Maternal Exam 1
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GALEN COLLEGE
OF NURSING.
,1. a nurse is educating a client about some of the physiologic
changes that occur
with pregnancy. the nurse recognizes the client's need for
more teaching when she states: if my pubic bone joint starts to hurt, it may be
an early sign of labor and i should call my provider
2. a nurse overhears a client describing the current development
of their 8-week fetus to her partner. the nurse recognizes the
client has a good understanding of fetal development at this
gestation when she describes the fetus as: having
a fairly well-formed body; arms, legs, and digits that are well-formed; and eyes, ears, nose, and
mouth that are recognizable
3. a client gives her LMP as 12/1. her partner was home from
the army from
12/4-12/14. she had unprotected intercourse, did a lot of
binge drinking and smoking marijuana during that time. she
has not had any alcohol or smoked marijuana since he left. it
is now 1/15 and the client has had a positive preg- nancy test.
she states "I have always wanted to be a mother but I am
scared to death I hurt the baby when I did all that partying in
December." the best
, response by the nurse is: if you are sure about your LMP, there is minimal risk that
your baby was harmed at that time
4. activities that promote healthy mothers and babies are ideally
initiated before the period of critical fetal development. this
period occurs between:: 17-56 days after fertilization
5. document correct GTPAL and GP notation. a woman is
currently pregnant with twins at 35 weeks, had term twins two
years ago, a fetal death at 34 weeks, and two miscarriages
prior to 20 weeks. SATA: G5 P1122; G5P2
6. a postpartum client is status post spontaneous vaginal
delivery of a 39 week infant. her past obstetric history is as
follows. 1st, 2nd, and 3rd pregnancies delivered at 40 weeks
gestation, all viable infants. her 4th pregnancy ended in a
miscarriage at 10 weeks. with her 5th pregnancy, she
delivered twins at 32 weeks, both surviving. GTPAL and GP.:
G6P5; G6P4116
7. a nurse teaches a pregnant woman about the presumptive,
probable, and positive signs of pregnancy. the woman
demonstrates understanding of the nurse's instructions if she
states that a presumptive sign of pregnancy is: nausea and vomiting