Final Maternity (Todo incluido).docx

Quiz_16: Antepartum Period Your instructor added question feedback to this assessment Question 1 1.2 / 1.2 A 17-year-old gravid client presents for a regularly scheduled 26-week prenatal visit. She appears disheveled, is wearing ill-fitting clothes, and does not make eye contact with the nurse. Whic...

Quiz_16: Antepartum Period Your instructor added question feedback to this assessment Question 1 1.2 / 1.2 A 17-year-old gravid client presents for a regularly scheduled 26-week prenatal visit. She appears disheveled, is wearing ill-fitting clothes, and does not make eye contact with the nurse. Which items should the nurse discuss with the client? Select all that apply. Hide answer choices substance abuse Correct answer glucose tolerance screening test Correct answer intimate partner violence Correct answer hCG (human chorionic gonadotropin) levels depression Correct answer Feedback Good work Question 2 0 / 1.2 The nurse is caring for a client who is 30 weeks pregnant and in preterm labor who has been prescribed a magnesium sulfate infusion. Which will the nurse include in the client's plan of care? Select all that apply. Hide answer choices Incorrect: Evaluate urinary output every 24 hours. Assess deep tendon reflexes (DTRs) every 4 hours. Correct answer Monitor respiratory rate hourly and as needed. Correct answer Ensure that calcium gluconate is on hand. Correct answer Assess temperature frequently. Feedback That's not correct Question 3 1.2 / 1.2 A client who is 15 weeks pregnant comes to the clinic for amniocentesis. The nurse knows that this test can be used to identify which characteristics or problems? Select all that apply. Hide answer choices polyhydramnios sex of the fetus Correct answer fetal lung maturity gestational diabetes neural tube defects Correct answer chromosomal defects Correct answer Feedback Good work Question 4 0 / 1.2 A client at 29 weeks' gestation who has been diagnosed with severe preeclampsia is noted to have a blood pressure of 170/112 mm Hg, 4+ proteinuria, and a weight gain of 10 lbs (4.5 kg) over the past 2 days. Which instruction(s) from the healthcare provider would the nurse question? Select all that apply. Hide answer choices Maintain bed rest. Administer magnesium sulfate 2 g/hour. Have the client eat a low-protein diet. Correct answer Weigh the client weekly. Correct answer Incorrect: Order labetalol 200 mg twice a day. Feedback That's not correct Question 5 1.2 / 1.2 The obstetrical triage nurse assesses a client with a term pregnancy. There has not been any change in the cervix for the past 2 hours despite irregular contractions. When discharging the client to her home, the nurse should tell the client to return to the hospital when which conditions occur? Select all that apply. Hide answer choices She notices an absence of fetal movement. Correct answer Contractions become more intense and closer together. Correct answer She feels the urge to push. Correct answer She feels more than three contractions an hour. She thinks the membranes have ruptured. Correct answer She notices vaginal bleeding. Correct answer Feedback Good work Question 6 1.2 / 1.2 At an obstetrics and gynecology physician's office, a nurse and a nursing student discuss the prioritization of returning client phone messages. Which of the following clients would be a priority to call? Select all that apply. Hide answer choices a client at 32 weeks reporting a weight gain of 2 pounds (1 kg) over the last week a client at 36 weeks reporting feeling anxious and short of breath Correct answer a client at 34 weeks reporting transient blurred vision and shoulder pain Correct answer a client with spotting and cramping 1 day after a cerclage a client at 30 weeks reporting her morning sickness has suddenly returned Correct answer Feedback Good work Question 7 0 / 1.2 The nurse is teaching a woman who is 18 weeks' pregnant about normal findings. Which findings are expected at this time? Select all that apply. Hide answer choices less urinary frequency Correct answer insomnia fundal height of approximately 18 cm Correct answer quickening Correct answer leg cramps Feedback That's not correct Question 8 1.2 / 1.2 A primigravid client at 32 weeks' gestation is enrolled in a breastfeeding class. Which statements indicate that the client understands the breastfeeding education? Select all that apply. Hide answer choices "I can hold my baby several different ways during feedings." Correct answer "I need to feed my baby when I see feeding cues and not wait until she is crying." Correct answer "If I breastfeed, my uterus will return to prepregnancy size more quickly." Correct answer "My milk supply will be adequate since I have increased a whole bra size during pregnancy." "If my infant latches on properly, I will not develop mastitis." Feedback Good work Question 9 1.2 / 1.2 A client at 30 weeks gestation experiences a rupture of membranes with mild contractions 8 minutes apart. Which nursing interventions are included on the plan of care to improve newborn outcomes? Select all that apply. Hide answer choices Begin an oxytocin drip once the mother reaches 3 cm dilated. Arrange a neonatologist to be available for the birth. Correct answer Maintain the client on the fetal monitor throughout the labor process. Correct answer Position the mother in a supine position with the feet elevated. Ensure the mother remains nothing by mouth (NPO) throughout the labor. Administer a dose of betamethasone per healthcare provider's order. Correct answer Feedback Good work Question 10 1.2 / 1.2 A 25-week gestation client is scheduled for amniocentesis. What should the nurse do to prepare the client for the procedure? Select all that apply. Hide answer choices Assess fetal heart rate. Correct answer Instruct the client to drink 1 liter of fluid. Insert an IV catheter. Ask the client to void. Correct answer Ask the client to lie on her left side. Monitor maternal vital signs. Correct answer Feedback Good work Question 11 0 / 1.2 The nurse is working in an ambulatory obstetrics setting. What are emphasized client safety procedures for this setting? Select all that apply. Hide answer choices use same abbreviations as in the hospital setting Correct answer handwashing or antiseptic use when entering and leaving a room Correct answer conducting preprocedure verification asking for client name and procedure to be performed Correct answer preventing infection by isolating anyone with nausea and vomiting use of two client identifiers when initiating contact with a client Correct answer Feedback That's not correct Question 12 1.2 / 1.2 During prenatal screening of a client with diabetes, the nurse should keep in mind that the client is at increased risk for which complications? Select all that apply. Hide answer choices placenta previa spontaneous abortion Correct answer pregnancy-induced hypertension Correct answer Rh incompatibility stillbirth Correct answer Feedback Good work Question 13 0 / 1.2 The nurse is caring for a client who is 32 weeks pregnant. The client is started on nifedipine for preterm labor. Which of the following statements made by the client demonstrate an understanding of the plan of care? Select all that apply. Hide answer choices "I will drink 2 to 3 quarts (1.9 to 2.8 liters) of water per day." Correct answer "I will move about frequently to keep my contractions regular." Incorrect: "I will not take my scheduled nifedipine if I have a headache." "I will check my blood