Questions and Answers
Which of the following is the most useful criterion when assessing sperm adequacy for conception?
What would be the most pertinent nursing diagnosis for a couple who has been unsuccessful in conceiving for two years?
Which urinary symptom is most frequently experienced by pregnant women during the first trimester?
Heartburn and flatulence in the second trimester are most likely caused by which of the following?
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Chloasma, commonly observed during pregnancy, is typically found in which area of the body?
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What causes the typical 'waddling' gait observed in pregnant women?
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What is the average amount of weight gained during pregnancy?
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Which of the following is identified as a presumptive sign of pregnancy?
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Which fundal height indicates less than 12 weeks’ gestation when the date of the LMP is unknown?
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Which danger signs should be reported promptly during the antepartum period?
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Which prenatal laboratory test value would the nurse consider significant?
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Which characteristics of contractions would the nurse expect to find in a client experiencing true labor?
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During which stage of labor would the nurse assess 'crowning'?
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Which nursing intervention would the nurse perform during the third stage of labor?
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Which actions demonstrate the nurse’s understanding of the newborn’s thermoregulatory ability?
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Which of the following factors would the nurse suspect as predisposing a client to placenta previa?
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Study Notes
Fertility and Conception
- Adequacy of sperm for conception is best assessed through sperm motility.
- Infertility can cause emotional distress, especially when comparing to peers who have children.
Pregnancy Symptoms and Changes
- Common urinary symptom in the first trimester for pregnant women is frequent urination.
- Heartburn and flatulence in the second trimester arise from hormonal changes and gastrointestinal tract pressure.
- Chloasma typically appears on the face and cheek areas during pregnancy.
- A "waddling" gait in pregnant women is due to changes in the pelvis and joint mobility.
- Average weight gain during pregnancy is about 25-35 pounds.
Pregnancy-Related Conditions
- Aching swollen leg veins are often caused by increased blood volume and pressure from the growing uterus.
- Cervical softening and uterine souffle are indicative of hormonal changes in early pregnancy.
- A presumptive sign of pregnancy includes missed menstrual periods.
Prenatal Education and Emotional Health
- Focus of prenatal classes during the first trimester is on physiological changes, fetal development, and nutrition.
- Common emotional reactions in the first trimester include mood swings and anxiety.
Labor and Delivery
- Barbiturates are generally avoided during active labor as they can depress fetal heart rate.
- Cardinal movements immediately before expulsion include engagement, descent, and rotation.
- "Crowning" is assessed during the second stage of labor.
Newborn Assessment
- Fetal heart rate (FHR) can be heard with a fetoscope as early as 10-12 weeks.
- Normal heart rate for a sleeping newborn ranges from 100 to 160 beats per minute.
- Fontanels, or soft spots, on a newborn's head are flexible and allow for growth and brain expansion.
Reflexes and Testing in Newborns
- Certain newborn reflexes, such as the grasp reflex, are present at birth and change little throughout life.
- The Babinski reflex is characterized by the newborn's toes fanning out when the sole is stroked.
- A reddish stain in a newborn's diaper may indicate the presence of urates in the urine.
Pregnancy Complications
- Hyperemesis gravidarum is a severe form of morning sickness that can lead to dehydration.
- Classic sign of pregnancy-induced hypertension (PIH) includes elevated blood pressure and edema.
- Dark brown vaginal discharge with a negative pregnancy test suggests a possible complete spontaneous abortion.
Other Relevant Information
- The connection between the right and left auricles of the heart before birth is facilitated by the foramen ovale.
- Factors that predispose a client to placenta previa include previous uterine surgery, multiple pregnancies, and advanced maternal age.
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Description
This quiz focuses on the critical aspects of nursing care related to infertility assessment and management. It covers useful criteria for sperm adequacy and nursing diagnoses pertinent to couples experiencing difficulty conceiving. Test your knowledge on the important considerations in fertility care.
