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23-year-old primigravida is at her first prenatal appointment today.
Ultrasound indicates that she is at 9 weeks' gestation. She asks when
she can first expect to feel her baby move. The best response by the
nurse is:
1
"You should be able to feel the baby move any day now."
2
"You should feel your first light movement of the baby around 24
weeks."
3
"Most women can first detect movement of their babies by 12 to 14
weeks."
4
,"Many women are able to first feel light movement between 18 and
20 weeks." - ANSWER-4
24-year-old client who has been told that she is pregnant is at her first
prenatal visit. She is 5 feet 6 inches tall and weighs 130 lb. What
should the nutrition plan regarding her daily caloric intake include?
1
100 more calories during the first trimester
2
540 more calories during the third trimester
3
300 more calories during the three trimesters
4
340 more calories during the second trimester - ANSWER-4
An extra 340 calories per day during the second trimester is the
recommended caloric increase for adult women who are of average
weight; this increase will meet the nutritional needs of both fetus and
mother during the second trimester. The caloric intake during the first
trimester should be about the same as in the nonpregnant state. The
increase in caloric intake should be about 460 calories in the third
trimester. Caloric needs, as well as caloric intake, vary from trimester
to trimester, depending on fetal/maternal energy needs.
A 13-year-old girl tells the nurse at the pediatric clinic that she took a
pregnancy test and got a positive result. She confides that her
grandfather, with whom she, her younger sisters, and her mother live,
,has repeatedly molested her for the past 3 years. When the nurse asks
the girl whether she has told anyone else, she replies, "Yes, but my
mother doesn't believe me." Legally, who should the nurse notify?
1
Police concerning a possible sex crime
2
Health care provider to confirm the pregnancy
3
Child protective services for immediate intervention
4
Girl's mother about the pregnancy test's positive result - ANSWER-3
A 16-year-old primigravida arrives at the labor and birthing unit in her
38th week of gestation and states that she is in labor. What does the
nurse do to verify that the client is in true labor?
1
Times uterine contractions
2
Obtains a specimen for a fern test
3
Interprets findings of the pelvic examination
4
Applies Nitra zine paper to moist vaginal tissue - ANSWER-3
, A pelvic examination should reveal cervical dilation and effacement if
the client is in true labor. Contractions may be present with false
labor; they are called preparatory contractions. Ferning is the
characteristic frondlike pattern of crystallization in amniotic fluid
when it dries; this test is used to confirm the rupture of membranes.
Nitrazine testing is used to differentiate amniotic fluid from urine; the
onset of true labor may occur with or without the rupture of
membranes.
A 16-year-old primigravida who appears to be at or close to term
arrives at the emergency department stating that she is in labor and
complaining of pain continuing between contractions. The nurse
palpates the abdomen, which is firm and shows no sign of relaxation.
What problem does the nurse conclude that the client is
experiencing?
1
Placenta previa
2
Precipitous birth
3
Abruptio placentae
4
Breech presentation - ANSWER-3
Abruptio placentae indicates premature placental separation; the
classic signs are abdominal rigidity, a tetanic uterus, and dark-red
bleeding. Placenta previa occurs with a low-lying placenta and is