pressure prior to taking my scheduled nifedipine." Correct answer "I will avoid sexual intercourse until my physician says otherwise." Correct answer Feedback That's not correct Question 14 0 / 1.2 A client comes to the healthcare provider's office for a routine prenatal visit. The client is G1 Para 0 and is 22 weeks' gestation. What assessments would the nurse perform on this client? Select all that apply. Hide answer choices blood pressure Correct answer weight Correct answer 1-hour glucose tolerance test urine dipstick Correct answer measure fundal height Correct answer Feedback That's not correct Question 15 1.2 / 1.2 The nurse is admitting a client with a suspected diagnosis of abruptio placentae. Which assessment data would require the nurse to notify the healthcare provider immediately? Select all that apply. Hide answer choices white creamy vaginal discharge increased heart rate Correct answer overt vaginal bleeding Correct answer decreased blood pressure Correct answer a rigid abdomen Correct answer gastrointestinal upset Feedback Good work Question 16 0 / 1.2 The nurse is discussing dietary concerns with pregnant teens. Which food choices are convenient for teens yet nutritious for both the mother and fetus? Select all that apply. Hide answer choices peanut butter with crackers and a juice drink Correct answer buttery light popcorn with diet cola cheese pizza with spinach and mushroom topping Correct answer Incorrect: chicken nuggets with tater tots cheeseburger with tomato, lettuce, pickle, ketchup, and baked potato milkshake or yogurt with fresh fruit or granola bar Correct answer Feedback That's not correct Question 17 1.2 / 1.2 The nurse cares for a client who is 12 weeks pregnant and speaks Spanish only. Which interventions should the nurse include in the plan of care at the client's initial visit? Select all that apply. Hide answer choices Arrange for an interpreter for her appointments. Correct answer Refer the client to a high-risk clinic. Discuss contraception and options. Discuss cultural differences and emphasize the differences between cultures. Review dietary intake and discuss nutrition. Correct answer Provide brochures in the client's native language. Correct answer Feedback Good work Question 18 0 / 1.2 A primiparous client at 10 weeks' gestation questions the nurse about the need for an ultrasound. She states, "I feel fine, so why should I have the test?" The nurse should incorporate which statements as the underlying reason for performing the ultrasound now? Select all that apply. Hide answer choices "We must determine fetal position." "We need to determine gestational age." Correct answer "The test helps us view the gross anatomy of the fetus." Correct answer Incorrect: "We must determine that there is a sufficient nutrient supply for the fetus." "The test will determine if the fetus is viable." Feedback That's not correct Question 19 0 / 1.2 Which of the following actions would the nurse perform if the nurse suspects the complication of thrombophlebitis in the leg in a postpartum woman? Select all that apply. Hide answer choices Prepare the client for venous Doppler ultrasound. Correct answer Incorrect: Prepare for administration of Tissue Plasminogen Activator (TPA). Administer estrogens for lactation suppression. Place client on bed rest. Correct answer Assess vital signs. Correct answer Feedback That's not correct Question 20 0 / 1.2 The nurse is admitting a client with a suspected diagnosis of abruptio placentae. When assessing client symptoms, which symptoms require healthcare provider notification of this medical emergency? Select all that apply. Hide answer choices overt vaginal bleeding Correct answer Incorrect: gastrointestinal upset Incorrect: white creamy vaginal discharge rapid uterine contractions Correct answer rigid abdomen Correct answer Increased blood pressure Correct answer Feedback That's not correct Question 21 1.2 / 1.2 The nurse is assessing a multigravid client at 12 weeks' gestation who has been admitted to the emergency department with sharp right-sided abdominal pain and vaginal spotting. Which information should the nurse obtain about the client's history? Select all that apply. Hide answer choices last menstrual period Correct answer number of sexual partners Correct answer contraceptive use Correct answer cesarean section history of sexually transmitted infections Correct answer Feedback Good work Question 22 0 / 1.2 A nurse is caring for a client with type I diabetes mellitus (DM) who is 39 weeks pregnant. Which of the following will the nurse include in the client's plan of care? Select all that apply. Hide answer choices administering glyburide 5 mg every morning performing twice-weekly fetal nonstress tests Correct answer obtaining a fetal biophysical profile Correct answer Incorrect: monitoring blood sugar 3 times a day including a bedtime snack with protein Correct answer Feedback That's not correct Question 23 0 / 1.2 The nurse is caring for a client with gestational trophoblastic disease (GTD) and is experiencing nausea and vomiting. Which interventions will the nurse include in the client's plan of care? Select all that apply. Hide answer choices Monitor potassium levels. Correct answer Administer ondansetron IV. Correct answer Measure the fundal height. Correct answer Monitor fetal heart tones every 4 hours. Incorrect: Assess vaginal discharge for infection. Feedback That's not correct Question 24 1.2 / 1.2 Which statements made by a pregnant woman in the first trimester are consistent with this stage of pregnancy? Select all that apply. Hide answer choices "I can't wait to see my baby. Do you think it will have my blond hair and blue eyes?" "Oh my, how did this happen? I don't need this now." Correct answer "I used a princess theme for decorating the room." "My husband told his friends we'll have to give up the convertible for a minivan." Correct answer "We went to the mall yesterday to buy a crib and dressing table." "I wonder how it will feel to buy maternity clothes and be fat." Correct answer Feedback Good work Question 25 0 / 1.2 The nurse is caring for a client who has a history of gastric bypass surgery and is now being seen for her first prenatal visit. Which interventions should be included in the plan of care? Select all that apply. Hide answer choices Check urine at each visit for protein and glucose. Correct answer Counsel her that she will most likely gain all of her weight back. Take a prenatal vitamin with 400 mcg of folic acid. Correct answer Monitor with non-stress tests beginning at 20 weeks. Incorrect: Draw glucose levels at each prenatal visit. Refer the client to a registered dietician. Correct answer Feedback That's not correct Question 26 1.4 / 1.4 A client makes a routine visit to the prenatal clinic. Although the client is 14 weeks pregnant, the size of her uterus approximates an 18- to 20-week pregnancy. The physician diagnoses gestational trophoblastic disease and orders ultrasonography. The nurse expects ultrasonography to reveal: Hide answer choices an extrauterine pregnancy. an empty gestational sac. grapelike clusters. Correct answer a severely malformed fetus. Feedback Good work Question 27 1.4 / 1.4 The nurse teaches a primigravid client how to do Kegel exercises. What does the nurse explain is the expected outcome of these exercises? Hide answer choices strengthening the perineal muscles Correct answer strengthening the abdominal muscles reducing the risk of hemorrhoids alleviating lower back