O B Q&A GRADE A
The nurse working in a prenatal clinic receives a telephone call from a client at 22
weeks of gestation. The client reports some vaginal discharge and has started to
experience menstrual-like cramps and diarrhea. Which responses by the nurse
indicate a understanding of the implications of the client's symptoms? Select all that
apply - (CORRECT ANSWER)"Lie on your left side for an hour and try to drink some
fluids."
"It is important that you urinate frequently to keep your bladder empty."
"Palpate for contractions and call back if there are more than four contractions in the
next hour.
"Can you identify what you ate and drank, what medications you took, and your
activity during the past 24 hours?"
The nurse has a teaching session with a malnourished client regarding iron
supplementation to prevent anemia during pregnancy. Which would indicate
successful learning? - (CORRECT ANSWER)"The iron is needed for the red blood
cells."
The nurse is providing health care information to a pregnant client who is human
immunodeficiency virus (HIV) positive. The nurse instructs the client that it is
important to avoid alcohol and cigarettes during pregnancy and to get adequate rest
primarily to accomplish which goal? - (CORRECT ANSWER)Avoid further stress on
the maternal immune system.
The nurse is providing information to a pregnant woman about food items high in
folic acid. Which mid-afternoon snack should be recommended to supply folic acid? -
(CORRECT ANSWER)Nuts and green, leafy vegetables
A client at 32 weeks of gestation with a diagnosis of severe preeclampsia is admitted
to the maternity department. The client is alone and appears very anxious. Which
statement by the nurse is therapeutic? - (CORRECT ANSWER)"Tell me about your
concerns."
The nurse is reinforcing instructions to a pregnant client regarding the need to
consume folic acid in the diet. The nurse determines that the client understands the
instructions when the client states that it is necessary to include which food item in
the diet? - (CORRECT ANSWER)Green, leafy vegetables
The nurse caring for a client with abruptio placentae is monitoring the client for signs
of disseminated intravascular coagulopathy (DIC). The nurse would suspect DIC if
which is observed? - (CORRECT ANSWER)Petechiae, oozing from injection sites,
and hematuria
While assisting with the measurement of fundal height, the client at 36 weeks'
gestation states that she is feeling lightheaded. On the basis of the nurse's
knowledge of pregnancy, the nurse determines that this is most likely a result of
which? - (CORRECT ANSWER)Compression of the vena cava
The client at 28 weeks' gestation is Rh negative and Coombs antibody negative. The
nurse determines that the client understands what the nurse has taught her about Rh
, sensitization when the client makes which statement? - (CORRECT ANSWER)"I will
tell the nurse at the hospital that I had RhoGAM during pregnancy."The nurse is
working with a woman who has just been diagnosed with gestational diabetes
mellitus.
The nurse is working with a woman who has just been diagnosed with gestational
diabetes mellitus. The nurse informs the client of which issues that may occur during
this pregnancy because of this condition? Select all that apply. - (CORRECT
ANSWER)Urinary tract infections.
Increased chance of cesarean birth.
Delayed lung maturation in the neonate.
The nurse is reinforcing instructions to a client about preterm labor. Which method of
teaching should the nurse use? - (CORRECT ANSWER)Palpate for uterine
contractions at the same time as the client.
The client is undergoing an amniocentesis at 16 weeks' gestation to detect the
presence of biochemical or chromosomal abnormalities. Which instructions should
the nurse reinforce to the client? - (CORRECT ANSWER)The bladder must be full
during the exam.
The nursing instructor asks a nursing student to describe the process of quickening.
Which statement indicates an understanding of this term? - (CORRECT ANSWER)"It
is the fetal movement that is felt by the mother."
A 23-year-old client develops melasma during pregnancy. The nurse notes that the
client has started wearing very heavy makeup. The client tells the nurse that she is
fearful that her mate will reject her and that she has decreased her social
engagements drastically because of this change. The nurse determines that the
client is experiencing which problem? - (CORRECT ANSWER)Concern about her
appearance
The nurse is collecting data from a pregnant client who is at 28 weeks' gestation.
The nurse measures the fundal height in centimeters and should expect which
finding? - (CORRECT ANSWER)28 cm
The nurse is collecting data from a client who is pregnant with triplets. The client also
has a 3-year-old child who was born at 39 weeks' gestation. The nurse should
document which gravida and para status on this client? - (CORRECT
ANSWER)Gravida II, para I
The nurse is reinforcing instructions to a maternity client on how to keep a fetal
activity diary. Which instruction should the nurse provide the client? - (CORRECT
ANSWER)Contact the health care provider if the baby's movements are fewer than
10 times in 2 hours.
