Chapteri15:iPregnancy;iO'Meara:iMaternity,iN
ewborn,iandiWomen'siHealth;iPREPUiLeveli5
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A pregnant client reports chewing on ice throughout the day. Which laboratory value would the
nurse evaluate?
a. serum iron level
b. serum potassium level
c. serum glucose level
d. serum sodium level - correct answersa. serum iron level
Pregnant clients who crave ice often have an iron deficiency. A low serum iron level needs to be
checked. The client's electrolyte values are not associated with cravings for ice.
The fluid-filled, inner membrane sac surrounding the fetus is which structure?
,a. amnion
b. chorion
c. endometrium
d. decidua - correct answersa. amnion
The fluid-filled, inner membrane sac surrounding the fetus is the amnion. The chorion is the
outer membrane surrounding the fetus. The endometrium is the inner lining of the uterus. The
decidua is the name used for the endometrium during pregnancy.
A pregnant client at 32 weeks' gestation remarks during a routine prenatal visit, "Sex is
becoming difficult for us." Which would be the best response by the nurse?
a. "If you and your partner are having problems, maybe decreasing the frequency of sex would
be helpful."
b. "Intercourse this late in pregnancy can be difficult. Do you think that abstaining is possible?"
c. "Sex during pregnancy is a common concern. What do you mean by difficult?"
d. "You should expect to have discomfort with sex because of the pregnancy. Discuss this with
your obstetrician." - correct answersc. "Sex during pregnancy is a common concern. What do
you mean by difficult?"
Frank discussion about how sexual feelings and behaviors may change during pregnancy can
help prevent and alleviate problems. The nurse should seek more information from the
pregnant client regarding the difficulties that are encountered. Decreasing the frequency of sex
or telling the client to abstain until after the birth does not address the cause of the difficulty.
Discomfort should not be an issue, and if present should be investigated.
A client in her 29th week of gestation reports dizziness and clamminess when assuming a
supine position. During the assessment, the nurse observes there is a marked decrease in the
client's blood pressure. Which intervention should the nurse implement to help alleviate this
client's condition?
a. Keep the client's legs slightly elevated.
, b. Place the client in an orthopneic position.
c. Keep the head of the client's bed slightly elevated.
d. Place the client in the left lateral position. - correct answersd. Place the client in the left
lateral position.
The symptoms experienced by the client indicate supine hypotension syndrome. When the
pregnant woman assumes a supine position, the expanding uterus exerts pressure on the
inferior vena. The nurse should place the client in the left lateral position to correct this
syndrome and optimize cardiac output and uterine perfusion. Elevating the client's legs, placing
the client in an orthopneic position, or keeping the head of the bed elevated will not help
alleviate the client's condition.
A pregnant client at 34 weeks' gestation reports a burning sensation in the lower esophagus.
What action would the nurse recommend to increase her comfort? Select all that apply.
a. Eat five to six small meals per day.
b. Do not eat fried, fatty foods.
c. Do not lie down immediately after eating.
d. Eat a large amount of carbohydrates.
e. Do not drink liquids with meals. - correct answersa. Eat five to six small meals per day.
b. Do not eat fried, fatty foods.
c. Do not lie down immediately after eating.
The client is experiencing pyrosis. Eating small frequent meals, avoiding fried foods, and not
laying down immediately after eating will minimize the discomfort. Large quantities of
carbohydrates and not taking liquids with meals will not change the discomfort being
experienced.
The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of
labor. What will the mother likely experience at that time?
ewborn,iandiWomen'siHealth;iPREPUiLeveli5
Save
A pregnant client reports chewing on ice throughout the day. Which laboratory value would the
nurse evaluate?
a. serum iron level
b. serum potassium level
c. serum glucose level
d. serum sodium level - correct answersa. serum iron level
Pregnant clients who crave ice often have an iron deficiency. A low serum iron level needs to be
checked. The client's electrolyte values are not associated with cravings for ice.
The fluid-filled, inner membrane sac surrounding the fetus is which structure?
,a. amnion
b. chorion
c. endometrium
d. decidua - correct answersa. amnion
The fluid-filled, inner membrane sac surrounding the fetus is the amnion. The chorion is the
outer membrane surrounding the fetus. The endometrium is the inner lining of the uterus. The
decidua is the name used for the endometrium during pregnancy.
A pregnant client at 32 weeks' gestation remarks during a routine prenatal visit, "Sex is
becoming difficult for us." Which would be the best response by the nurse?
a. "If you and your partner are having problems, maybe decreasing the frequency of sex would
be helpful."
b. "Intercourse this late in pregnancy can be difficult. Do you think that abstaining is possible?"
c. "Sex during pregnancy is a common concern. What do you mean by difficult?"
d. "You should expect to have discomfort with sex because of the pregnancy. Discuss this with
your obstetrician." - correct answersc. "Sex during pregnancy is a common concern. What do
you mean by difficult?"
Frank discussion about how sexual feelings and behaviors may change during pregnancy can
help prevent and alleviate problems. The nurse should seek more information from the
pregnant client regarding the difficulties that are encountered. Decreasing the frequency of sex
or telling the client to abstain until after the birth does not address the cause of the difficulty.
Discomfort should not be an issue, and if present should be investigated.
A client in her 29th week of gestation reports dizziness and clamminess when assuming a
supine position. During the assessment, the nurse observes there is a marked decrease in the
client's blood pressure. Which intervention should the nurse implement to help alleviate this
client's condition?
a. Keep the client's legs slightly elevated.
, b. Place the client in an orthopneic position.
c. Keep the head of the client's bed slightly elevated.
d. Place the client in the left lateral position. - correct answersd. Place the client in the left
lateral position.
The symptoms experienced by the client indicate supine hypotension syndrome. When the
pregnant woman assumes a supine position, the expanding uterus exerts pressure on the
inferior vena. The nurse should place the client in the left lateral position to correct this
syndrome and optimize cardiac output and uterine perfusion. Elevating the client's legs, placing
the client in an orthopneic position, or keeping the head of the bed elevated will not help
alleviate the client's condition.
A pregnant client at 34 weeks' gestation reports a burning sensation in the lower esophagus.
What action would the nurse recommend to increase her comfort? Select all that apply.
a. Eat five to six small meals per day.
b. Do not eat fried, fatty foods.
c. Do not lie down immediately after eating.
d. Eat a large amount of carbohydrates.
e. Do not drink liquids with meals. - correct answersa. Eat five to six small meals per day.
b. Do not eat fried, fatty foods.
c. Do not lie down immediately after eating.
The client is experiencing pyrosis. Eating small frequent meals, avoiding fried foods, and not
laying down immediately after eating will minimize the discomfort. Large quantities of
carbohydrates and not taking liquids with meals will not change the discomfort being
experienced.
The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of
labor. What will the mother likely experience at that time?
