Chapter 7: Antepartum Assessment, Care, and and Education

Which suggestion is most helpful for the pregnant patient who is experiencing heartburn?

What is the rationale for a woman in her first trimester of pregnancy to expect to visit her health care provider every 4 weeks?

Which advice to the patient is one of the most effective methods for preventing venous stasis?

Which complaint made by a patient at 35 weeks of gestation requires additional assessment?

Which laboratory result would be a cause for concern if exhibited by a patient at her first prenatal visit during the second month of her pregnancy?

A patient in her third trimester of pregnancy is asking about safe travel. Which statement should the nurse provide regarding safe travel during pregnancy?

When a pregnant woman develops ptyalism, which guidance should the nurse provide?

When documenting a patient encounter, which term will the nurse use to describe the woman who is in the 28th week of her first pregnancy?

You are performing assessments for an obstetric patient who is 5 months pregnant with her third child. Which finding would cause you to suspect that the patient was at risk?

Determine the obstetric history of a patient in her fifth pregnancy who has had two spontaneous abortions in the first trimester, one infant at 32 weeks’ gestation, and one infant at 38 weeks’ gestation.

Use Nägele’s rule to determine the EDD (estimated day of birth) for a patient whose last menstrual period started on April 12.

Which of the patient health behaviors in the first trimester would the nurse identify as a risk factor in pregnancy?

A patient who smokes one pack of cigarettes daily has a positive pregnancy test. The nurse will explain that smoking during pregnancy increases the risk of which condition?

A patient with an IUD in place has a positive pregnancy test. When planning care, the nurse will base decisions on which anticipated action?

The health care provider reports that the primigravida’s fundus can be palpated at the umbilicus. Which priority question will the nurse include in the patient’s assessment?

The nurse is scheduling the next appointment for a healthy primigravida currently at 28 weeks gestation. When will the nurse schedule the next prenatal visit?

Which information is covered by early pregnancy classes offered in the first and second trimesters?

Which is the method of childbirth that helps prevent the fear-tension-pain cycle by using slow abdominal breathing in early labor and rapid chest breathing in advanced labor?

Which type of cutaneous stimulation involves massage of the abdomen?

What does a birth plan help the parents accomplish? c

A relaxation technique that can be used during the childbirth experience to decrease maternal pain perception is

Which technique would provide the best pain relief for a pregnant woman with an occiput posterior position?

The labor nurse is reviewing breathing techniques with a primiparous patient admitted for induction of labor. When is the best time to encourage the laboring patient to use slow, deep chest breathing with contractions?

In a prenatal education class, the nurse is reviewing the importance of using relaxation techniques during labor. Which patient statement will the nurse need to correct?

A pregnant patient reports that she works in a long-term care setting and is concerned about the impending flu season. She asks about receiving the flu vaccine. As the nurse, you are aware that some immunizations are safe to administer during pregnancy, whereas others are not. Which vaccines could this patient receive? (Select all that apply.)

The nurse is planning care for a patient in her first trimester of pregnancy. The patient is experiencing nausea and vomiting. Which interventions should the nurse plan to share with this patient? (Select all that apply.)

Which factors contribute to the presence of edema in the pregnant patient? (Select all that apply.)

The prenatal nurse educator is teaching couples the technique of applying sacral pressure during labor. Which should be included in the teaching session? (Select all that apply.)