OB Test Bank Exam 1

During a vaginal exam, the nurse notes that the cervix has a bluish color. The nurse documents this finding as: A) Hegars sign B) Goodells sign C) Chadwicks sign D) Ortolanis sign - Answer- C) Chadwicks sign The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of labor. The mother will most likely experience which of the following at that time? A ) Dysuria B ) Dyspnea C ) Constipation D ) Urinary Frequency - Answer- D ) Urinary Frequency A gravida 2 para 1 client in the 10th week of her pregnancy says to the nurse, Ive never urinated as often as I have for the past three weeks. Which response would be most appropriate for the nurse to make? A ) Having to urinate so often is annoying. I suggest that you watch how much fluid you are drinking and limit it. B ) You shouldnt be urinating this frequently now; it usually stops by the time youre eight weeks pregnant. Is there anything else bothering you? C ) By the time you are 12 weeks pregnant, this frequent urination should no longer be a problem, but it is likely to return toward the end of your pregnancy. D ) Women having their second child generally dont have frequent urination. Are you experiencing any burning sensations? - Answer- C ) By the time you are 12 weeks pregnant, this frequent urination should no longer be a problem, but it is likely to return toward the end of your pregnancy. In a clients seventh month of pregnancy, she reports feeling dizzy, like Im going to pass out, when I lie down flat on my back. The nurse integrates which of the following in to the explanation? A ) Pressure of the gravid uterus on the vena cava B ) A 50% increase in blood volume C ) Physiologic anemia due to hemoglobin decrease D ) Pressure of the presenting fetal part on the diaphragm - Answer- A ) Pressure of the gravid uterus on the vena cava A primiparous client is being seen in the clinic for her first prenatal visit. It is determined that she