discomfort Feedback Good work Question 28 1.4 / 1.4 A client who is 34 weeks pregnant is admitted to the labor and birth room with the diagnosis of preeclampsia. The client's vital signs are as follows: blood pressure 149/92 mm Hg; pulse, 62 beats/min; respiratory rate, 18 breaths/min; temperature, 98.4° F (36.8° C). What is the priority intervention? Hide answer choices Administer an antihypertensive agent. Check the cervix. Encourage the client to lie in a lateral position. Correct answer Notify the health care provider (HCP) of the client's blood pressure. Feedback Good work Question 29 1.4 / 1.4 Examination of a primigravid client having increased vaginal secretions since becoming pregnant reveals clear, highly acidic vaginal secretions. The client denies any perineal itching or burning. The nurse interprets these findings as a response related to which factor? Hide answer choices control of the growth of pathologic bacteria Correct answer development of a sexually transmitted infection prevention of expulsion of the cervical mucus plug a decrease in vaginal glycogen stores Feedback Good work Question 30 1.4 / 1.4 A client who's 12 weeks pregnant is complaining of severe left lower quadrant pain and vaginal spotting. She is admitted for treatment of an ectopic pregnancy. The nurse should give the highest priority to which nursing diagnosis? Hide answer choices impaired gas exchange risk for deficient fluid volume Correct answer acute pain anxiety Feedback Good work Question 31 1.4 / 1.4 A client who is pregnant with her second child comes to the clinic complaining of a pulling and tightening sensation over her pubic bone every 15 minutes. She reports no vaginal fluid leakage. Because she has just entered her 36th week of pregnancy, she is apprehensive about her symptoms. Vaginal examination discloses a closed, thick, posterior cervix. These findings suggest that the client is experiencing: Hide answer choices Braxton Hicks contractions. Correct answer back labor. true labor contractions. fetal distress. Feedback Good work Question 32 1.4 / 1.4 In 6 months, a client is expecting a second child. During the psychosocial assessment, the client says to the nurse, "I've been through this before. Why are you asking me these questions?" What is the nurse's best response? Hide answer choices "Each pregnancy has a unique psychosocial meaning." Correct answer "A second pregnancy may require more psychosocial adjustment." "A client can develop couvade with any pregnancy." "The facility requires these answers of all pregnant clients." Feedback Good work Question 33 0 / 1.4 A client with type 1 diabetes has just learned she's pregnant. The nurse is teaching her about insulin requirements during pregnancy. Which guideline should the nurse provide? Hide answer choices Incorrect: "Insulin requirements usually decrease during the last two trimesters." "Insulin requirements usually decrease during the first trimester." Correct answer "Insulin requirements don't change during pregnancy. Continue your current regimen." "Insulin requirements increase greatly during labor." Feedback That's not correct Question 34 1.4 / 1.4 A 16-year-old primigravida at 36 weeks' gestation who has had no prenatal care experienced a seizure at work and is being transported to the hospital by ambulance. What should the nurse do upon the client's arrival? Hide answer choices Position the client in a supine position. Admit the client to a quiet, darkened room. Correct answer Auscultate breath sounds every 4 hours. Monitor the vital signs every 4 hours. Feedback Good work Question 35 1.4 / 1.4 The nurse is conducting a routine risk assessment at a prenatal visit. Which question would be the best to screen for intimate partner violence? Hide answer choices "How safe do you feel in your home?" Correct answer "Does your partner own a gun?" "Is your partner excited about your pregnancy?" "Does your partner have an arrest record?" Feedback Good work Question 36 0 / 1.4 As part of a preconception visit, a couple ask the nurse about their risk for having a child with a genetic disorder. What information should the nurse tell the clients about the risk of having a child with sickle cell disease? Hide answer choices If both parents have sickle cell anemia, there is a 50% chance that the child will have sickle cell trait. Incorrect: If one parent has sickle cell trait, there is a 25% chance that the child will have sickle cell trait. If both parents have sickle cell trait, the chance is 25% of having a child with sickle cell anemia. Correct answer If one parent has sickle cell anemia, there is a 50% chance the child will have sickle cell anemia. Feedback That's not correct Question 37 1.4 / 1.4 A multigravid client who stands for long periods while working in a factory visits the prenatal clinic at 35 weeks' gestation, stating, "The varicose veins in my legs have really been bothering me lately." Which instruction would be most helpful? Hide answer choices Perform slow contraction and relaxation of the feet and ankles twice daily. Take a leave of absence from work to avoid prolonged standing. Take frequent rest periods with the legs elevated above the hips. Correct answer Avoid support hose that reach above the leg varicosities. Feedback Good work Question 38 1.4 / 1.4 During her first prenatal visit, a client expresses concern about gaining weight. What is the nurse's first action? Hide answer choices Ask the client how she feels about gaining weight and provide instructions about expected weight gain and diet. Correct answer Ask her to come back to the clinic every 2 weeks for a weight check. Report the client's concerns to her caregiver. Be alert for a possible eating problem and do a further in-depth assessment. Feedback Good work Question 39 1.4 / 1.4 During a nonstress test (NST), the electronic tracing displays a relatively flat line for fetal movement, making it difficult to evaluate the fetal heart rate (FHR). To mark the strip, a nurse should instruct the client to push the control button at which time? Hide answer choices at the beginning of each fetal movement Correct answer at the end of fetal movement at the beginning of each contraction after every three fetal movements Feedback Good work Question 40 0 / 1.4 After an amniotomy, which client goal should take the highest priority? Hide answer choices The client will maintain adequate fetal tissue perfusion. Correct answer The client will express increased knowledge about amniotomy. The client will report relief of pain. Incorrect: The client will display no signs of infection. Feedback That's not correct Question 41 1.4 / 1.4 A client who is 24 weeks pregnant and diagnosed with preeclampsia is sent home with orders for bed rest and a referral for home health visits by a community health nurse. Which comment made by the client indicates to the nurse that the client understands the reasons for home health visits? Hide answer choices "The community health nurse will help fix my meals." "The community health nurse will check me and my baby and talk with my physician." Correct answer "The community health nurse will give me my antihypertensive medication." "The community health nurse will give me prenatal care so that I won't have to see my physician." Feedback Good work Question 42 0 / 1.4 A pregnant client's last menstrual period began on October 12. Using Nägele's rule, the nurse calculates the estimated date of delivery (EDD) as: Hide answer choices June 19. July 19. Correct answer