Chapter 7:
Prenatal Care - ML4
A primigravida at her 12-week prenatal visit expresses concern that she hasn't felt her baby move
yet. What is the best response from the nurse?
Correct response:
“You usually cannot feel them until approximately 16 to 20 weeks.”
At 24 weeks' gestation a client is asked to drink a sweet orange solution and then wait an hour to
have blood drawn. The client asks if this is the test to determine if she has diabetes. What is
the best response by the nurse?
Correct response:
"This is a screening procedure. If your result is elevated you will be scheduled for a
longer test to determine if you have gestational diabetes."
The nurse is advising a pregnant woman during her first prenatal visit regarding the frequency of
future visits. Which schedule is recommended for prenatal care?
Correct response:
once every 4 weeks for the first 28 weeks, then every 2 weeks until 36 weeks, and then
weekly until the birth
Before beginning the initial prenatal examination, a nurse should instruct a client to complete
what procedure before undressing?
Correct response:
clean-catch urine
The nurse is assisting a primigravida on calculating the due date of her baby using Naegele rule.
The most important information provided by the mother is:
Correct response:
the first day of the last menstrual period.
A pregnant client tells the nurse that she has a 2-year-old child at home who was born at 38
weeks; she had a miscarriage at 9 weeks; and she gave birth to a set of twins at 34 weeks. Which
,documentation would be appropriate for the nurse?
Correct response:
gravida 4, para 2
The nurse manager of a prenatal clinic has implemented interventions to individualize the
prenatal care experience. Which client statement indicates that the nurse's efforts have been
successful?
Correct response:
“It was so nice to not have to wait long in the waiting room.”
During a nonstress test, when monitoring the fetal heart rate, the nurse notes that when the
expectant mother reports fetal movement, the heart rate increases 15 beats or more above the
baseline. This occurs about 4 or 5 times during the testing period. The nurse interprets this as:
Correct response:
reactive pattern.
The nursing instructor is explaining the nursing care that is given to a client during her
pregnancy. The instructor determines the session is successful when the students correctly
choose which method will be used to evaluate the effectiveness of the nursing care they will
provide?
Correct response:
Verify that desired outcomes for identified goals have been met.
Which client immunization titer is most important to assess and document in the prenatal record
of the pregnant woman?
Correct response:
rubella
A nurse at the health care facility assesses a client at 20 weeks' gestation. The client is healthy
and progressing well, without any sign of complications. Where should the nurse expect to
measure the fundal height in this client?
Correct response:
at the level of the umbilicus
When explaining what will occur during the first prenatal visit physical examination, a pregnant
client asks why a Papanicolaou test is being done at this time. What should the nurse respond to
the client?
Correct response:
It detects cancer cells of the cervix, vulva, or vagina.
, The client is 32 weeks' pregnant and has been referred for a biophysical profile (BPP) after a
nonreassuring nonstress test (NST). Which statement made by the client indicates that the nurse's
explanation of the procedure was effective?
Correct response:
The BPP is an ultrasound that measures breathing, body movement, tone, and amniotic
fluid volume.
The nurse is educating a woman about the importance of folic acid before conception and during
pregnancy, to prevent neural tube defects in the fetus. The client plans to take prenatal vitamins
and minerals. What food source would the nurse recommend to add to the woman's diet?
Correct response:
Green leafy vegetables
The nurse is caring for a client who is having a high-risk pregnancy and requires genetic studies.
Which procedures will the nurse anticipate? Select all that apply.
Amniocentesis
Chorionic villus sampling
Percutaneous umbilical blood sampling
A nurse is taking a history during a client's first prenatal visit. Which assessment finding would
alert the nurse to the need for further assessment?
Correct response:
history of diabetes for 4 years
A nurse is collecting data during an admission assessment of a client who is pregnant with twins.
The client has a 4-year-old child who was delivered at 38 weeks' gestation and tells the nurse that
she does have a history of spontaneous abortion (miscarriage) within the first trimester. The
nurse is correct to document the history as:
Correct response:
G = 3, T = 1, P = 0, A = 1, L = 1
As part of the assessment of a client's health history during the first prenatal visit, the nurse is
having the client complete a 24-hour recall to establish what and how much the woman is eating.
In which section of the health history should the nurse record this information?
