N144 AQ Pregnancy, labor, childbirth,
postpartum Exam Questions With Correct
Answers
A client who is at 20-weeks' gestation visits the prenatal clinic for the
| | | | | | | | | | | | |
first time. Assessment reveals temperature of 98.8° F (37.1° C), pulse of
| | | | | | | | | | | |
80 beats per minute, blood pressure of 128/80 mm Hg, weight of 142 lb
| | | | | | | | | | | | | |
(64.4 kg) (pre-pregnancy weight was 132 lb (59.9 kg), fetal heart rate
| | | | | | | | | | | |
(FHR) of 140 beats per minute, urine that is negative for protein, and
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fasting blood glucose level of 92 mg/dL (5.2 mmol/L). What should the
| | | | | | | | | | | |
nurse do after making these assessments?
| | | | |
Report the findings because the client needs immediate intervention.
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|
Document the results because they are expected at 20-weeks'
| | | | | | | | |
gestation.
|
Record the findings in the medical record because they are not within
| | | | | | | | | | | |
the norm but are not critical.
| | | | |
|
Prepare the client for an emergency admission because these findings
| | | | | | | | | |
may represent jeopardy to the client and fetus. - CORRECT
| | | | | | | | | |
,ANSWER✔✔-Document the results because they are expected at 20- | | | | | | | |
weeks' gestation. |
Rationale
All data presented are expected for a client at 20-weeks' gestation and
| | | | | | | | | | | |
should be documented. There is no need for immediate intervention or
| | | | | | | | | | |
an emergency admission because all findings are expected.
| | | | | | |
A client tells the nurse that the first day of her last menstrual period was
| | | | | | | | | | | | | |
July 22. What is the estimated date of birth (EDB)?
| | | | | | | | | |
May 7 |
|
April 29 |
|
April 22 |
|
March 6 - CORRECT ANSWER✔✔-Rationale
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Her EDB is April 29. The Nägele rule is an indirect, noninvasive method
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for estimating the date of birth: EDB = last menstrual period + 1 year - 3
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months + 7 days. May 7 is beyond the expected date of birth. April 22
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and March 6 are both before the EDB.
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, Which information should the nurse include in the discharge teaching of
| | | | | | | | | |
a postpartum client?
| | |
The prenatal Kegel tightening exercises should be continued.
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|
The episiotomy sutures will be removed at the first postpartum visit.
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She may not have a bowel movement for up to a week after the birth.
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She should schedule a postpartum checkup as soon as her menses
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returns. - CORRECT ANSWER✔✔-The prenatal Kegel tightening exercises
| | | | | | |
should be continued.
| | |
|
Rationale
Kegel exercises may be resumed immediately and should be done for
| | | | | | | | | | |
the rest of the client's life because they help strengthen muscles needed
| | | | | | | | | | |
for urinary continence and may enhance sexual intercourse. Episiotomy
| | | | | | | | | |
sutures do not have to be removed. Bowel movements should
| | | | | | | | | |
spontaneously return in 2 to 3 days after the client gives birth; a delay of
| | | | | | | | | | | | | |
bowel movements promotes constipation, perineal discomfort, and
| | | | | | | |
trauma. The usual postpartum examination is 6 weeks after birth; the
| | | | | | | | | | |
menses may return earlier or later than this and should not be a factor
| | | | | | | | | | | | | |
when the client is scheduling a postpartum examination.
| | | | | | |
postpartum Exam Questions With Correct
Answers
A client who is at 20-weeks' gestation visits the prenatal clinic for the
| | | | | | | | | | | | |
first time. Assessment reveals temperature of 98.8° F (37.1° C), pulse of
| | | | | | | | | | | |
80 beats per minute, blood pressure of 128/80 mm Hg, weight of 142 lb
| | | | | | | | | | | | | |
(64.4 kg) (pre-pregnancy weight was 132 lb (59.9 kg), fetal heart rate
| | | | | | | | | | | |
(FHR) of 140 beats per minute, urine that is negative for protein, and
| | | | | | | | | | | | |
fasting blood glucose level of 92 mg/dL (5.2 mmol/L). What should the
| | | | | | | | | | | |
nurse do after making these assessments?
| | | | |
Report the findings because the client needs immediate intervention.
| | | | | | | |
|
Document the results because they are expected at 20-weeks'
| | | | | | | | |
gestation.
|
Record the findings in the medical record because they are not within
| | | | | | | | | | | |
the norm but are not critical.
| | | | |
|
Prepare the client for an emergency admission because these findings
| | | | | | | | | |
may represent jeopardy to the client and fetus. - CORRECT
| | | | | | | | | |
,ANSWER✔✔-Document the results because they are expected at 20- | | | | | | | |
weeks' gestation. |
Rationale
All data presented are expected for a client at 20-weeks' gestation and
| | | | | | | | | | | |
should be documented. There is no need for immediate intervention or
| | | | | | | | | | |
an emergency admission because all findings are expected.
| | | | | | |
A client tells the nurse that the first day of her last menstrual period was
| | | | | | | | | | | | | |
July 22. What is the estimated date of birth (EDB)?
| | | | | | | | | |
May 7 |
|
April 29 |
|
April 22 |
|
March 6 - CORRECT ANSWER✔✔-Rationale
| | | |
Her EDB is April 29. The Nägele rule is an indirect, noninvasive method
| | | | | | | | | | | | |
for estimating the date of birth: EDB = last menstrual period + 1 year - 3
| | | | | | | | | | | | | | | |
months + 7 days. May 7 is beyond the expected date of birth. April 22
| | | | | | | | | | | | | | |
and March 6 are both before the EDB.
| | | | | | |
, Which information should the nurse include in the discharge teaching of
| | | | | | | | | |
a postpartum client?
| | |
The prenatal Kegel tightening exercises should be continued.
| | | | | | |
|
The episiotomy sutures will be removed at the first postpartum visit.
| | | | | | | | | |
|
She may not have a bowel movement for up to a week after the birth.
| | | | | | | | | | | | | |
|
She should schedule a postpartum checkup as soon as her menses
| | | | | | | | | | |
returns. - CORRECT ANSWER✔✔-The prenatal Kegel tightening exercises
| | | | | | |
should be continued.
| | |
|
Rationale
Kegel exercises may be resumed immediately and should be done for
| | | | | | | | | | |
the rest of the client's life because they help strengthen muscles needed
| | | | | | | | | | |
for urinary continence and may enhance sexual intercourse. Episiotomy
| | | | | | | | | |
sutures do not have to be removed. Bowel movements should
| | | | | | | | | |
spontaneously return in 2 to 3 days after the client gives birth; a delay of
| | | | | | | | | | | | | |
bowel movements promotes constipation, perineal discomfort, and
| | | | | | | |
trauma. The usual postpartum examination is 6 weeks after birth; the
| | | | | | | | | | |
menses may return earlier or later than this and should not be a factor
| | | | | | | | | | | | | |
when the client is scheduling a postpartum examination.
| | | | | | |
