Antepartum
The nurse is caring for a pregnant client who was diagnosed with acquired immunodeficiency
syndrome (AIDS) and asks the nurse if she will be able to breast-feed the infant after delivery. Which
response by the nurse is appropriate? - "Breast-feeding is contraindicated."
The nurse reviews the client's health record and notes that based on Leopold's maneuvers, the fetus
is in a cephalic presentation. The nurse understands that this characterizes which type of
presentation? - The most common presentation
The nurse is assigned to care for a client admitted with severe preeclampsia. Which is the priority
nursing intervention for this client? - Minimizing the client's exposure to external stimuli
The nurse is collecting data from a client on her first prenatal visit. Which factor indicates that the
client is at risk for developing gestational diabetes during this pregnancy? - She has a history of
chronic hypertension.
A couple comes to the family planning clinic and asks about sterilization procedures. Which question
by the nurse would determine whether this method of family planning would be appropriate? - "Do
you plan to have any other children?"
The nurse is reinforcing the positive effects of breathing and relaxation techniques to a pregnant,
cardiac client who has an 18-month-old child. Which primary outcome is the purpose for these
interventions? - Reducing maternal stress and fatigue
The nurse is reviewing the record of a client who has just been told that her pregnancy test is
positive. The nurse notes that the health care provider has documented the presence of Goodell's
sign. The nurse determines that this sign is indicative of which? - A softening of the cervix
The nurse is reinforcing dietary instructions to a pregnant client with a history of lactose intolerance.
The nurse should instruct the client to consume which best food item to ensure an adequate source
of calcium in the diet? - Dried fruits
A pregnant client asks the prenatal clinic nurse what the fetal period of development means. Which
is correct information about the fetal period? - Longest period of fetal development
, A nursing student is assigned to a client in labor. The nursing instructor asks the student to describe
fetal circulation, specifically the ductus venosus. The instructor determines that the student
understands the structure of the ductus venosus if the student states which about the ductus
venosus? - Connects the umbilical vein to the inferior vena cava
A client is 8 weeks pregnant and has waves of nausea accompanied by vomiting throughout the day.
Food odors consistently precipitate the nausea. Her husband has an important business dinner
planned, and she is reluctant to attend because of the nausea and vomiting. This has placed a strain
on the husband-wife relationship. Which statement by the nurse indicates an understanding of the
problem? - "You feel you are having difficulty fulfilling your role as a wife."
The nurse is gathering data from a 16-year-old pregnant client during her initial prenatal clinic visit.
The client is beginning week 18 of her first pregnancy. Which client statement indicates a need for
further investigation? - "I don't like my face anymore. I always look like I have been crying."
The nurse is teaching a pregnant woman about the physiological effects and hormone changes that
occur in pregnancy, and the woman asks the nurse about the purpose of progesterone. According to
the nurse, what is the purpose of progesterone? - Progesterone maintains the uterine lining for
implantation.
A perinatal client is at risk for toxoplasmosis. Which instruction should the nurse reinforce with the
client to prevent exposure to this disease? - Avoid exposure to litter boxes used by cats.
The nurse is assigned to care for a pregnant client with a diagnosis of sickle cell anemia. The nurse
plans care, knowing that which problem should receive highest priority? - Dehydration
The nurse is assessing a client during a prenatal visit. The nurse takes the client's temperature and
notes that the temperature is 99.2° F. Which nursing action is appropriate? - Document the
temperature.
The nurse is instructing a pregnant client on dietary sources of iron. Which client food selection
demonstrates an understanding of teaching? - Fresh spinach
The nurse is gathering data from a pregnant client about physiological risk factors. The nurse should
be sure to obtain which priority data? - Weight and height
The nurse is collecting data on a pregnant client and is preparing to take the client's blood pressure.
Which position should the nurse place the client in? - In a sitting position
The nurse is caring for a pregnant client who was diagnosed with acquired immunodeficiency
syndrome (AIDS) and asks the nurse if she will be able to breast-feed the infant after delivery. Which
response by the nurse is appropriate? - "Breast-feeding is contraindicated."
The nurse reviews the client's health record and notes that based on Leopold's maneuvers, the fetus
is in a cephalic presentation. The nurse understands that this characterizes which type of
presentation? - The most common presentation
The nurse is assigned to care for a client admitted with severe preeclampsia. Which is the priority
nursing intervention for this client? - Minimizing the client's exposure to external stimuli
The nurse is collecting data from a client on her first prenatal visit. Which factor indicates that the
client is at risk for developing gestational diabetes during this pregnancy? - She has a history of
chronic hypertension.
A couple comes to the family planning clinic and asks about sterilization procedures. Which question
by the nurse would determine whether this method of family planning would be appropriate? - "Do
you plan to have any other children?"
The nurse is reinforcing the positive effects of breathing and relaxation techniques to a pregnant,
cardiac client who has an 18-month-old child. Which primary outcome is the purpose for these
interventions? - Reducing maternal stress and fatigue
The nurse is reviewing the record of a client who has just been told that her pregnancy test is
positive. The nurse notes that the health care provider has documented the presence of Goodell's
sign. The nurse determines that this sign is indicative of which? - A softening of the cervix
The nurse is reinforcing dietary instructions to a pregnant client with a history of lactose intolerance.
The nurse should instruct the client to consume which best food item to ensure an adequate source
of calcium in the diet? - Dried fruits
A pregnant client asks the prenatal clinic nurse what the fetal period of development means. Which
is correct information about the fetal period? - Longest period of fetal development
, A nursing student is assigned to a client in labor. The nursing instructor asks the student to describe
fetal circulation, specifically the ductus venosus. The instructor determines that the student
understands the structure of the ductus venosus if the student states which about the ductus
venosus? - Connects the umbilical vein to the inferior vena cava
A client is 8 weeks pregnant and has waves of nausea accompanied by vomiting throughout the day.
Food odors consistently precipitate the nausea. Her husband has an important business dinner
planned, and she is reluctant to attend because of the nausea and vomiting. This has placed a strain
on the husband-wife relationship. Which statement by the nurse indicates an understanding of the
problem? - "You feel you are having difficulty fulfilling your role as a wife."
The nurse is gathering data from a 16-year-old pregnant client during her initial prenatal clinic visit.
The client is beginning week 18 of her first pregnancy. Which client statement indicates a need for
further investigation? - "I don't like my face anymore. I always look like I have been crying."
The nurse is teaching a pregnant woman about the physiological effects and hormone changes that
occur in pregnancy, and the woman asks the nurse about the purpose of progesterone. According to
the nurse, what is the purpose of progesterone? - Progesterone maintains the uterine lining for
implantation.
A perinatal client is at risk for toxoplasmosis. Which instruction should the nurse reinforce with the
client to prevent exposure to this disease? - Avoid exposure to litter boxes used by cats.
The nurse is assigned to care for a pregnant client with a diagnosis of sickle cell anemia. The nurse
plans care, knowing that which problem should receive highest priority? - Dehydration
The nurse is assessing a client during a prenatal visit. The nurse takes the client's temperature and
notes that the temperature is 99.2° F. Which nursing action is appropriate? - Document the
temperature.
The nurse is instructing a pregnant client on dietary sources of iron. Which client food selection
demonstrates an understanding of teaching? - Fresh spinach
The nurse is gathering data from a pregnant client about physiological risk factors. The nurse should
be sure to obtain which priority data? - Weight and height
The nurse is collecting data on a pregnant client and is preparing to take the client's blood pressure.
Which position should the nurse place the client in? - In a sitting position