Correct response:
Prenatal Care - ML4
A primigravida at her 12-week prenatal visit expresses concern that she hasn't felt her baby move
yet. What is the best response from the nurse?
Correct response:
“You usually cannot feel them until approximately 16 to 20 weeks.”
At 24 weeks' gestation a client is asked to drink a sweet orange solution and then wait an hour to
have blood drawn. The client asks if this is the test to determine if she has diabetes. What is
the best response by the nurse?
Correct response:
"This is a screening procedure. If your result is elevated you will be scheduled for a
longer test to determine if you have gestational diabetes."
The nurse is advising a pregnant woman during her first prenatal visit regarding the frequency of
future visits. Which schedule is recommended for prenatal care?
Correct response:
once every 4 weeks for the first 28 weeks, then every 2 weeks until 36 weeks, and then
weekly until the birth
Before beginning the initial prenatal examination, a nurse should instruct a client to complete
what procedure before undressing?
Correct response:
clean-catch urine
The nurse is assisting a primigravida on calculating the due date of her baby using Naegele rule.
The most important information provided by the mother is:
Correct response:
the first day of the last menstrual period.
A pregnant client tells the nurse that she has a 2-year-old child at home who was born at 38
weeks; she had a miscarriage at 9 weeks; and she gave birth to a set of twins at 34 weeks. Which
,documentation would be appropriate for the nurse?
Correct response:
gravida 4, para 2
The nurse manager of a prenatal clinic has implemented interventions to individualize the
prenatal care experience. Which client statement indicates that the nurse's efforts have been
successful?
Correct response:
“It was so nice to not have to wait long in the waiting room.”
During a nonstress test, when monitoring the fetal heart rate, the nurse notes that when the
expectant mother reports fetal movement, the heart rate increases 15 beats or more above the
baseline. This occurs about 4 or 5 times during the testing period. The nurse interprets this as:
Correct response:
reactive pattern.
The nursing instructor is explaining the nursing care that is given to a client during her
pregnancy. The instructor determines the session is successful when the students correctly
choose which method will be used to evaluate the effectiveness of the nursing care they will
provide?
Correct response:
Verify that desired outcomes for identified goals have been met.
Which client immunization titer is most important to assess and document in the prenatal record
of the pregnant woman?
Correct response:
rubella
A nurse at the health care facility assesses a client at 20 weeks' gestation. The client is healthy
and progressing well, without any sign of complications. Where should the nurse expect to
measure the fundal height in this client?
Correct response:
at the level of the umbilicus
When explaining what will occur during the first prenatal visit physical examination, a pregnant
client asks why a Papanicolaou test is being done at this time. What should the nurse respond to
the client?
Correct response:
It detects cancer cells of the cervix, vulva, or vagina.
, The client is 32 weeks' pregnant and has been referred for a biophysical profile (BPP) after a
nonreassuring nonstress test (NST). Which statement made by the client indicates that the nurse's
explanation of the procedure was effective?
Correct response:
The BPP is an ultrasound that measures breathing, body movement, tone, and amniotic
fluid volume.
The nurse is educating a woman about the importance of folic acid before conception and during
pregnancy, to prevent neural tube defects in the fetus. The client plans to take prenatal vitamins
and minerals. What food source would the nurse recommend to add to the woman's diet?
Correct response:
Green leafy vegetables
The nurse is caring for a client who is having a high-risk pregnancy and requires genetic studies.
Which procedures will the nurse anticipate? Select all that apply.
Amniocentesis
Chorionic villus sampling
Percutaneous umbilical blood sampling
A nurse is taking a history during a client's first prenatal visit. Which assessment finding would
alert the nurse to the need for further assessment?
Correct response:
history of diabetes for 4 years
A nurse is collecting data during an admission assessment of a client who is pregnant with twins.
The client has a 4-year-old child who was delivered at 38 weeks' gestation and tells the nurse that
she does have a history of spontaneous abortion (miscarriage) within the first trimester. The
nurse is correct to document the history as:
Correct response:
G = 3, T = 1, P = 0, A = 1, L = 1
As part of the assessment of a client's health history during the first prenatal visit, the nurse is
having the client complete a 24-hour recall to establish what and how much the woman is eating.
In which section of the health history should the nurse record this information?
Correct response:
