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Exam (elaborations)

Antepartum Exam 2023.

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Antepartum Exam 2023A client progressing through pregnancy develops constipation. What is the primary cause of this problem during pregnancy? - ANSWERreduced intestinal motility A nurse is providing dietary teaching to a pregnant client. To help meet iron needs, the nurse should advise the client to eat: - ANSWERspinach and beef. 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? - ANSWERThe fetus isn't in distress at this time. A client who is 24 weeks pregnant has sickle cell anemia. When preparing the care plan, the nurse should identify which factor as a potential trigger for a sickle cell crisis during pregnancy? - ANSWERdehydration A client undergoes an amniotomy. Shortly afterward, the nurse detects large variable decelerations in the fetal heart rate (FHR) on the external electronic fetal monitor (EFM). These findings signify: - ANSWERumbilical cord prolapse. Before surgery to remove an ectopic pregnancy and the fallopian tube, which sign or symptom would alert the nurse to the possibility of tubal rupture? - ANSWERfalling hematocrit and hemoglobin levels A multigravid client is admitted at 16 weeks' gestation with a diagnosis of hyperemesis gravidarum. The nurse should explain to the client that hyperemesis gravidarum is thought to be related to high levels of which hormone? - ANSWERestrogen A 20-year-old client visiting the clinic requests the use of oral contraceptives. When reviewing the client's history, which finding would alert the nurse to a possible contraindication to using these agents? - ANSWERthrombophlebitis A client is a long-distance runner and is 8 weeks pregnant with her first baby. The client tells the nurse that she would like to continue running throughout the pregnancy and asks the nurse if there are any safety risks. Which response by the nurse correctly identifies musculoskeletal changes in pregnancy that may be a safety risk to the client? - ANSWER"The joints of the pelvis relax." A client is at 24 weeks' gestation. The nurse is reviewing the report of laboratory tests. The nurse should report which of these results to the health care provider? - ANSWERVDRL A client in the first trimester of pregnancy comes to the facility for a routine prenatal visit. The client reports mixed feelings about readiness to have a baby, even though this was .


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