Lippincott Practice Q's Antepartal Care Study Guide

The nurse is reviewing results for clients who are having antenatal testing. The assessment data from which client warrants prompt notifi cation of the health care provider and a further plan of care? 1. Primigravida who reports fetal movement 6 times in 2 hours. 2. Multigravida who had a positive oxytocin challenge test. 3. Primigravida whose infant has a biophysical profile of 9. 4. Multigravida whose infant has a reactive non- stress test. - 2. Multigravida who had a positive oxytocin challenge test. A client asks the nurse why taking folic acid is so important before and during pregnancy. The nurse should instruct the client that: 1. "Folic acid is important in preventing neural tube defects in newborns and preventing anemia in mothers." 2. "Eating foods with moderate amounts of folic acid helps regulate blood glucose levels." 3. "Folic acid consumption helps with the absorption of iron during pregnancy." 4. "Folic acid is needed to promote blood clotting and collagen formation in the newborn." - 1. "Folic acid is important in preventing neural tube defects in newborns and preventing anemia in mothers." A nurse is assigned to the obstetrical triage area. When beginning the assignment, the nurse is given a report about four clients waiting to be seen. Place the clients in the order in which the nurse should see them. 1. A primigravid client at 10 weeks' gestation complaining of not feeling well with nausea and vomiting, urinary frequency, and fatigue. 2. A multiparous client at 32 weeks' gesta-tion asking for assistance with finding a new physician. 3. A single mother at 4 months postpartum fear- ful of shaking her baby when he cries. 4. An antenatal client at 16 weeks' gestation who has occasional sharp pain on her left side radi- ating from her symphysis to her fundus. - 3,4,1, 2 The first client to be seen should be the postpartum mother who is fearful of shaking her infant. Postpar- tum depression is a disorder that may occur during the first year postpartum but peaks at 4 weeks post- partum, prior to menses, or upon weaning. As a single mother, this client may not have support, a large factor putting women at risk. Other factors accentuat- ing risk include prior depressive or bipolar illness and self-dissatisfaction The health care provider at a prenatal clinic has ordered multivitamins for a woman who is 3 months' pregnant. The client calls the nurse to report that she has gone to the pharmacy to fi ll her prescription but is unable to buy it as it costs too much. The nurse should refer the client to: 1. The charge nurse. 2. The hospital finance office. 3. Her hospital social worker. 4. Her insurance company. - 3. Her hospital social worker. A multigravid client at 32 weeks' gestation