Pregnancy Care and Monitoring Quiz
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Questions and Answers

What is the most appropriate nursing action for a 37-week pregnant patient feeling lightheaded while supine?

  • Change position, preferably to the left side (correct)
  • Prepare for administration of RBCs
  • Administer supplemental oxygen
  • Place a wedge or pillow under the patient's right hip

    • Which couple is at risk of Rh factor problems during pregnancy?

  • The mother is Rh positive and the father is Rh negative
  • Both parents are Rh positive
  • Both parents are Rh negative
  • The mother is Rh negative, the father is Rh positive (correct)

    • Which test should be addressed in a client undergoing an amniocentesis?

  • Rh factor (correct)
  • HCG
  • Blood type
  • Rubella titer

    • What might first-time fathers experience during the first trimester of pregnancy?

    <p>Physical symptoms similar to the mother</p> Signup and view all the answers

    What dietary recommendation should be made regarding fruit and vegetable consumption during pregnancy?

    <p>Avoid fruits and vegetables high in acid content</p> Signup and view all the answers

    What intensity would describe a contraction that is not firm in the abdominal wall during palpation?

    <p>Mild</p> Signup and view all the answers

    What defines a reactive non-stress test?

    <p>Two fetal heart accelerations 15 beats above baseline lasting 15 seconds within 20 minutes</p> Signup and view all the answers

    Which comment by a pregnant client indicates a need for further teaching regarding diet?

    <p>We now have wine once a week instead of every day.</p> Signup and view all the answers

    At what stage should the nurse instruct the client to begin pushing during labor?

    <p>At the beginning of the 2nd stage</p> Signup and view all the answers

    How is the frequency of contractions defined during labor?

    <p>Beginning of one contraction to the beginning of the next one</p> Signup and view all the answers

    How would you calculate the estimated due date (EDD) if the last menstrual period (LMP) is 2/27/2019?

    <p>Add 9 months and 7 days to the LMP</p> Signup and view all the answers

    What is a positive sign of pregnancy?

    <p>Fetal heart tones, Ultrasound and fetal movement</p> Signup and view all the answers

    What is an appropriate nursing intervention for a client in early pregnancy experiencing nausea?

    <p>Eat small, frequent meals</p> Signup and view all the answers

    Which assessment indicates the placenta is about to be delivered?

    <p>Abdominal wall relaxes noticeably and the cord shortens</p> Signup and view all the answers

    Which symptom is a danger signal that should be reported immediately?

    <p>Decreased fetal movement</p> Signup and view all the answers

    How would late decelerations occurring in 6 of the 8 contractions during a contraction stress test be documented?

    <p>Positive</p> Signup and view all the answers

    During the active phase of stage 1 labor, the cervix dilates to what measurement?

    <p>4-7 cm</p> Signup and view all the answers

    What conditions are monitored through urine tests for protein, ketones, and glucose during pregnancy?

    <p>Diabetes, PIH, and dehydration</p> Signup and view all the answers

    Which of the following functions are correctly attributed to amniotic fluid?

    <p>The fluid helps cushion the baby against harm</p> Signup and view all the answers

    During which period does exposure to teratogens pose the greatest risk to the developing fetus?

    <p>Week 2-8</p> Signup and view all the answers

    What is a consequence of increased blood volume during pregnancy?

    <p>Physiologic anemia of pregnancy</p> Signup and view all the answers

    What is the biologic marker that is the basis for pregnancy tests?

    <p>Human chorionic gonadotropin</p> Signup and view all the answers

    What is the purpose of administering Lactated Ringer's solution prior to an epidural during labor?

    <p>Increase IV fluid volume to prevent hypotension</p> Signup and view all the answers

    What is the best assessment indicator that a client is in true labor?

    <p>Cervical change</p> Signup and view all the answers

    Which screening test for chromosomal anomalies is scheduled at 10 weeks of gestation?

    <p>Chorionic villus sampling</p> Signup and view all the answers

    What is likely causing variable decelerations during a tracing in a 42 weeks gestation client?

    <p>Compression of the umbilical cord</p> Signup and view all the answers

    What does Goodell's sign indicate in a pregnant client?

    <p>A softening of the cervix</p> Signup and view all the answers

    Which assessment finding may suggest a developing complication in a pregnant client experiencing morning sickness?

    <p>Ketones in the urine</p> Signup and view all the answers

    If the fetal heart rate is determined to be 152 bpm, what is the appropriate nursing action?