Incorrect: July 5. June 5. Feedback That's not correct Question 43 1.4 / 1.4 A client's prenatal blood work revealed that she does not have antibodies to rubella. The client questions the nurse about receiving the vaccine during her pregnancy. Which one of the following responses from the nurse would be appropriate regarding the risks of this vaccine to the fetus? Hide answer choices "Vaccination should be avoided for 3 months before pregnancy." Correct answer "The rubella vaccine is most effective during pregnancy." "Vaccination should be avoided during the first 3 months of pregnancy." "There are no risks from vaccination." Feedback Good work Question 44 1.4 / 1.4 A pregnant client is diagnosed with group B streptococcus chorioamnionitis. The nurse should expect to administer which medication to prevent fetal transmission? Hide answer choices methylprednisolone I.V. to the client amoxicillin trihydrate P.O. to the client ceftriaxone I.M. to the neonate immediately after delivery penicillin G potassium I.V. to the client Correct answer Feedback Good work Question 45 1.4 / 1.4 The nurse is conducting a routine risk assessment at a prenatal visit. Which question would be the best to screen for intimate partner violence? Hide answer choices "Does your partner own a gun?" "How safe do you feel in your home?" Correct answer "Does your partner have an arrest record?" "Is your partner excited about your pregnancy?" Feedback Good work Question 46 1.4 / 1.4 A 36-year-old primigravid client at 22 weeks' gestation without any complications to date is being seen in the clinic for a routine visit. Why does the nurse need to assess the client's fundal height? Hide answer choices estimate the fetal growth Correct answer identify the need for increased weight gain assess the fetal position determine the level of uterine activity Feedback Good work Question 47 0 / 1.4 A primigravid client at 26 weeks' gestation asks the nurse what causes heartburn during pregnancy. The nurse should explain to the client that heartburn during pregnancy is usually caused by which factor? Hide answer choices backflow of stomach contents into the esophagus Correct answer Incorrect: displacement of the stomach by the diaphragm increased peristaltic action during pregnancy decreased secretion of hydrochloric acid Feedback That's not correct Question 48 1.4 / 1.4 Early detection of an ectopic pregnancy is paramount in preventing a life-threatening rupture. Which symptoms should alert the nurse to the possibility of an ectopic pregnancy? Hide answer choices nausea and vomiting copious discharge of clear mucous and prolonged epigastric pain amenorrhea and a negative pregnancy test abdominal pain, vaginal bleeding, and a positive pregnancy test Correct answer Feedback Good work Question 49 1.4 / 1.4 After developing severe hydramnios, a primigravid client exhibits dyspnea, along with edema of the legs and vulva. Which procedure should the nurse expect the client to undergo and why? Hide answer choices amniocentesis to temporarily relieve discomfort Correct answer cesarean birth to prevent further fetal damage I.V. oxytocin administration to induce labor artificial rupture of the membranes to reduce uterine pressure Feedback Good work Question 50 1.4 / 1.4 A client with gestational hypertension is likely to exhibit Hide answer choices proteinuria, headaches, and vaginal bleeding. sudden weight gain, headaches, and double vision. Correct answer headaches, double vision, and vaginal bleeding. proteinuria, double vision, and uterine contractions. Feedback Good work Question 51 0 / 1.4 During her first prenatal visit, a pregnant client admits to the nurse that she uses cocaine at least once per day. What is the nurse's priority implementation? Hide answer choices Incorrect: Explain why the pregnancy is at risk. Obtain urine and serum drug screens. Correct answer Refer the client for drug counseling. Report the client to child protective services. Feedback That's not correct Question 52 0 / 1.4 A primigravid client who was successfully treated for preterm labor at 30 weeks' gestation had a history of mild hyperthyroidism before becoming pregnant. What instructions should the nurse include in the plan of care? Hide answer choices Incorrect: Discontinue taking the methimazole until after the birth of the neonate. Consider breastfeeding the neonate after the birth. Contact the health care provider (HCP) if bradycardia occurs. Continue taking low-dose oral propylthiouracil as ordered. Correct answer Feedback That's not correct Question 53 0 / 1.4 During a nonstress test (NST), a nurse notes three fetal heart rate (FHR) increases of 15 beats/minute, each lasting 15 seconds. These increases occur only with fetal movement. How should the nurse interpret this finding? Hide answer choices The test is inconclusive and must be repeated. Incorrect: The fetus is nonreactive and hypoxic. The client should undergo an oxytocin challenge test. The fetus is not in distress at this time. Correct answer Feedback That's not correct Question 54 0 / 1.4 A client, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of the fetus. The client's BPP score is 8. What does this score indicate? Hide answer choices The fetus isn't in distress at this time. Correct answer The fetus should be delivered within 24 hours. Incorrect: The client should repeat the test in 24 hours. The client should repeat the test in 1 week. Feedback That's not correct Question 55 1.4 / 1.4 A client, 7 months pregnant, is receiving the tocolytic agent terbutaline, 17.5 mcg/minute I.V. She also takes prednisone, 5 mg by mouth twice per day. To detect an adverse interaction between these drugs, the nurse should monitor the client for which response? Hide answer choices increased uterine contractions significantly elevated blood pressure crackles on auscultation Correct answer expiratory wheezes Feedback Good work Question 56 0 / 1.4 After the nurse teaches a primigravid client at 10 weeks' gestation about the recommendations for exercise during pregnancy, which client statement indicates successful teaching? Hide answer choices "Even though I'm pregnant, I can learn to ski next month." "While pregnant, I should avoid contact sports." Correct answer Incorrect: "Sitting in a hot tub after exercise will help me to relax." "While we are on vacation next month, I can continue to scuba dive." Feedback That's not correct Question 57 0 / 1.4 A client comes to the office for a routine prenatal visit at 26 weeks gestation. The urine dipstick is negative for protein but 2+ for glucose. The nurse would teach the client about what testing that needs to be performed? Hide answer choices glycated hemoglobin level Incorrect: 24-hour urine collection 1-hour glucose tolerance test Correct answer 3-hour glucose tolerance test Feedback That's not correct Question 58 1.4 / 1.4 A primigravid client at 26 weeks' gestation visits the clinic and tells the nurse that her lower back aches when she arrives home from work. The nurse should suggest that the client perform which exercise? Hide answer choices tailor sitting Correct answer leg lifting shoulder circling squatting Feedback Good work Question 59 1.4 / 1.4 A nurse is providing care for a pregnant client with gestational diabetes. The client asks the nurse if her gestational diabetes will affect the birth. The nurse should know that: Hide answer choices it's too early to tell. the mother will carry to term safely. labor may need to be induced early. Correct answer the birth