O B Q&A
The nurse working in a prenatal clinic receives a telephone call from a client at 22
weeks of gestation. The client reports some vaginal discharge and has started to
experience menstrual-like cramps and diarrhea. Which responses by the nurse indicate
a understanding of the implications of the client's symptoms? Select all that apply -
(correct answer)"Lie on your left side for an hour and try to drink some fluids."
"It is important that you urinate frequently to keep your bladder empty."
"Palpate for contractions and call back if there are more than four contractions in the
next hour.
"Can you identify what you ate and drank, what medications you took, and your activity
during the past 24 hours?"
The nurse has a teaching session with a malnourished client regarding iron
supplementation to prevent anemia during pregnancy. Which would indicate successful
learning? - (correct answer)"The iron is needed for the red blood cells."
The nurse is providing health care information to a pregnant client who is human
immunodeficiency virus (HIV) positive. The nurse instructs the client that it is important
to avoid alcohol and cigarettes during pregnancy and to get adequate rest primarily to
accomplish which goal? - (correct answer)Avoid further stress on the maternal immune
system.
The nurse is providing information to a pregnant woman about food items high in folic
acid. Which mid-afternoon snack should be recommended to supply folic acid? -
(correct answer)Nuts and green, leafy vegetables
A client at 32 weeks of gestation with a diagnosis of severe preeclampsia is admitted to
the maternity department. The client is alone and appears very anxious. Which
statement by the nurse is therapeutic? - (correct answer)"Tell me about your concerns."
The nurse is reinforcing instructions to a pregnant client regarding the need to consume
folic acid in the diet. The nurse determines that the client understands the instructions
, when the client states that it is necessary to include which food item in the diet? -
(correct answer)Green, leafy vegetables
The nurse caring for a client with abruptio placentae is monitoring the client for signs of
disseminated intravascular coagulopathy (DIC). The nurse would suspect DIC if which is
observed? - (correct answer)Petechiae, oozing from injection sites, and hematuria
While assisting with the measurement of fundal height, the client at 36 weeks' gestation
states that she is feeling lightheaded. On the basis of the nurse's knowledge of
pregnancy, the nurse determines that this is most likely a result of which? - (correct
answer)Compression of the vena cava
The client at 28 weeks' gestation is Rh negative and Coombs antibody negative. The
nurse determines that the client understands what the nurse has taught her about Rh
sensitization when the client makes which statement? - (correct answer)"I will tell the
nurse at the hospital that I had RhoGAM during pregnancy."The nurse is working with a
woman who has just been diagnosed with gestational diabetes mellitus.
The nurse is working with a woman who has just been diagnosed with gestational
diabetes mellitus. The nurse informs the client of which issues that may occur during
this pregnancy because of this condition? Select all that apply. - (correct answer)Urinary
tract infections.
Increased chance of cesarean birth.
Delayed lung maturation in the neonate.
The nurse is reinforcing instructions to a client about preterm labor. Which method of
teaching should the nurse use? - (correct answer)Palpate for uterine contractions at the
same time as the client.
The client is undergoing an amniocentesis at 16 weeks' gestation to detect the presence
of biochemical or chromosomal abnormalities. Which instructions should the nurse
reinforce to the client? - (correct answer)The bladder must be full during the exam.
The nurse working in a prenatal clinic receives a telephone call from a client at 22
weeks of gestation. The client reports some vaginal discharge and has started to
experience menstrual-like cramps and diarrhea. Which responses by the nurse indicate
a understanding of the implications of the client's symptoms? Select all that apply -
(correct answer)"Lie on your left side for an hour and try to drink some fluids."
"It is important that you urinate frequently to keep your bladder empty."
"Palpate for contractions and call back if there are more than four contractions in the
next hour.
"Can you identify what you ate and drank, what medications you took, and your activity
during the past 24 hours?"
The nurse has a teaching session with a malnourished client regarding iron
supplementation to prevent anemia during pregnancy. Which would indicate successful
learning? - (correct answer)"The iron is needed for the red blood cells."
The nurse is providing health care information to a pregnant client who is human
immunodeficiency virus (HIV) positive. The nurse instructs the client that it is important
to avoid alcohol and cigarettes during pregnancy and to get adequate rest primarily to
accomplish which goal? - (correct answer)Avoid further stress on the maternal immune
system.
The nurse is providing information to a pregnant woman about food items high in folic
acid. Which mid-afternoon snack should be recommended to supply folic acid? -
(correct answer)Nuts and green, leafy vegetables
A client at 32 weeks of gestation with a diagnosis of severe preeclampsia is admitted to
the maternity department. The client is alone and appears very anxious. Which
statement by the nurse is therapeutic? - (correct answer)"Tell me about your concerns."
The nurse is reinforcing instructions to a pregnant client regarding the need to consume
folic acid in the diet. The nurse determines that the client understands the instructions
, when the client states that it is necessary to include which food item in the diet? -
(correct answer)Green, leafy vegetables
The nurse caring for a client with abruptio placentae is monitoring the client for signs of
disseminated intravascular coagulopathy (DIC). The nurse would suspect DIC if which is
observed? - (correct answer)Petechiae, oozing from injection sites, and hematuria
While assisting with the measurement of fundal height, the client at 36 weeks' gestation
states that she is feeling lightheaded. On the basis of the nurse's knowledge of
pregnancy, the nurse determines that this is most likely a result of which? - (correct
answer)Compression of the vena cava
The client at 28 weeks' gestation is Rh negative and Coombs antibody negative. The
nurse determines that the client understands what the nurse has taught her about Rh
sensitization when the client makes which statement? - (correct answer)"I will tell the
nurse at the hospital that I had RhoGAM during pregnancy."The nurse is working with a
woman who has just been diagnosed with gestational diabetes mellitus.
The nurse is working with a woman who has just been diagnosed with gestational
diabetes mellitus. The nurse informs the client of which issues that may occur during
this pregnancy because of this condition? Select all that apply. - (correct answer)Urinary
tract infections.
Increased chance of cesarean birth.
Delayed lung maturation in the neonate.
The nurse is reinforcing instructions to a client about preterm labor. Which method of
teaching should the nurse use? - (correct answer)Palpate for uterine contractions at the
same time as the client.
The client is undergoing an amniocentesis at 16 weeks' gestation to detect the presence
of biochemical or chromosomal abnormalities. Which instructions should the nurse
reinforce to the client? - (correct answer)The bladder must be full during the exam.
