Goodwin College: NUR 210 - OB QUIZ 2, complete questions and answers.

NUR 210 OB QUIZ 2, complete questions and answers. Question 1 4 / 4 pts Which of the following would be considered presumptive signs of pregnancy? (Select all that apply!) Quickening Fetal heart beat heard by provider Breast tenderness Amenorrhea Frequent urination Question 2 4 / 4 pts A woman whose pre-pregnant weight was 105 pounds now weighs 109 pounds at her 12 week visit. Which of the following comments is most appropriate for you to make? "Your weight gain is exactly what we would expect at this time." "You started your pregnancy well underweight, so we should check your diet to make sure you are getting the nutrients you need." "Most women gain no weight during their first trimester, so I suggest you eat fewer daily calories for the next few weeks.""We expect you to gain 1 lb per week so your weight gain is a little lower than we would like." Question 3 4 / 4 pts A pregnant patient is having her initial prenatal exam. Which of the following assessments would you inform the client that she will have during this visit? Mammogram Pap smear, if due for one Biophysical profile Glucose challenge test Question 4 4 / 4 pts When assessing the psychological adjustment of an 8 week pregnant patient, which of the following would you, the nurse, expect to see signs of? Depression Extreme fear Ecstasy Ambivalence Question 5 4 / 4 pts A client who was seen at the prenatal clinic at 20 weeks of pregnancy weighed 128 lbs at that time. Approximately how much would you expect her to weigh at her next visit at 24 weeks? 128 lbs 126 lbs 140 lbs 132 lbs Question 6 4 / 4 pts A pregnant woman states that she awakens with "painful leg cramps" often during the night. Which of the following assessments would you, the nurse, consider? Dietary evaluation to rule out dehydration or mineral deficiencies Sleep study to rule out sleep apnea Psychological evaluation to rule out underlying mental health issuesSocial service consult to rule out domestic violence Question 7 1.33 / 4 pts A client is 34 weeks pregnant and being seen for a ROUTINE prenatal visit. Which of the following assessments will be performed during the visit? (Select all that apply!) Blood pressure CORRECT Pelvic ultrasound -WRONG Urine protein CORRECT Fetal heart beat CORRECT You Answered Blood glucose -WRONG Question 8 4 / 4 pts A 36 week gestation client lies flat on her back. Which of the following signs and symptoms would you expect to observe? Diuresis ChloasmaRales Dizziness Question 9 4 / 4 pts With Question #8 above, which is your best response when the clients asks why this happens when she lies flat on her back? This is due to the weight of your uterus on the vena cava This is due to the decreased capacity of your bladder This is due to the pressure from the uterus on your diaphragm This is due to the increase in blood volume Question 10 4 / 4 pts A pregnant woman informs the nurse that her last normal menstrual period started on September 20, 2006. Using Naegele's Rule, what is the client's estimated date of delivery? May 30, 2007 June 27, 2007July 13, 2007 June 13, 2007 Question 11 4 / 4 pts A woman provides the provider with the following obstetrical history: A son, now 7 years old, born at 28 weeks; a daughter, now 5 years old, born at 39 weeks; a miscarriage at 6 weeks; an induced abortion 2 years ago and she is currently pregnant. Which of the following provides an accurate picture of this woman's gravidity and parity (using TPAL)? G5 P2211 G4 P2121 G4 P1212 G5 P1122 Question 12 4 / 4 pts You are the nurse in a prenatal clinic and you are caring for a client in the first trimester of pregnancy. The client's health record includes this data: G3 T1 P0 A1 L1 How would you interpret this information? (Select all that apply!) Client has never experienced preterm laborClient has been through active labor once before Client has delivered one newborn at term Client has one living child Client has had two prior pregnancies Question 13 4 / 4 pts You are the nurse teaching a group of prenatal clients about healthy behaviors during pregnancy. Which of the following statements by a client indicates a need for further instruction? "Signs of infection should be reported to my provider." "I can have one glass of