OB Unit 1 Exam Questions and Answers Graded A+

OB Unit 1 Exam Questions and Answers Graded A+ A 25-year-old client at 18 weeks' gestation has returned to the clinic for her second prenatal visit. Her initial pulse was 60. The nurse can expect her pulse to be _______ bpm at term. increases 10-15bpm 70-75bpm A nurse is teaching a prenatal client about cardiovascular changes during pregnancy. The client asks the nurse why she becomes dizzy when getting out of a chair or out of bed. What rationale should the nurse provide as to the cause of this dizziness during pregnancy? a. Decreased absorption of hemoglobin in the blood. b. Increased production of fibrinogen and plasma. c. Decreased production of estrogen and progesterone. d. Increased blood volume in the lower extremities. D A nurse is assessing a prenatal client's cardiovascular function. When should the nurse expect this client's cardiac output (CO) to begin rising? a. 8-10 weeks. b. 12-18 weeks. c. 31-38 weeks. d. 20-24 weeks. A A nurse is teaching a group of first-trimester prenatal clients about the discomforts of pregnancy. A client asks the nurse, "What causes my nausea and vomiting?" The nurse responds indicating which of the following as contributing factors to first-trimester emesis? Select all that apply.a. Alterations in carbohydrate metabolism. b. Elevated human chorionic gonadotropin. c. Prostaglandins. d. Alterations in taste and smell. e. Estrogen. B A nurse is researching the topic of edema during pregnancy. Which physiologic mechanism contributes to fluid retention? a. Decreased nitrogen retention. b. Increased level of steroid sex hormones. c. Decreased intracapillary pressure and permeability. d. Increased serum protein. B A nurse practitioner is taking an initial history of a prenatal client. Which of the following, if detected by the nurse practitioner, would indicate a positive, or diagnostic, sign of pregnancy? a. Uterine enlargement and amenorrhea. b. Goodell's sign. c. Fetal heartbeat with a Doppler at 11 weeks' gestation. d. Positive pregnancy test. C The nurse in the prenatal clinic assesses a 26-year-old client at 13 weeks' gestation. Which presumptive (subjective) signs and symptoms of pregnancy should the nurse anticipate? a. Excessive fatigue and urinary frequency. b. Chadwick's sign and uterine souffle. c. Hegar's sign and quickening. d. Ballottement and positive pregnancy test. A The nurse is researching the topic of uteroplacental blood flow. Which of the following accurately describes funic shuffle? a. Increased blood pulsating through the placenta. b. Increased blood pulsating through the uterine arteries. c. A soft blowing sound of blood that is at the same rate as the maternal pulse. d. A soft blowing sound of blood that is at the same rate as the fetal heart rate. C The nurse in the prenatal clinic is taking a history from a prenatal client at 7 weeks' gestation. The client states, "I don't know if I want this baby. How will I know if I'll be a good mother?" What is the most appropriate response by the nurse? a. "This is a sign of depression, and I'd like you to see a mental health specialist." b. "Ambivalence can be a normal reaction to parenthood in the first trimester." c. "This is an abnormal reaction, and I'd like you to speak with Family Services." d. "This would be the best time to consider an abortion or adoption." B The nurse is teaching a parenting class to prospective fathers