A pregnant client is a gravida III, para 0, abortus II. She is placed on bed rest at
home because of preterm labor. The nurse provides information to the husband,
knowing that which instruction will assist in promoting family adaptation? -
The nurse working in a prenatal clinic receives a telephone call from a client at 22
weeks of gestation. The client reports some vaginal discharge and has started to
experience menstrual-like cramps and diarrhea. Which responses by the nurse
indicate a understanding of the implications of the client's symptoms? Select all that
apply - (CORRECT ANSWER)"Lie on your left side for an hour and try to drink some
fluids."
"It is important that you urinate frequently to keep your bladder empty."
"Palpate for contractions and call back if there are more than four contractions in the
next hour.
"Can you identify what you ate and drank, what medications you took, and your
activity during the past 24 hours?"
The nurse has a teaching session with a malnourished client regarding iron
supplementation to prevent anemia during pregnancy. Which would indicate
successful learning? - (CORRECT ANSWER)"The iron is needed for the red blood
cells."
The nurse is providing health care information to a pregnant client who is human
immunodeficiency virus (HIV) positive. The nurse instructs the client that it is
important to avoid alcohol and cigarettes during pregnancy and to get adequate rest
primarily to accomplish which goal? - (CORRECT ANSWER)Avoid further stress on
the maternal immune system.
The nurse is providing information to a pregnant woman about food items high in
folic acid. Which mid-afternoon snack should be recommended to supply folic acid? -
(CORRECT ANSWER)Nuts and green, leafy vegetables
A client at 32 weeks of gestation with a diagnosis of severe preeclampsia is admitted
to the maternity department. The client is alone and appears very anxious. Which
statement by the nurse is therapeutic? - (CORRECT ANSWER)"Tell me about your
concerns."
The nurse is reinforcing instructions to a pregnant client regarding the need to
consume folic acid in the diet. The nurse determines that the client understands the
instructions when the client states that it is necessary to include which food item in
the diet? - (CORRECT ANSWER)Green, leafy vegetables
The nurse caring for a client with abruptio placentae is monitoring the client for signs
of disseminated intravascular coagulopathy (DIC). The nurse would suspect DIC if
which is observed? - (CORRECT ANSWER)Petechiae, oozing from injection sites,
and hematuria
While assisting with the measurement of fundal height, the client at 36 weeks'
gestation states that she is feeling lightheaded. On the basis of the nurse's
knowledge of pregnancy, the nurse determines that this is most likely a result of
which? - (CORRECT ANSWER)Compression of the vena cava
The client at 28 weeks' gestation is Rh negative and Coombs antibody negative. The
nurse determines that the client understands what the nurse has taught her about Rh
, sensitization when the client makes which statement? - (CORRECT ANSWER)"I will
tell the nurse at the hospital that I had RhoGAM during pregnancy."The nurse is
working with a woman who has just been diagnosed with gestational diabetes
mellitus.
The nurse is working with a woman who has just been diagnosed with gestational
diabetes mellitus. The nurse informs the client of which issues that may occur during
this pregnancy because of this condition? Select all that apply. - (CORRECT
ANSWER)Urinary tract infections.
Increased chance of cesarean birth.
Delayed lung maturation in the neonate.
The nurse is reinforcing instructions to a client about preterm labor. Which method of
teaching should the nurse use? - (CORRECT ANSWER)Palpate for uterine
contractions at the same time as the client.
The client is undergoing an amniocentesis at 16 weeks' gestation to detect the
presence of biochemical or chromosomal abnormalities. Which instructions should
the nurse reinforce to the client? - (CORRECT ANSWER)The bladder must be full
during the exam.
The nursing instructor asks a nursing student to describe the process of quickening.
Which statement indicates an understanding of this term? - (CORRECT ANSWER)"It
is the fetal movement that is felt by the mother."
A 23-year-old client develops melasma during pregnancy. The nurse notes that the
client has started wearing very heavy makeup. The client tells the nurse that she is
fearful that her mate will reject her and that she has decreased her social
engagements drastically because of this change. The nurse determines that the
client is experiencing which problem? - (CORRECT ANSWER)Concern about her
appearance
The nurse is collecting data from a pregnant client who is at 28 weeks' gestation.
The nurse measures the fundal height in centimeters and should expect which
finding? - (CORRECT ANSWER)28 cm
The nurse is collecting data from a client who is pregnant with triplets. The client also
has a 3-year-old child who was born at 39 weeks' gestation. The nurse should
document which gravida and para status on this client? - (CORRECT
ANSWER)Gravida II, para I
The nurse is reinforcing instructions to a maternity client on how to keep a fetal
activity diary. Which instruction should the nurse provide the client? - (CORRECT
ANSWER)Contact the health care provider if the baby's movements are fewer than
10 times in 2 hours.
A pregnant client is a gravida III, para 0, abortus II. She is placed on bed rest at
home because of preterm labor. The nurse provides information to the husband,
knowing that which instruction will assist in promoting family adaptation? -
