An adolescent primigravida who is 8 weeks pregnant asks you, "How much alcohol is safe to drink during pregnancy? Which of the following is your best response?

A. Up to 3 oz daily

B. No alcohol

C. Social drinking only

D. Up to0.5 oz. Only daily

A pregnant client who has learned she is pregnant tells the nurse that she smokes two pack of cigarettes a day. In counseling, the nurse encourages her to stop smoking because studies show that newborns of mothers who smokes are often;

A. Born with congenital facial malformations

B. Excessively large for gestational age

C. Small for gestational age

D. Postmature with meconium aspiration syndrome

Of the following conditions, the one recognized as a known teratogen is;

A. Coronary heart disease

B. Smoking

C. Corona Virus

D. Scarlet fever

Which of the following interventions, if selected by the nurse, is appropriate for a pregnant client with AIDS with the nursing diagnosis of High Risk for Infection?

A. Offer spiritual support

B. Enforce total bedrest

C. Provide information on safe sex practices

D. Administer ferrous sulfate

The nurse is conducting a clinic visit with prenatal client with heart disease. The nurse carefully evaluate vital sign, weight gain, and fluid & nutritional status to detect complication caused by;

A. Hypertrophy & increased contractility

B. The increase in circulating volume

C. Rh incompatibility

D. Fetal cardiomegaly

Mrs. Cortez, primigravida client at 20 weeks gestation and with history of heart disease, has been instructed on home management. Which of the following statements, if made by Mrs. Cortez, indicates that she needs further teaching?

A. "I need to observe some restriction on people who visit me."

B. "I should avoid stressfull situation."

C. " My weight gain is not important"

D. "I should report early signs of infection."

You are planning a home visit to evaluate the condition of Beth, 12 weeks pregnant with a history of cardiac disease that has been treated with digitalis therapy before this pregnancy. Which of the following would you anticipate happening with Beth's drug therapy regimen?

A. Need to change the medication

B. Continuation of the same message

C. Switching to a more potent brand

D. Addition of antidiuretic and antibiotic in regimen

Multigravida Divine is in the first stage of labor, active phase. Considering that Divine has a complicating heart disease due to rheumatic fever, which of the following interventions will you include in the care plan?

A. Encourage ambulation to increase labor

B. Anticipate to prepare for an operative obstetrics

C. Reinforce instructions in correct pushing

D. Give continuous o2 per nasal canula

A diabetic client is unsure of the date of her last menstrual period (LMP), she says that she missed 3 menses, but her fundus palpated slightly below the umbilicus. Other than Naegele's rule will be used to determine the estimated date of delivery. The nurse would expect the physician to estimate the date by;

A. Hearing the first audible fetal heart tone with fetoscope

B. Serial estriols

C. Ultrasonography

D. Non-stress test

Hyperglycemia results from poor diabetic control during pregnancy and can result to perinatal morbidity & mortality. When evaluating the pregnant client, the nurse knows that the recommended serum glucose rage during pregnancy is;