OB Nursing Study Guide with complete solutions 2023

OB Nursing Study Guide with complete solutions 2023A nurse is instructing a client who is taking oral contraceptive about manifestations to report to the provider. Which of the following manifestations should the nurse include? A) Reduced menstrual flow B) Breast tenderness C) Shortness of breath D) Increased appetite C) Shortness of breath A nurse is caring for a client who is pregnant and states that their last menstrual period was April 1st. Which of the following is the client's estimated date of delivery? A) January 8 B) January 15 C) February 8 D) February 15 A) January 8 A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. Th client's health record includes data: G3 T1 P0 A1 L1. How should the nurse interpret this information? (Select all that apply). A) Client has delivered one newborn. B) Client has experienced no preterm labor. C) Client has been through active labor. D) Client has had two prior pregnancies. E) Client has one living child. A) Client has delivered one newborn. B) Client has experienced no preterm labor. D) Client has had two prior pregnancies. E) Client has one living child. A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? (Select all that apply). A) Montgomery's glands B) Goodell's sign C) Ballottement D) Chadwick's sign E) Quickening B) Goodell's sign C) Ballottement D) Chadwick's sign A nurse in a clinic receives a phone call from a client who would like information about pregnancy testing. Which of the following information should the nurse provide to the client? A) "You should wait until 4 weeks after conception be tested for pregnancy." B) "You should be off any medications for 24 hours prior to the pregnancy test." C) "You should not eat or drink for at least 8 hours prior to the pregnancy test." D) "You should use your first morning urination specimen for a home pregnancy test." D) "You should use your first morning urination specimen for a home pregnancy test." A nurse is reinforcing teaching with a client who is pregnant abut manifestations of complications to promptly report to the provider. Which of the following complications should the nurse reinforce to the client? A) Vaginal bleeding B) Swelling of the ankles C) Heartburn after eating D) Lightheadedness when lying on back A) Vaginal bleeding A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. Which of the following information should the nurse include? A) Eat crackers or plain toast before getting out of bed. B) Awaken during the night to eat a snack. C) Skip breakfast and eat lunch after nausea has subsided. D) Eat a large evening meal. A) Eat crackers or plain toast before getting out of bed. A nurse is providing reinforcement to a client who is at 6 weeks of gestation about common discomforts of pregnancy. Which of the following findings should the nurse include? (Select all that apply). A) Breast tenderness B) Urinary frequency C) Epistaxis D) Dysuria E) Epigastric pain A) Breast tenderness B) Urinary frequency C) Epistaxis A nurse in a prenatal clinic is reinforcing education to a client who is at 8 weeks of gestation. The client states," I don't like milk." Which of the following foods should the nurse recommend as a good source of calcium? A) Dark green leafy vegetables B) Deep red or orange vegetables C) White breads and rice D) Meat, poultry, and fish A) Dark green leafy vegetables A nurse in a prenatal clinic is assisting with caring for four clients. Which of the following clients' weight gain should the nurse report to the provider? A) 1.8 kg (4lb) weight gain and is in the first trimester B) 3.6 kg (8lb) weight gain and is in the first trimester C) 6.8 kg (15lb) weight gain and is in the second trimester D) 11.3 kg (25lb) weight gain and is in the third trimester B) 3.6 kg (8lb) weight gain and is in the first trimester A nurse in a clinic is reinforcing teaching with a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency? A) Iron deficiency anemia B) Poor bone formation C) Macrosomic fetus D) Neural tube defects D) Neural tube defects A nurse is reviewing a new prescription for iron supplements with a client who is at 8 weeks of gestation and has iron deficiency anemia. Which of the following beverages should the nurse reinforce the client to take the iron supplement with? A) Ice water B) Low-fat or whole milk C) Tea or coffee D) Orange juice D) Orange juice A nurse is assisting with the care of a client who is preterm labor and is scheduled to undergo an amniocentesis. The nurse should review which of the following tests to check fetal lung maturity? A) Alpha-fetoprotein (AFP) B) Lecithin/ sphingomyelin (L/S) ratio C) Kleihauer-Bette test D) Indirect Coombs' test B) Lecithin/ sphingomyelin (L/S) ratio A nurse is assisting with the care of a client who is pregnant and undergoing a no stress test. The client asks why the nurse is using an acoustic vibration device. Which of the following responses should the nurse make? A) "It is used to stimulate uterine contractions." B) "It will decrease the incidence of uterine contractions." C) "It lulls the fetus to sleep." D) "It awakens a sleeping fetus." D) "It awakens a sleeping fetus." A nurse is reinforcing teaching with a client who is of 22 weeks gestation about the amniocentesis procedure. Which of the following statements should the nurse make? A) "You will lay on your right side during the procedure." B) "You should not eat anything for 24 hours prior to the procedure." C) "You should empty your bladder prior to the procedure." D) "The test is done to determine gestational age." C) "You should empty your bladder prior to the procedure." A nurse in an emergency department is caring for a client who reports abrupt, sharp, right-sided lower quadrant abdominal pain and bright red vaginal bleeding. The client states, "I missed one menstrual cycle and cannot be pregnant because I have an intrauterine device." The nurse should suspect which of the following? A) Missed abortion B) Ectopic pregnancy C) Severe preeclampsia D) Hydatidiform mole B) Ectopic pregnancy