)  Piskacek sign. 
B)  Goodell sign. 
C)  Chadwick sign. 
D)  Hegar sign.

Exam 27: Pregnant Females