Antepartum: Fetal Development Exam Guide Questions with Complete answers 2023/2024

Antepartum: Fetal Development Exam Guide Questions with Complete answers 2023/2024 A antenatal client is informing the nurse of her prenatal signs and symptoms. Which of the following findings would the nurse determine are presumptive signs of pregnancy? (select all) 1. Amenorrhea 2. Breast tenderness 3. Quickening 4. Frequent urination 5. Uterine growth - correct answer 1, 2, 3, & 4. The correct answers are signs of presumptive pregnancy. Uterine growth is a probable sign of pregnancy. Probable = Signs that are objective but not absolute and include alterations in uterine shape and size and softening of the cervix. The nurse is assessing the laboratory report of a 40-week gestation client. Which of the following values would the nurse expect to find elevated about pregnancy levels? (select all) 1. Glucose 2. Fibrinogen 3. Hematocrit 4. Bilirubin 5. White blood cells - correct answer 2 & 5. Fibrinogen levels will be elevated slightly in a 40-week pregnant woman because coagulation factors like fibrinogen increase to help prevent excessive blood loss during delivery. A 40-week pregnant woman's white blood cell count will be elevated above normal as a means of protecting her body from infection. When analyzing the need for health teaching of prenatal multigravida, the nurse should ask which of the following questions? 1. "What are the ages of your children?" 2. "What is your marital status?" 3. "Do you ever drink alcohol?" 4. "Do you have any allergies?" - correct answer 3. This question is important to ask to determine a prenatal client's health teaching needs A woman whose prenatal weight was 105 lb weights 109 lb at her 12 week visit. Which of the following comments by the nurse is appropriate at this time? 1. "We expect you to gain about 1 lb per week, so your weight is a little low at this time." 2. "Most women gain no weight during the first trimester, so I would suggest you eat fewer desserts for the next few weeks." 3. "You entered the pregnancy well underweight, so we should check your diet to make sure you are getting the nutrients you need." 4. "Your weight gain is exactly what we would expect it to be at this time." - correct answer 4. A weight gain of 3-5 lb is expected during the entire first trimester. Because nausea and vomiting are such common complaints of pregnant women, the nurse provides anticipatory guidance to a 6-week gestation client by telling her to do which of the following? 1. Avoid eating greasy foods 2. Drink some orange juice before rising 3. Consume 1 teaspoon of nutmeg each morning 4. Eat 3 large meals plus a bedtime snack - correct answer 1. Greasy foods should be avoided. Saltine crackers should be eaten before rising. Drinking orange juice has not been recommended. Ginger can help alleviate nausea and vomiting. It is also recommended that mothers eat small, frequent meals throughout the day. A client enters the prenatal clinic. She states that she missed her period yesterday and used a home pregnancy test this morning. She states that the results were negative but "I still think I am pregnant." Which of the following statements would be appropriate for the nurse to ask at this time? 1. "Your period is probably just irregular." 2. "We could do a blood test to check." 3. "Home pregnancy test results are very accurate." 4. "My recommendation would be to repeat the test in one week." - correct answer 2. Serum pregnancy tests are more sensitive than urine tests. A gravida GI P0000, is having her first prenatal physical examination. Which of the following assessments should the nurse inform the client that she will have that day? 1. Pap Smear 2. Mammogram 3. Glucose Challenge Test 4. Biophysical Profile 5. Complete Blood Count - correct answer 1 & 5. A glucose test and biophysical profile won't be done until later in the pregnancy. The nurse plans to provide anticipatory guidance to a 10 week gravid client who is being seen in the prenatal clinic. Which of the following information should be a priority for the nurse to provide? 1. Pain management during labor 2. Methods to relieve backaches 3. Breastfeeding positions 4. Characteristics of a newborn - correct answer 2. It is too early in the pregnancy to educate the patient on the other options. A client asks the nurse what was mean why the physician told her she had a positive Chadwick's sign. Which of the following information about the finding would be appropriate for the nurse to convey at this time? 1. "It is a purplish stretch mark on your abdomen." 2. "It means that you are having heart problems." 3. "It is a bluish coloration of your cervix and vagina." 4. "It means the doctor heard abnormal sounds when you breathed in." - correct answer 3. A positive Chadwick's sign means that the client's cervix and vagina are a bluish color. This is a probably sign of pregnancy. A client enters the prenatal clinic. She states that she believes she is pregnant. Which of the following hormone elevations will indicate a high probability that the client is pregnant? 1. Chorionic gondotropic 2. Oxytocin 3. Prolactin 4. Luteinizing hormone - correct answer 1. High levels of the hormone chorionic gonadotropin in the blood stream and urine of the woman is a probably sign of pregnancy.