Prenatal care

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What is the purpose of performing Leopold maneuvers during prenatal care?

To determine cervical dilation

To palpate fetal presentation and position (correct)

To assess fetal heart rate

To measure maternal blood pressure

Which laboratory test is used to identify hemoglobinopathies such as sickle cell anemia?

Hgb electrophoresis (correct)

Rubella titer

CBC with differential

HIV test

What guideline should be followed regarding the Group B Streptococcus (GBS) test?

Performed at 36-37 weeks of gestation (correct)

Should be done at the first prenatal visit

Requires blood samples from the mother

Is unnecessary if the mother is asymptomatic

Which condition is indicated by a glycosylated hemoglobin (HbA1c) level greater than 8%?

Poor diabetes control (D) Signup and view all the answers

What is the first action recommended to assist clients during gynecological examinations?

Instruct the client to empty their bladder (C) Signup and view all the answers

What does a one-hour glucose tolerance test greater than 140 mg/dL signify?

Need for further testing (C) Signup and view all the answers

Which screening is explicitly used to detect exposure to tuberculosis?

PPD with chest x-ray after 20 weeks (C) Signup and view all the answers

What can be concluded from a maternal serum alpha-fetoprotein (MSAFP) level that is low?

Potential Down syndrome risk (C) Signup and view all the answers

Which of the following is NOT a focus of prenatal education?

Preparation for emergency childbirth (B) Signup and view all the answers

What is the role of the indirect Coombs test in prenatal care?

To assess Rh factor compatibility (B) Signup and view all the answers

What is the primary goal of prenatal care?

To reduce infant and maternal morbidity and mortality rates (C) Signup and view all the answers

Which of the following is NOT included in the prenatal assessments?

Perform a financial assessment of the client's resources (D) Signup and view all the answers

At what stage of pregnancy should the initial assessment be performed?

Within the first 12 weeks of pregnancy (A) Signup and view all the answers

What should be monitored during ongoing prenatal visits from week 36 until birth?

Weekly visits to monitor weight and blood pressure (D) Signup and view all the answers

Which factor is NOT considered part of the psychosocial history assessment?

Incidence of childhood illnesses (C) Signup and view all the answers

When should fetal movements start to be assessed during pregnancy?

Between 16 and 20 weeks of gestation (A) Signup and view all the answers

What is an important consideration regarding the client's cultural aspects during prenatal care?

Cultural beliefs can affect client education and self-care (C) Signup and view all the answers

What is a common sign of gestational hypertension that should be monitored during pregnancy?

Blurred vision (D) Signup and view all the answers

What is an essential component of the birth plan that should be discussed with the client?

Preferred methods of pain control and birthing methods (A) Signup and view all the answers

Which of the following is a potential indicator of an impending complication that requires immediate medical attention?

Gush of fluid from the vagina (B) Signup and view all the answers

What routine laboratory tests are typically performed during the initial prenatal visit?

Hemoglobin, hematocrit, and urinalysis (A) Signup and view all the answers

Which laboratory test is NOT typically obtained during a prenatal visit at 8 weeks of gestation?

Maternal serum alpha-fetoprotein (MSAFP) (C) Signup and view all the answers

Why is it vital to assess the client’s family history during prenatal care?

Family history may reveal genetic disorders affecting the mother or fetus (B) Signup and view all the answers

Which of the following complications should a nurse prioritize when reporting to a healthcare provider?

Vaginal bleeding (D) Signup and view all the answers

What is a significant symptom associated with hyperglycemia during pregnancy?

Flushed dry skin and fruity breath (A) Signup and view all the answers

Which intervention can help decrease the risk of urinary tract infections during pregnancy?

Increasing daily water intake (C) Signup and view all the answers

Which symptom could indicate the need for further evaluation regarding the condition of the fetus?

Decreased fetal movement (B) Signup and view all the answers

Which discomfort is NOT commonly experienced during the early stages of pregnancy?

Epigastric pain (C) Signup and view all the answers

What steps should a client take to manage nausea and vomiting during the first trimester?

Eat dry toast or crackers before rising (C) Signup and view all the answers

Which of the following practices can help reduce urinary tract infections during pregnancy?

Urinating before and after intercourse (D) Signup and view all the answers

What is a recommended action for managing heartburn in the second and third trimesters?

Eat small, frequent meals (D) Signup and view all the answers

What method is suggested for alleviating backaches during the second and third trimesters?

Perform pelvic tilt exercises (D) Signup and view all the answers

Which condition is characterized by lightheadedness or fainting when lying flat during pregnancy?

Supine hypotension (A) Signup and view all the answers

What should a client do to help prevent leg cramps during the third trimester?

Dorsiflex the foot and apply heat (A) Signup and view all the answers

What is recommended for managing varicose veins during pregnancy?

Elevate legs and wear support hose (C) Signup and view all the answers

Which common discomfort of pregnancy can be alleviated by staying hydrated and eating fiber-rich foods?

Constipation (B) Signup and view all the answers

What indicates a potential danger sign during pregnancy that requires immediate reporting to a provider?

Burning on urination (C) Signup and view all the answers

Which method should a client use to alleviate Braxton Hicks contractions?

Change position and walk around (A) Signup and view all the answers

What is one important aspect of physical activity during pregnancy?

30 minutes of moderate exercise is suggested daily. (B) Signup and view all the answers

Which of the following is NOT a complication to be aware of during the second trimester?

Ectopic pregnancy (D) Signup and view all the answers

Which method is suggested for clients to count fetal movements to ensure fetal well-being?

Count fetal activity two or three times a day for 2 hours. (A) Signup and view all the answers

What is the primary benefit of breastfeeding highlighted during the second trimester?

It enhances mother-child bonding. (C) Signup and view all the answers

Which coping method is emphasized in the third trimester for managing labor pain?

Coping methods include breathing and relaxation techniques. (C) Signup and view all the answers

What is one of the recommended vaccines for pregnant women during the third trimester?

Tdap (whooping cough) (D) Signup and view all the answers

What emotional response is commonly experienced by mothers during the early stages of pregnancy?

A feeling of ambivalence that may resolve by the third trimester. (D) Signup and view all the answers

Which of the following is used to assess fetal well-being during pregnancy?

Nonstress test and biophysical profile. (C) Signup and view all the answers

What is an appropriate strategy for managing common discomforts during pregnancy?

Implement lifestyle changes such as better posture and rest. (B) Signup and view all the answers