Question 1

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?

Accepted Answer

A)  Postpartal bleeding
B)  Lochia rubra
C)  Lochia serosa
D)  Lochia alba D

Question 2

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?

Accepted Answer

A)  The stretch marks will fade but not disappear.
B)  Cream will help the skin stay supple.
C)  Cocoa butter lotions and creams will clear the marks completely.
D)  The marks will lighten to a silvery tone after pregnancy.
E)  Wearing supportive undergarments will help to support the skin and reduce the appearance of the marks. A,B,D

Question 3

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.

Accepted Answer

The answer of The nurse is preparing to assess the...

Question 4

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?

Accepted Answer

A)  Preparation of breasts for breastfeeding
B)  Fetal development
C)  Warning signs to report
D)  Psychologic concerns associated with becoming pregnant
E)  Preterm labor signs

Question 5

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:

Accepted Answer

A)  "We will listen for the heartbeat today."
B)  "You need an ultrasound."
C)  "Fetal movement does not occur until the 18th week."
D)  "Do you have reason to believe your baby is not ok?"

Question 6

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

Accepted Answer

A)  Pulse of 98 beats per minute
B)  Weight gain of 1.5 pounds in a month
C)  Blood pressure of 148/94
D)  Respiratory rate of 26 per minute

Question 7

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?

Accepted Answer

A)  The position the client was in during the nap period
B)  Dietary intake prior to the episode
C)  History of hyperemesis
D)  No additional data as this appears to be an isolated incident

Question 8

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?

Accepted Answer

A)  "I have to get up during the night to void."
B)  "I have not felt the baby move today."
C)  "I am leaking a yellowish fluid from my breasts."
D)  "I have been taking Tylenol (acetaminophen) for my backaches."

Question 9

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?

Accepted Answer

A)  The client will be treated with IV antibiotic therapy during the prenatal period.
B)  The sexual partners of the client will require notification and testing.
C)  The client will begin antibiotic therapy at this time.
D)  The client will begin antibiotic therapy after birth of the baby.
E)  The infant will require intrauterine management for the condition.

Question 10

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?

Accepted Answer

A)  Piscacek's sign
B)  Goodell's sign
C)  Chadwick's sign
D)  Hegar's sign

Question 11

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.

Accepted Answer

A)  Goodell's sign
B)  Hegar's sign
C)  Chadwick's sign
D)  Ladin's sign

Question 12

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

Accepted Answer

The answer of The nurse is assessing the abdomen of...

Question 13

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?

Accepted Answer

A)  "It looks like you have things under control.Do you have any other questions?
B)  "Have you considered seeing a dietitian for nutritional counseling?"
C)  "Tell me more about the meat and fish you are eating each day."
D)  "I think we should discuss the risky dietary choices you are making with the healthcare provider."

Question 14

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?

Accepted Answer

A)  The client will be sent home on bed rest.
B)  The client will be admitted to the acute care facility for observation.
C)  The client will be evaluated in the labor and delivery department with a nonstress test.
D)  An ultrasound will be ordered.

Question 15

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?

Accepted Answer

A)  The client will receive oral antibiotics to be taken over the next 7 weeks.
B)  The infection will be managed with IV antibiotics when the client is in active labor.
C)  Due to the limited risk of transmission,the client will begin treatment during the postpartum period.
D)  The client will require IM antibiotic treatment to facilitate a rapid cure.

Question 16

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?

Accepted Answer

A)  Contraction intensity
B)  Contraction palpation
C)  Contraction frequency
D)  Contraction duration

Question 17

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?

Accepted Answer

A)  Ask the client about vaginal discomfort.
B)  Inquire about recent sexual intercourse.
C)  Obtain a culture of the discharge.
D)  Document the findings as normal.

Question 18

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?

Accepted Answer

A)  February 1
B)  May 17
C)  May 24
D)  January 17

Question 19

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?

Accepted Answer

A)  Instruct the client to increase the supplements to promote nutritional well-being.
B)  Advise the client to reduce the amount of supplements taken to allow for the prescribed prenatal vitamins being taken.
C)  Encourage the client to speak with the healthcare provider about the herbal supplements.
D)  Record the client's reports on the permanent medical record.

Question 20

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?

Accepted Answer

A)  Objective
B)  Probable
C)  Presumptive
D)  Positive

Exam 26: The Pregnant Female