must be cesarean. Feedback Good work Question 60 1.4 / 1.4 A pregnant client asks the nurse whether she can take castor oil for her constipation. How should the nurse respond? Hide answer choices "No, it can lead to increased absorption of fat-soluble vitamins." "No, it can promote sodium retention." "No, it can initiate premature uterine contractions." Correct answer "Yes, it produces no adverse effects." Feedback Good work Question 61 1.4 / 1.4 A client who's 3 months pregnant with her first child reports increasing morning sickness for the past month. Nursing assessment reveals a fundal height of 20 cm and no audible fetal heart tones. The nurse should suspect which complication of pregnancy? Hide answer choices hyperemesis gravidarum gestational trophoblastic disease Correct answer ectopic pregnancy fetal demise Feedback Good work Question 62 1.4 / 1.4 A 44-year-old client has been experiencing spotting, nausea, vomiting, and fatigue. A positive pregnancy test and an ultrasound confirm a 13 week gestation. The client had three prior miscarriages with no term births. What does the nurse recognize as the greatest risk factor for the client at this time? Hide answer choices preterm labor hypertension premature birth pregnancy loss Correct answer Feedback Good work Question 63 1.4 / 1.4 Which medication is considered safe during pregnancy? Hide answer choices magnesium hydroxide insulin Correct answer oral antidiabetic agents aspirin Feedback Good work Question 64 1.4 / 1.4 When measuring the fundal height of a primigravid client at 20 weeks' gestation, the nurse will locate the fundal height at which point? Hide answer choices between the client's umbilicus and xiphoid process halfway between the client's symphysis pubis and umbilicus near the client's xiphoid process and compressing the diaphragm at about the level of the client's umbilicus Correct answer Feedback Good work Question 65 1.4 / 1.4 A multigravid client at 38 weeks' gestation is scheduled to undergo a contraction stress test. What should the nurse include in the explanation as the purpose of this test? Hide answer choices assessment of fetal ability to tolerate labor Correct answer determination of the fetal biophysical profile evaluation of fetal lung maturity determination of fetal response during movements Feedback Good work Question 66 0 / 1.4 A client presents to the OB triage unit with no prenatal care and painless bright red vaginal bleeding. Which interventions are most indicated? Hide answer choices applying an external fetal monitor and performing a sterile vaginal examination applying an external fetal monitor and completing a physical assessment Correct answer Incorrect: obtaining fundal height and performing a sterile vaginal examination obtaining a fundal height assessment on the client Feedback That's not correct Question 67 0 / 1.4 Which client findings require the nurse's attention first? Hide answer choices a gravida 1, para 0 at 39 weeks' gestation with bruises on arms and abdomen at various stages of healing Incorrect: a gravida 2, para 1 at 39 weeks' gestation with spontaneous rupture of membranes 1 hour ago but no contractions a gravida 3, para 2 at 30 weeks' gestation with nausea, vomiting, and epigastric pain Correct answer a gravida 5, para 1 at 37 weeks' gestation with pink vaginal discharge and abdominal cramping Feedback That's not correct Question 68 0 / 1.4 A 24-year-old client, G3, T1, P1, A1, L1 at 32 weeks' gestation, is admitted to the hospital because of vaginal bleeding. After reviewing the client's history, which factor might lead the nurse to suspect abruptio placentae? Hide answer choices history of cocaine use Correct answer previous low transverse cesarean delivery Incorrect: one induced abortion several hypotensive episodes Feedback That's not correct Question 69 0 / 1.4 The prenatal client tells the nurse that she has been eating ginger cookies to treat her nausea and vomiting. Which response by the nurse is best? Hide answer choices "It is safer to use a prescription medication than eating ginger while you are pregnant." "When consumed as a spice in foods, ginger is generally considered safe in pregnancy." Correct answer Incorrect: "Wait at least 2 hours to take your prenatal vitamin after eating ginger cookies." "You should immediately stop eating ginger-containing foods." Feedback That's not correct Question 70 0 / 1.4 After instructing a primigravid client about the functions of the placenta, the nurse determines that the client needs additional teaching when she says that which hormone is produced by the placenta? Hide answer choices Incorrect: human chorionic gonadotropin (hCG) testosterone Correct answer progesterone estrogen Feedback That's not correct Question 71 1.4 / 1.4 A client at 11 weeks gestation calls the antepartum clinic nurse. She has soaked a perineal pad with fresh blood in less than 30 minutes. The uterine cramping has also become worse. What is the most appropriate response from the nurse? Hide answer choices "Lie down and call your physician tomorrow if your symptoms are continuing." "This is nothing to worry about. Many women have bleeding during their pregnancy." "I am sorry. There is nothing to do because you are likely miscarrying." "You need to seek immediate attention from your physician." Correct answer Feedback Good work Question 72 0 / 1.4 After instructing a multigravid client at 10 weeks' gestation diagnosed with chronic hypertension about the need for frequent prenatal visits, the nurse determines that the instructions have been successful when the client makes which statement? Hide answer choices "I may develop hyperthyroidism because of my high blood pressure." Incorrect: "It is possible that I will have excess amniotic fluid and may need a cesarean section." "I need close monitoring because I may have a small-for-gestational-age infant." Correct answer "I may develop placenta accreta, so I need to keep my clinic appointments." Feedback That's not correct Question 73 0 / 1.4 When developing a teaching plan for a primigravid client with insulin-dependent diabetes about monitoring blood glucose control and insulin dosages at home, the nurse would expect to include which desired target range for blood glucose levels? Hide answer choices 40 to 60 mg/dL (2.2 to 3.3 mmol/L) between 14:00 and 16:00 hours Incorrect: 140 to 160 mg/dL (7.8 to 8.9 mmol/L) 1 hour after meals 110 to 140 mg/dL (6.2 to 7.8 mmol/L) before meals and bedtime snacks 60 to 100 mg/dl (3.3 to 5.6 mmol/L) before meals and bedtime snacks Correct answer Feedback That's not correct Question 74 1.4 / 1.4 A nurse obtains the antepartum history of a client who is 6 weeks pregnant. Which finding is a concern? Hide answer choices the client's consumption of six to eight cans of beer on weekends Correct answer the client's consumption of four to six small meals daily the client's practice of taking a multivitamin supplement daily the client's participation in low-impact aerobics three times per week Feedback Good work Question 75 1.4 / 1.4 A primigravid client at 16 weeks' gestation visits the clinic for a routine examination. The client tells the nurse that she knows someone whose baby was born with congenital toxoplasmosis. What should the nurse instruct the client to do to prevent transmission of the toxoplasmosis protozoan? Hide answer choices Consider a course of prophylactic penicillin as prevention. Plan to be vaccinated for this condition at the next visit. Avoid contact with anyone diagnosed