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A nurse is providing anticipatory guidance to a pregnant woman regarding
normal changes in the nose and nasal passages. What information should the
nurse provide? (Select all that apply.)
a. Blow your nose gently.
b. Dry mucous membranes cause bleeding.
c. Increase your fluid intake.
d. Stuffiness is common.
e. Use decongestant spray. - ANSWER-a, c, d
A nurse is interviewing a woman who is in her second trimester. The woman
asks the nurse if blue cohosh (Caulophyllum thalictroides) is safe and useful to
take during pregnancy. Which response by the nurse is best?
a. blue cohosh is safe and useful to treat morning sickness
b. blue cohosh used during the third trimester eases labor
c. blue cohosh cause fetal anoxia and should not be used
d. blue cohosh has not been thought studied in pregnant women - ANSWER-C
A nurse is reviewing a pt's chart and finds the following documentation: a 28
y/o woman complains of n/v, breast tenderness, and frequent urination. A
physical exam reveals a positive Hegar's and Chadwick's signs. The nurse
interprets these findings as
a. all positive signs go pregnancy
,b. all presumptive signs of pregnancy
c. all probable signs of pregnancy
d. presumptive and probable signs of pregnancy - ANSWER-D
A woman who is 22 weeks pregnant calls the clinic worries that her last hCG
test had a lower level than the results from her initial prenatal visit. Which
response by the nurse is best?
a. ask if the woman has felt quickening
b. have the woman come in for an ultrasound
c. schedule a repeat hCG test in 1 week
d. reassure the woman that this is a normal finding - ANSWER-D
A nurse is teaching a prenatal class. What information about cigarette exposure
should the nurse provide the women?
a. secondhand smoke is not dangerous for the fetus
b. some exposure only affects the fetus and newborn
c. the effects of secondhand smoke are not well documented
d. tobacco use can cause preterm labor and placental abruption - ANSWER-D
A nurse is assessing fetal heart tones and gets a reading of 82 bpm. What action
by the nurse is best?
a. take the woman's pulse for comparison
b. attach electronic fetal monitoring equipment
c. position the woman on her left side
d. administer oxygen to the pregnant woman - ANSWER-A
A woman presents to the OB unit in active labor. She has had no prenatal care
and tells the nurse that the baby's father has gonorrhea. She has not been treated.
For what complication is the newborn at most risk?
, a. pneumonia
b. skin lesions
c. blindness
d. intellectual disability - ANSWER-C
A woman presents to the perinatal clinic with abdominal pain. She has missed
one period and, following a transvaginal ultrasound, pregnancy is confirmed.
However, implantation
has occurred in the right fallopian tube. The ectopic mass is 3 cm and has not
ruptured. The nurse prepares the patient for which therapy?
a. laparoscopic salpingostomy
b. methotrexate
c. partial salpingectomy
d. salpingectomy by laparotomy - ANSWER-B
The prenatal clinic nurse assesses a woman at 15 weeks gestation. The patients
blood pressure, measured twice at intervals 1 hour apart with a cuff that fits
appropriately, is 146/96 mm Hg. The nurse understands the patient has which
condition?
a. chronic HTN
b. gestational HTN
c. preeclampsia
d. transient HTN - ANSWER-A
A patient is complaining of constipation. What teaching should the nurse plan to
provide? (Select all that apply.)
a. avoid vigorous exercise
b. drink 8-10 glasses of water each day
c. don't strain to move your bowels
d. eat small, frequent meals