1. A prima-gravida at 32 weeks’ gestation presents to the triage with complaints of intermittent calf pain. The nurse begins the assessment by instructing the client to
Dorsiflex the foot
2. A client who is gravida 2 para 1 comes for a prenatal visit at 20 weeks of gestations. Her fundus is palpated 3 cm below the umbilicus. The finding is:
Lower than normal for gestational age
3. A nurse is caring for a pregnant client. Which instructions should the nurse plan to include in teaching the pregnant woman how to avoid the vena caval syndrome?
Lay on your left lateral side
4. A nurse is auscultating the fetal heart rate (FHR) and determines a rate of 152. Which of the following actions is appropriate for the nurse to do?
A. Inform the client that the rate is normal
B. Immediately report the FHR to the physician
C. Reassess the FHR in 5 minutes
D. Take a client’s temperature
5. A pregnant client in her first trimester ask the nurse about normal weight gain during pregnancy the nurse explained that the clients gain
25 to 35 pounds
6. An assessment of a woman who has completed her 2nd trimester reveals a mild systolic murmur. The nurse should:
Document the finding
7. The nurse is evaluating psychosocial development of a pregnancy women which of the following would indicate the client is accomplishing Rubens Task of Pregnancy select all that apply
A. Acceptance of pregnancy (Binding in)
B. Safe passage (deliverance and hope)
C. Reordering of relationships (give oneself)
8. A 32 week gestation is scheduled for a second NST in addition to the one she had at 28 weeks gestation which response by the client indicated adequate understanding of this
A. Need to have a full bladder for this test
B. I must avoid drinks containing caffeine for 24 hours before the test
C. I’ll have an IV started before the test
D. I can’t get up and walk around during
9. A 28 weeks’ gestation women calls her doctors office and anxiously tells the nurse that she has not felt the baby move for over 30 minutes. The most appropriate initial comment by the nurse would be:
“Your baby may be asleep."
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