with this disease. Cook all meats, such as beef and pork, thoroughly. Correct answer Feedback Good work Question 1 1.2 / 1.2 A 25-week gestation client is scheduled for amniocentesis. What should the nurse do to prepare the client for the procedure? Select all that apply. Hide answer choices Ask the client to void. Correct answer Ask the client to lie on her left side. Instruct the client to drink 1 liter of fluid. Insert an IV catheter. Monitor maternal vital signs. Correct answer Assess fetal heart rate. Correct answer Feedback Good work Question 2 0 / 1.2 The nurse is teaching a pregnant client about exercises that may be helpful during pregnancy. Which points should the nurse include in the instruction? Select all that apply. Hide answer choices Avoid non-weight-bearing exercises such as swimming. Abdominal breathing lifts the abdominal wall off of the uterus. Correct answer Exercise for 1 hour, three times per day. Pelvic rocking may help relieve lower back pain. Correct answer Kegel exercises help improve vaginal contractility and bladder control. Correct answer Feedback That's not correct Question 3 1.2 / 1.2 A client is admitted with a suspected abruptio placentae. The nurse should assess the client for which signs and symptoms? Select all that apply. Hide answer choices abdominal rigidity Correct answer large placenta bleeding that is concealed or apparent Correct answer painless bleeding painful abdomen Correct answer bleeding that stops spontaneously Feedback Good work Question 4 1.2 / 1.2 The nurse is assessing a multigravid client at 12 weeks' gestation who has been admitted to the emergency department with sharp right-sided abdominal pain and vaginal spotting. Which information should the nurse obtain about the client's history? Select all that apply. Hide answer choices number of sexual partners Correct answer last menstrual period Correct answer cesarean section contraceptive use Correct answer history of sexually transmitted infections Correct answer Feedback Good work Question 5 0 / 1.2 A primigravid client has completed her first prenatal visit and blood work. Her laboratory test for the hepatitis B surface antigen (HBsAg) is positive. The nurse can advise the client that the plan of care for this newborn will include which interventions? Select all that apply. Hide answer choices isolation of infant during hospitalization series of three hepatitis B vaccinations per recommended schedule Correct answer hepatitis B immune globulin at birth Correct answer standard/routine precautions for mother and infant Correct answer contraindication for breastfeeding Incorrect: hepatitis B screening when born Feedback That's not correct Question 6 1.2 / 1.2 A nurse is caring for a pregnant client taking an iron supplement. Which instruction(s) should the nurse include when teaching the client about ferrous sulfate tablets? Select all that apply. Hide answer choices Avoid taking the supplement with milk. Correct answer Report black stools to the health care provider. Avoid taking the supplement with antacids. Correct answer Take the supplement with food. Avoid chewing the extended-release form of the drug. Correct answer Feedback Good work Question 7 1.2 / 1.2 The nurse is caring for a client who is 12 weeks pregnant and speaks Spanish only. Which interventions should the nurse include in the plan of care at the client's initial visit? Select all that apply. Hide answer choices Arrange for an interpreter for her appointments. Correct answer Discuss differences with the dominant culture. Refer the client to a high-risk clinic. Provide brochures in the client's native language. Correct answer Review nutritional preferences. Correct answer Discuss contraception and options. Feedback Good work Question 8 1.2 / 1.2 The nurse is providing instruction to a woman who is 18 weeks pregnant. Which findings are expected at this time? Select all that apply. Hide answer choices Leg cramps Braxton-Hicks contractions Quickening Correct answer Insomnia Fundal height of approximately 18 cm Correct answer Feedback Good work Question 9 1.2 / 1.2 A pregnant client is seeking information from the nurse about a home birth with registered midwives. Which of the following statements lets the nurse know that the client has considered the risks and benefits of using a midwife? Select all that apply. Hide answer choices "I am safer having a home birth with a physician." "I understand the complications that could occur in a home birth setting." Correct answer "I realize that I may need to be transferred to a hospital if complications develop." Correct answer "I will develop a list of questions to use in interviewing potential midwives." Correct answer "I will look for an obstetrician because it's hard to find a general practitioner who provides maternity services." Feedback Good work Question 10 0 / 1.2 The nurse is reviewing a pregnant client's immunization record. Which immunizations are contraindicated during pregnancy and are not updated at this time? Select all that apply. Hide answer choices hepatitis B live attenuated influenza vaccine (LAIV) Correct answer tetanus chickenpox Correct answer mumps Correct answer rubella Correct answer Feedback That's not correct Question 11 1.2 / 1.2 A client has been trying to achieve a pregnancy for 3 years and has just recently sought the assistance of an infertility specialist. Which tests may be conducted to analyze the causes of this client's infertility? Select all that apply. Hide answer choices prothrombin time basal body temperature graph Correct answer hypothalamic pituitary levels Correct answer semen analysis Correct answer aspartate aminotransferase (AST) and alanine aminotransferase (ALT) hysterosalpingogram Correct answer Feedback Good work Question 12 0 / 1.2 A couple seeks information about natural family planning. Which of the following should the nurse inform the couple about natural family planning? Select all that apply. Hide answer choices requires some period of abstinence Correct answer uses calculations of menstrual cycles Correct answer Incorrect: uses estrogen and progestin in various combinations uses effective methods wherein miscalculations are rare determines ovulation from basal body temperature Correct answer Feedback That's not correct Question 13 1.2 / 1.2 A client who is 15 weeks pregnant comes to the clinic for amniocentesis. The nurse knows that this test can be used to identify which characteristics or problems? Select all that apply. Hide answer choices gestational diabetes chromosomal defects Correct answer fetal lung maturity neural tube defects Correct answer sex of the fetus Correct answer polyhydramnios Feedback Good work Question 14 1.2 / 1.2 The obstetrical triage nurse assesses a client with a term pregnancy. There has not been any change in the cervix for the past 2 hours despite irregular contractions. When discharging the client to her home, the nurse should tell the client to return to the hospital when which conditions occur? Select all that apply. Hide answer choices She notices an absence of fetal movement. Correct answer She feels the urge to push. Correct answer She thinks the membranes have ruptured. Correct answer She notices vaginal bleeding. Correct answer Contractions become more intense and closer together. Correct answer She feels more than three contractions an hour. Feedback Good work Question 15 1.2 / 1.2 A 19-year-old primigravid client is being discharged home after hospitalization for hyperemesis gravidarum and