ANTEPARTUM CARE UNFOLDING REASONING COMPREHENSIVE TEST
QUESTIONS AND SOLUTIONS
◉ A pregnant client is seen for a regular prenatal visit and tells the
nurse that she is experiencing irregular contractions. The nurse
determines that she is experiencing Braxton Hicks contractions. On
the basis of this finding, which nursing action is appropriate?
Answer: Inform the client that these contractions are common and
may occur throughout the pregnancy.
◉ The nursing instructor asks the nursing student about the
physiology related to the cessation of ovulation that occurs during
pregnancy. Which response, if made by the student, indicates an
understanding of this physiological process? Select all that apply.
Answer: "Ovulation ceases during pregnancy because the circulating
levels of estrogen and progesterone are high."
"The release of the follicle-stimulating hormone and luteinizing
hormone is inhibited by adaptations related to pregnancy."
◉ A client in week 35 of her pregnancy is placed on the fetal heart
monitor for a nonstress test (NST) as a result of her complaints of
decreased fetal movement. Twenty minutes after placing the client
on the monitor, the nurse sees the following monitor strip and
,makes which conclusion regarding the NST? Answer: The FHR is
reactive, with a baseline of 130 beats/minute, moderate variability,
and no decelerations.
◉ The nurse is performing an assessment on a client seen in the
health care clinic for a first prenatal visit. The client reports
February 9 as the first day of the last menstrual period (LMP). Using
Nagele's rule, what date later that same year will the nurse relay as
the client's due date? Fill in the blank. Record your answer using 4
digits (mmdd). Answer: 1116
◉ The nurse implements a teaching plan for a pregnant client who is
newly diagnosed with gestational diabetes mellitus. Which
statement made by the client indicates a need for further teaching?
Answer: "I should avoid exercise because of the negative effects on
insulin production."
◉ The nurse is providing instructions to a pregnant client with a
history of cardiac disease regarding appropriate dietary measures.
Which statement, if made by the client, indicates an understanding
of the information provided by the nurse? Answer: "I should drink
adequate fluids and increase my intake of high-fiber foods."
◉ The nurse is providing instructions about treatment for
hemorrhoids to a client in the second trimester of pregnancy. Which
statement made by the client indicates a need for further teaching?
, Answer: "I should apply heat packs to the hemorrhoids to help them
shrink."
◉ The nurse is reviewing the medical record of a woman scheduled
for her weekly prenatal appointment. The nurse notes that the
woman has been diagnosed with mild preeclampsia. Which
interventions should the nurse include in planning nursing care for
this client? Select all that apply. Answer: Assess blood pressure.
Check the urine for protein.
Assess deep tendon reflexes.
Teach the importance of keeping track of a daily weight.
◉ A pregnant client at 16 weeks' gestation reports to the health care
clinic for a triple screen test. The nurse determines that the client
understands the purpose of this test when the client makes which
statements? Select all that apply. Answer: "This test can be used as a
screening for spina bifida."
"This test is a screening test, and I will need other testing if I have
abnormal results."
QUESTIONS AND SOLUTIONS
◉ A pregnant client is seen for a regular prenatal visit and tells the
nurse that she is experiencing irregular contractions. The nurse
determines that she is experiencing Braxton Hicks contractions. On
the basis of this finding, which nursing action is appropriate?
Answer: Inform the client that these contractions are common and
may occur throughout the pregnancy.
◉ The nursing instructor asks the nursing student about the
physiology related to the cessation of ovulation that occurs during
pregnancy. Which response, if made by the student, indicates an
understanding of this physiological process? Select all that apply.
Answer: "Ovulation ceases during pregnancy because the circulating
levels of estrogen and progesterone are high."
"The release of the follicle-stimulating hormone and luteinizing
hormone is inhibited by adaptations related to pregnancy."
◉ A client in week 35 of her pregnancy is placed on the fetal heart
monitor for a nonstress test (NST) as a result of her complaints of
decreased fetal movement. Twenty minutes after placing the client
on the monitor, the nurse sees the following monitor strip and
,makes which conclusion regarding the NST? Answer: The FHR is
reactive, with a baseline of 130 beats/minute, moderate variability,
and no decelerations.
◉ The nurse is performing an assessment on a client seen in the
health care clinic for a first prenatal visit. The client reports
February 9 as the first day of the last menstrual period (LMP). Using
Nagele's rule, what date later that same year will the nurse relay as
the client's due date? Fill in the blank. Record your answer using 4
digits (mmdd). Answer: 1116
◉ The nurse implements a teaching plan for a pregnant client who is
newly diagnosed with gestational diabetes mellitus. Which
statement made by the client indicates a need for further teaching?
Answer: "I should avoid exercise because of the negative effects on
insulin production."
◉ The nurse is providing instructions to a pregnant client with a
history of cardiac disease regarding appropriate dietary measures.
Which statement, if made by the client, indicates an understanding
of the information provided by the nurse? Answer: "I should drink
adequate fluids and increase my intake of high-fiber foods."
◉ The nurse is providing instructions about treatment for
hemorrhoids to a client in the second trimester of pregnancy. Which
statement made by the client indicates a need for further teaching?
, Answer: "I should apply heat packs to the hemorrhoids to help them
shrink."
◉ The nurse is reviewing the medical record of a woman scheduled
for her weekly prenatal appointment. The nurse notes that the
woman has been diagnosed with mild preeclampsia. Which
interventions should the nurse include in planning nursing care for
this client? Select all that apply. Answer: Assess blood pressure.
Check the urine for protein.
Assess deep tendon reflexes.
Teach the importance of keeping track of a daily weight.
◉ A pregnant client at 16 weeks' gestation reports to the health care
clinic for a triple screen test. The nurse determines that the client
understands the purpose of this test when the client makes which
statements? Select all that apply. Answer: "This test can be used as a
screening for spina bifida."
"This test is a screening test, and I will need other testing if I have
abnormal results."