    <p>Inform the client that the rate is normal</p> Signup and view all the answers

    Which 3-letter code represents the position of the baby referred to in the assessment?

    <p>ROA</p> Signup and view all the answers

    What should the nurse do first if the fetal heart rate is consistently between 170 to 180 bpm?

    <p>Apply oxygen at 10 L/min by face mask</p> Signup and view all the answers

    Which assessment finding indicates that a client is beginning the second stage of labor?

    <p>The cervix is completely dilated</p> Signup and view all the answers

    What is the most effective method for assessing ruptured membranes in a laboring patient?

    <p>Test the vaginal fluid with AmnioSure</p> Signup and view all the answers

    What nursing responsibility is necessary before administering an epidural?

    <p>IV fluids (bolus 400 cc)</p> Signup and view all the answers

    Study Notes

    Pregnancy Monitoring

    • Urine tests monitor for:
      • Diabetes
      • Preeclampsia (PIH)
      • Dehydration
    • Teratogens during embryonic stage (week 2-8) pose the greatest risk
    • Increased blood volume during pregnancy can cause physiological anemia

    Signs and Symptoms of Pregnancy

    • Human chorionic gonadotropin (hCG) is the biological marker detected in pregnancy tests
    • Positive signs of pregnancy include:
      • Fetal heart tones
      • Ultrasound confirmation
      • Fetal movement

    Pregnancy Care

    • Rapid intravenous infusion of Lactated Ringer's solution prior to epidural is done to prevent hypotension
    • Cervical change is the best indication of true labor
    • Chorionic villus sampling is a screening test done at 10 weeks gestation to detect chromosomal anomalies
    • Variable decelerations during labor can be caused by compression of the umbilical cord
    • To prevent morning sickness, eat small, frequent meals
    • Amniotic fluid:
      • Helps maintain environmental temperature
      • Cushions the baby against harm
      • Keeps the skin lubricated

    Labor and Delivery

    • The placenta has separated and is ready to be delivered when the uterus falls below the level of the symphysis pubis and becomes firm
    • Decreased fetal movement is a danger signal that needs to be reported immediately
    • Early decelerations are observed on the fetal monitoring strip, indicating head compression
    • A contraction stress test is considered positive when late decelerations occur in about 6 of the 8 contractions
    • Leopolds maneuvers assess fetal presentation, dilation, and station
    • Contractions in active phase of labor dilate the cervix 4-7 cm
    • False labor can include:
      • Irregular contractions
      • Contractions that don't get stronger or more frequent
      • Pain in the abdomen or groin area
      • No change in cervical dilation
    • A contraction that is not firm in the abdominal wall is termed mild
    • A reactive non-stress test shows two fetal heart accelerations 15 beats above baseline lasting 15 seconds long, occurring within 20 minutes
    • To calculate the estimated due date (EDD), add 9 months and 7 days to the LMP

    Nursing Interventions

    • The nurse instructs the client to begin pushing with her contractions at the end of the 1st stage of labor.
    • Frequency of contractions is determined by the beginning of one contraction to the beginning of the next one
    • Goodell's sign indicates softening of the cervix
    • Ketones in urine can indicate a complication of morning sickness
    • If the FHR is 152, immediately report it to the physician
    • The position of the baby in the picture is LOA (Left Occiput Anterior)
    • If the FHR is consistently 170-180 bpm, take the mother's temperature first
    • The client is beginning the second stage of labor when the cervix is completely dilated
    • To assess for ruptured membranes in a laboring patient, perform a vaginal exam with sterile gloves and test a vaginal sample of fluid with Nitrazine paper
    • Nursing responsibilities prior to an epidural include:
      • IV fluids (bolus 400 cc)
      • Assess contractions
    • To help a pregnant client with heartburn, eat smaller and more frequent meals
    • If a pregnant client in a supine position feels lightheaded, dizzy, and nauseous, change positions to the left side.
    • Couples where the mother is Rh negative and the father is Rh positive are at potential risk for developing problems with the Rh factor
    • A maternal test that needs to be addressed in a client having an amniocentesis is the Rh factor
    • Dads may experience physical symptoms similar to the mother during pregnancy.

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    Description

    Test your knowledge on pregnancy care, monitoring techniques, and signs and symptoms of pregnancy. This quiz covers essential topics such as urine tests, fetal development, and labor indications. Perfect for students and professionals in maternal health.

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