is being referred to home health care. The nurse should develop a discharge plan that includes which interventions? Select all that apply. Hide answer choices Coordinate follow-up appointment with provider in 6 weeks. Discuss plan of care and discharge instructions with client. Correct answer Ask the health care provider for an anxiolytic prescription. Refer client to a nutritionist for the following day. Correct answer Encourage return to normal routine when client feels ready. Correct answer Ensure that the client has a prescription for an antiemetic. Correct answer Feedback Good work Question 16 1.2 / 1.2 The nurse is caring for a client who is 32 weeks pregnant. The client is started on nifedipine for preterm labor. Which of the following statements made by the client demonstrate an understanding of the plan of care? Select all that apply. Hide answer choices "I will move about frequently to keep my contractions regular." "I will not take my scheduled nifedipine if I have a headache." "I will avoid sexual intercourse until my physician says otherwise." Correct answer "I will check my blood pressure prior to taking my scheduled nifedipine." Correct answer "I will drink 2 to 3 quarts (1.9 to 2.8 liters) of water per day." Correct answer Feedback Good work Question 17 1.2 / 1.2 A client at 30 weeks gestation experiences a rupture of membranes with mild contractions 8 minutes apart. Which nursing interventions are included on the plan of care to improve newborn outcomes? Select all that apply. Hide answer choices Ensure the mother remains nothing by mouth (NPO) throughout the labor. Begin an oxytocin drip once the mother reaches 3 cm dilated. Position the mother in a supine position with the feet elevated. Administer a dose of betamethasone per healthcare provider's order. Correct answer Arrange a neonatologist to be available for the birth. Correct answer Maintain the client on the fetal monitor throughout the labor process. Correct answer Feedback Good work Question 18 0 / 1.2 A primigravid client is seen for her first visit in the antenatal clinic and tells the nurse that her brother was born with cystic fibrosis (CF). When teaching the client about this disorder, the nurse should include which information? Select all that apply. Hide answer choices Fetal testing can occur by checking the shape of the red blood cells. To inherit CF, each parent must carry a recessive trait for the disease. Correct answer Persons of Asian descent have the highest inheritance rates. If both parents carry the trait, each offspring has a 25% chance of inheriting the disease. Correct answer Chorionic villi sampling (CVS) can identify prenatally if their child carries the trait or has the disease. Correct answer Feedback That's not correct Question 19 1.2 / 1.2 The nurse is caring for a client who is 30 weeks pregnant and in preterm labor who has been prescribed a magnesium sulfate infusion. Which will the nurse include in the client's plan of care? Select all that apply. Hide answer choices Evaluate urinary output every 24 hours. Assess temperature frequently. Monitor respiratory rate hourly and as needed. Correct answer Assess deep tendon reflexes (DTRs) every 4 hours. Correct answer Ensure that calcium gluconate is on hand. Correct answer Feedback Good work Question 20 0 / 1.2 A client comes to the healthcare provider's office for a routine prenatal visit. The client is G1 Para 0 and is 22 weeks' gestation. What assessments would the nurse perform on this client? Select all that apply. Hide answer choices 1-hour glucose tolerance test blood pressure Correct answer weight Correct answer measure fundal height Correct answer urine dipstick Correct answer Feedback That's not correct Question 21 1.2 / 1.2 The nurse is admitting a client with a suspected diagnosis of abruptio placentae. Which assessment data would require the nurse to notify the healthcare provider immediately? Select all that apply. Hide answer choices white creamy vaginal discharge overt vaginal bleeding Correct answer increased heart rate Correct answer gastrointestinal upset decreased blood pressure Correct answer a rigid abdomen Correct answer Feedback Good work Question 22 1.2 / 1.2 During prenatal screening of a client with diabetes, the nurse should keep in mind that the client is at increased risk for which complications? Select all that apply. Hide answer choices stillbirth Correct answer pregnancy-induced hypertension Correct answer Rh incompatibility placenta previa spontaneous abortion Correct answer Feedback Good work Question 23 1.2 / 1.2 A client at 28 weeks' gestation presents to the emergency department with a "splitting headache." What actions are indicated by the nurse at this time? Select all that apply. Hide answer choices Determine if the client has a documented ultrasound for this pregnancy. Assess the client's reflexes and presence of clonus. Correct answer Reassure the client that headaches are a normal part of pregnancy. Obtain a nonstress test. Correct answer Assess the client for vision changes or epigastric pain. Correct answer Feedback Good work Question 24 0 / 1.2 A pregnant client at 32 weeks' gestation has mild preeclampsia. She is discharged to home with instructions to remain on bed rest. She should also be instructed to call her healthcare provider if she experiences which symptoms? Select all that apply. Hide answer choices blurred vision Correct answer increased urine output difficulty sleeping epigastric pain Correct answer headache Correct answer severe nausea and vomiting Correct answer Feedback That's not correct Question 25 1.2 / 1.2 How does the nurse on the obstetrics unit assure client safety? Select all that apply. Hide answer choices placing culturally similar clients together staff training Correct answer reconciliation of medication prescriptions Correct answer communication among staff Correct answer use of two unique identifiers Correct answer Feedback Good work Question 26 1.4 / 1.4 While the nurse is caring for a multigravid client at 39 weeks' gestation in active labor whose cervix is dilated to 7 cm and completely effaced at +1 station, the client says, "I need to push!" What should the nurse do next? Hide answer choices Tell her to push when she has the urge. Have her pant quickly during the contraction. Correct answer Turn the client to her left side. Tell her to focus on an object in the room to relax. Feedback Good work Question 27 1.4 / 1.4 The primary health care provider prescribes intravenous magnesium sulfate for a primigravid client at 38 weeks' gestation diagnosed with severe preeclampsia. Which medication would be most important for the nurse to have readily available? Hide answer choices phenytoin diazepam hydralazine calcium gluconate Correct answer Feedback Good work Question 28 1.4 / 1.4 A client has meconium-stained amniotic fluid. Fetal scalp sampling indicates a blood pH of 7.12; fetal bradycardia is present. Based on these findings, the nurse should take which action? Hide answer choices Prepare for cesarean birth. Correct answer Reposition the client. Start I.V. oxytocin infusion as ordered. Administer amnioinfusion. Feedback Good work Question 29 1.4 / 1.4 After instructing a female client about the radioimmunoassay pregnancy test, the nurse determines that the client understands the instructions when the client states that which hormone is evaluated by this test? Hide answer choices follicle-stimulating hormone human chorionic gonadotropin (hCG) Correct answer prolactin