Antepartum

Antepartum A client at 38 weeks gestation is brought to the emergency department after a motor vehicle crash. She reports severe, continuous abdominal pain. The nurse notes frequent uterine contractions and mild, dark vaginal bleeding. What actions should the nurse take? Select all that apply. 1. Anticipate emergent cesarean birth. 2. Apply continuous external fetal monitoring. 3. Assess routine vital signs every 4 hours. 4. Draw blood for type and crossmatch. 5. Initiate IV access with a 22-gauge catheter. A client who is 8 weeks pregnant reports morning sickness. What is the most appropriate response by the nurse? 1. Advise the client to consume hot, versus cold, foods. 2. Instruct the client to drink 2 glasses of water with each meal. 3. Suggest the client consume high-protein snacks on awakening. 4. Tell the client that morning sickness should pass in a few weeks. A nurse is measuring a uterine fundal height for a client who is at 36 weeks gestation in supine position. The client suddenly reports dizziness and the nurse observes pallor and damp, cool skin. What should the nurse do first? 1. Assess fetal heart rate and pattern. 2. Assess heart and lung sounds. 3. Notify the health care provider immediately. 4. Reposition the client into a lateral position. A client at 30 weeks gestation is hospitalized for preeclampsia. Which assessment finding requires priority intervention? 1. Elevated liver enzymes. 2. Lower abdominal pain and vaginal bleeding. 3. Swelling of the hands, feet, and face. 4. Urine output of 25 mL/hr. The nurse reviews laboratory test results for a pregnant client at 32 weeks gestation. What is the nurse's best action based on these results? Click on the exhibit button for additional information. 1. Complete the client assessment and documentation. 2. Draw another sample for repeat complete blood count. 3. Prepare for transfusion of packed red blood cells. 4. Request a prescription for iron supplementation. A nurse is caring for a pregnant client who has hyperemesis gravidarum. Which assessment findings should the nurse anticipate? Select all that apply. 1. Blood pressure 160/94 mm Hg. 2. Large urine protein. 3. Positive urine ketones (moderate). 4. Pulse 106/min. 5. Urine specific gravity 1.010. 4. Pulse 106/min. The nurse is documenting assessments of pregnant clients in the antepartum unit. Which client's assessment findings are most important to report to the health care provider? 1. Client at 28 weeks gestation with an asymptomatic systolic murmur. 2. Client at 34 weeks gestation with 1+ edema of bilateral lower extremities. 3. Client at 35 weeks gestation with painful genital lesions. 4. Client at 39 weeks gestation with brownish, mucoid vaginal discharge. A client at 20 weeks gestation states that she started consuming an increased amount of cornstarch about 3 weeks ago. Based on this assessment, the nurse should anticipate that the health care provider will order which laboratory test(s)? 1. Hemoglobin and hematocrit levels. 2. Human chorionic gonadotropin level. 3. Serum folate level. 4. White blood cell count. Which client in a prenatal clinic should the nurse assess first? 1. Client at 11 weeks gestation with backache and pelvic pressure. 2. Client at 16 weeks gestation with earache and sinus congestion. 3. Client at 27 weeks gestation with headache and facial edema. 4. Client at 37 weeks gestation with white vaginal discharge and urinary frequency. A couple is excited about finding out the sex of their baby during ultrasound at 14 weeks gestation. What is the nurse's best response? 1. "Basic structures of major organs are not yet formed." 2. "External genitalia are not usually visualized until 21-24 weeks. 3. "If the baby is in the right position, the genitalia may be visualized." 4. "Sex cannot be determined until fetal movement is felt." .................