wine with dinner as long as it is red wine." "Smoking is a cause of low birth weight in babies." "I should always check with my provider before taking any medications or supplements, even if they are over-the-counter." Question 14 4 / 4 pts It is discovered that a pregnant woman practices PICA. Which of the following common complications is most often associated with this behavior? Iron deficiency anemiaHypothyroidism Overexposure to dietary zinc Hypercalcemia Question 15 4 / 4 pts You are teaching a client who is 8 weeks pregnant about exercise. Which of the following instructions should you include? "You should increase weight-bearing exercises as your pregnancy progresses." "You should exercise for 30 minutes each day." "You should lie on your back for 5 minutes at the end of each exercise session." "You should take your pulse every 20 minutes while you exercise." Question 16 4 / 4 pts You are calculating your clients due date using Naegele's Rule. She reports that her last normal menstrual period was 11/27/2019. What is her estimated due date? 9/3/20208/3/2020 8/20/2020 9/20/2020 Question 17 4 / 4 pts You are caring for a client who is 26 weeks gestation. What finding would you report to the provider? Fetal heart rate of 110/min 1-hr glucose tolerance test results of 128 mg/dL Fundal height of 30cm Respiratory rate of 20/min Question 18 4 / 4 pts You are caring for a client who is 22 weeks gestation and reports her concern about the blotchy hyperpigmentation on her forehead and cheeks. Which of the following actions is most appropriate to take? Explain to the client that this is a common occurrence associated with pregnancyInform the client that she may have a pregnancy induced allergy to her skin care products Refer the client to a dermatologist Instruct the client to increase her intake of Vitamin D Question 19 4 / 4 pts You are reviewing the report of your client's most recent Biophysical Profile. All of the following are variables in this test EXCEPT: Amniotic fluid level Fetal tone Fetal breathing movements Fetal weight Question 20 4 / 4 pts You are caring for a client who is scheduled to undergo an amniocentesis to assess fetal lung maturity.. Which of the following is a test of fetal lung maturity? Alpha-fetoprotein (AFP)Indirect Coomb's test Lecithin/Sphyngomyelin (L/S) ratio Kleihauer-Betke test Question 21 4 / 4 pts You are caring for a client undergoing a non-stress test (NST). What does a reactive NST include? Fetal movement with a fetal heart rate acceleration of at least 15 beats per minute lasting for at least 15 seconds (a minimum of 2 in 20 minutes) Fetal heart rate decelerations that return to baseline by the end of the contractions (No more than 3 in 30 minutes) The absence of contractions Contractions that are no more than 5 minutes apart and lasting less than 30 seconds Question 22 4 / 4 pts You , as the nurse, have given your client information on Maternal Serum Alpha-fetoprotein (MSAFP) screening. Which of the following statements by the client would indicate that she understood the information? "If the test is negative, it means that my baby does not have any birth defects.""If the level is below normal, I will not need any further testing." "It is best if this test is done before I reach 12 weeks gestation." "If the level is elevated, it could indicate a problem with the baby's spinal cord." Question 23 4 / 4 pts A pregnancy test detects the presence of which hormone in the woman's system? Oxytocin Relaxin Lactogen Human Chorionic Gonadotropin Question 24 4 / 4 pts A woman has 3 kids. Her son was born at 41 weeks, her oldest daughter was born at 39 weeks and her youngest was born at 28 weeks. She has recovered from a miscarriage at 6 weeks last year and has just found out that she is pregnant again. What is her Gravidity and Parity (using TPAL)? G5 P 2-1-1-3 G4 P 2-1-1-3G4 P 2-2-0-3 G5 P 1-2-1-3 Question 25 4 / 4 pts A little baby girl was born and, at one minute of age, she was limp with no movement of her limbs. She was gasping and breathing irregularly but not crying. Her pulse was just over 100 and strong. Her color was getting pinker but her hands and feet were still blue. She grimaced when her nose was suctioned. What is her APGAR score? (Just type in the actual number) Correct Answers 5 5