luteinizing hormone Feedback Good work Question 30 1.4 / 1.4 A nurse is providing care for a pregnant client with gestational diabetes. The client asks the nurse if her gestational diabetes will affect the birth. The nurse should know that: Hide answer choices the birth must be cesarean. it's too early to tell. labor may need to be induced early. Correct answer the mother will carry to term safely. Feedback Good work Question 31 1.4 / 1.4 A client who is pregnant with her second child comes to the clinic complaining of a pulling and tightening sensation over her pubic bone every 15 minutes. She reports no vaginal fluid leakage. Because she has just entered her 36th week of pregnancy, she is apprehensive about her symptoms. Vaginal examination discloses a closed, thick, posterior cervix. These findings suggest that the client is experiencing: Hide answer choices Braxton Hicks contractions. Correct answer back labor. fetal distress. true labor contractions. Feedback Good work Question 32 1.4 / 1.4 An antenatal client is discussing her anemia with the nurse in the prenatal clinic. After a discussion about sources of iron to be incorporated into her daily meals, the nurse knows the client needs further instruction when she responds with which statement? Hide answer choices "Cream of wheat and molasses are excellent sources of iron." "Drinking coffee, tea, and sodas decrease the absorption of iron." "I can meet two goals when I drink milk: lots of iron and meeting my calcium needs at the same time." Correct answer "I can increase the absorption of iron by drinking orange juice when I eat." Feedback Good work Question 33 1.4 / 1.4 Which client findings require the nurse's attention first? Hide answer choices a gravida 5, para 1 at 37 weeks' gestation with pink vaginal discharge and abdominal cramping a gravida 1, para 0 at 39 weeks' gestation with bruises on arms and abdomen at various stages of healing a gravida 2, para 1 at 39 weeks' gestation with spontaneous rupture of membranes 1 hour ago but no contractions a gravida 3, para 2 at 30 weeks' gestation with nausea, vomiting, and epigastric pain Correct answer Feedback Good work Question 34 1.4 / 1.4 The public health nurse is teaching a prenatal class about tobacco smoke during pregnancy. Which comment made by one of the class members demonstrates that the teaching was effective? Hide answer choices "My newborn will be more relaxed if I smoke during pregnancy." "Smoking during pregnancy increases the risk of having a cesarean section." "My newborn is more at risk for heart problems if I smoke during pregnancy." "If I continue to smoke during pregnancy, my baby could be born small." Correct answer Feedback Good work Question 35 1.4 / 1.4 A primigravid client at 26 weeks' gestation asks the nurse what causes heartburn during pregnancy. The nurse should explain to the client that heartburn during pregnancy is usually caused by which factor? Hide answer choices displacement of the stomach by the diaphragm increased peristaltic action during pregnancy decreased secretion of hydrochloric acid backflow of stomach contents into the esophagus Correct answer Feedback Good work Question 36 1.4 / 1.4 A 32-year-old female client visits the family planning clinic and requests an intrauterine device for contraception. When assessing the client, a history of which problem would be most important to determine? Hide answer choices pelvic inflammatory disease Correct answer coronary artery disease thrombophlebitis previous liver disease Feedback Good work Question 37 1.4 / 1.4 A primigravid client who was successfully treated for preterm labor at 30 weeks' gestation had a history of mild hyperthyroidism before becoming pregnant. What instructions should the nurse include in the plan of care? Hide answer choices Discontinue taking the methimazole until after the birth of the neonate. Continue taking low-dose oral propylthiouracil as ordered. Correct answer Contact the health care provider (HCP) if bradycardia occurs. Consider breastfeeding the neonate after the birth. Feedback Good work Question 38 1.4 / 1.4 When caring for a multigravid client admitted to the hospital with vaginal bleeding at 38 weeks' gestation, the nurse would anticipate administering intravenously which therapeutic agent if the client develops disseminated intravascular coagulation (DIC)? Hide answer choices 5% dextrose solution fresh frozen platelets Correct answer Ringer's lactate solution warfarin Feedback Good work Question 39 1.4 / 1.4 A primigravid client with severe preeclampsia exhibits hyperactive, very brisk patellar reflexes with two beats of ankle clonus present. How does the nurse document the patellar reflexes? Hide answer choices 1+ 4+ Correct answer 2+ 3+ Feedback Good work Question 40 1.4 / 1.4 During a nonstress test (NST), the electronic tracing displays a relatively flat line for fetal movement, making it difficult to evaluate the fetal heart rate (FHR). To mark the strip, a nurse should instruct the client to push the control button at which time? Hide answer choices at the beginning of each contraction after every three fetal movements at the end of fetal movement at the beginning of each fetal movement Correct answer Feedback Good work Question 41 0 / 1.4 A 40-year-old primigravid client with AB-positive blood visits the outpatient clinic for an amniocentesis at 16 weeks' gestation. The nurse determines that the most likely reason for the client's amniocentesis is to determine if the fetus has which problem? Hide answer choices Incorrect: erythroblastosis fetalis ABO incompatibility Down syndrome Correct answer cri-du-chat syndrome Feedback That's not correct Question 42 1.4 / 1.4 A client at 37 weeks gestation is at a prenatal visit and states that she sometimes feels dizzy when lying directly on her back. Which is the nurse's best response? Hide answer choices "This is a normal occurrence in the third trimester." "This may be due to the uterus putting pressure on a blood vessel." Correct answer "Do you have a family history of cardiac-related illnesses?" "This is most likely due to low hemoglobin." Feedback Good work Question 43 1.4 / 1.4 A client asks about complementary therapies for relief of discomfort related to pregnancy. Which comfort measure mentioned by the client indicates a need for further teaching? Hide answer choices herbal remedies Correct answer acupuncture music therapy meditation Feedback Good work Question 44 1.4 / 1.4 A nurse is providing care for a pregnant client. The client asks the nurse how she can best deal with her fatigue. What instructions would the nurse give to this client? Hide answer choices Sleep only on the left side. Take an afternoon nap. Correct answer Go to bed earlier at night. Take sleeping pills. Feedback Good work Question 45 1.4 / 1.4 A client is in the last trimester of pregnancy. The nurse should instruct the client to notify the primary health care provider immediately if she notices: Hide answer choices dyspnea on exertion. blurred vision. Correct answer hemorrhoids. increased vaginal mucus. Feedback Good work Question 46 1.4 / 1.4 During a visit to the prenatal clinic, a pregnant client at 32 weeks' gestation reports heartburn. The client needs further instruction when she says she must do what to manage her heartburn? Hide answer choices Consume liquids only between meals. Correct answer Avoid highly seasoned foods. Eat small, frequent meals. Avoid laying down right after eating. Feedback Good work Question 47 1.4 / 1.4 An a