Comprehensive Nursing Study Guide, Exam Prep &
Verified Answers
No greater chance than any other - correct answers -A client visiting the prenatal clinic for the first time
asks the nurse about the probability of having twins because her husband is one of a pair of fraternal
twins. What is the appropriate response by the nurse?
G5 T2 P1 A1 L4 - correct answers -A pregnant client is making her first antepartum visit. She has a 2-
year-old son born at 40 weeks, a 5-year-old daughter born at 38 weeks, and 7-year-old twin daughters
born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. How does the nurse, using
the GTPAL format, document the client's obstetric history?
G4 T3 P2 A1 L4
G5 T2 P2 A1 L4
G5 T2 P1 A1 L4
G4 T3 P1 A1 L4
Even with the umbilicus
Around the 22nd week of gestation the top of the fundus is at the level of the umbilicus. Just above the
symphysis pubis is too low for a pregnancy between the fifth and sixth months of gestation. Two
fingerbreadths above the umbilicus is too high for 20 to 22 weeks' gestation. Halfway between the
symphysis pubis and umbilicus is too low for a pregnancy between the fifth and sixth months of
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,gestation. - correct answers -A pregnant client's last menstrual period was on February 11. A physical
assessment on July 18 should reveal the top of the fundus to be where?
<p>A pregnant client's last menstrual period was on February 11. A physical assessment on July 18
should reveal the top of the fundus to be where?
Even with the umbilicus
Just above the symphysis pubis
Two fingerbreadths above the umbilicus
Halfway between the symphysis and umbilicus
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Amenorrhea
2
Breast changes
3
Urinary frequency - correct answers -A client in her 10th week of pregnancy exhibits presumptive signs
of pregnancy. Which clinical findings may the nurse determine upon assessment?
Amenorrhea
Breast changes
2
, Urinary frequency
Abdominal enlargement
Positive urine pregnancy test
1
Smoker
2
Twin gestation
Smokers generally have a nutrient-poor diet and are at risk for continuing the same diet through
pregnancy. Multifetal pregnancies require nutrition above the normal requirements for pregnancy. A
hemoglobin reading of 12 g/dL and fasting blood sugar of 80 mg/dL are normal values. Caffeine intake of
180 mg/day is less than the daily recommended intake. - correct answers -What are the indicators of
nutritional risk in pregnancy in a client who is of normal weight?
Smoker
Twin gestation
Hemoglobin of 12 g/dL (120 mmol/L)
Term delivery 2 years ago
3