Antepartum Part 1

The 15 year old is 16 weeks' pregnant and is scheduled for an alpha-fetoprotein test. She asks the nurse, "What does the alpha-fetoprotein test indicate?" The nurse bases a response on the knowledge that this test can detect:

• Kidney defects

• Cardiac defects

• Neural tube defects

• Urinary tract defects

Which of the following nursing statements made to a 17-year-old pregnant client at the initial prenatal visit would be most effective in developing a trusting nurse-client relationship?

• "Tell me what caused you to get pregnant while still in high school."

• We don't have room in the exam room for your mother. I'm sure you'll do fine."

• "Since this is your first pelvic exam, I'd like to explain what will be happening."

• "We'll have to weigh you each time so we'll know if you've been eating correctly."

The patient indicated that her boyfriend has recently broken up her and she thinks that he does not support her and the baby. Which of the following nursing statements indicate a need for further questioning?

• “I hear what you are saying. Is there anyone else that you can turn to for support?”

• “I can see that this is upsetting you. Tell me more.”

• “Let me go get the therapist so that you have someone to talk to.”

• "Can you clarify what you mean by “not supporting you and the baby?”

A patient is having an abdominal ultrasound to assess fetal gestational age and estimated date of delivery. Which statement is incorrect about this type of testing?

• Before the abdominal ultrasound is performed the patient should empty bladder.

• An abdominal ultrasound can outline and identify fetal and maternal structures.

• Generally, at 20 weeks an abdominal ultrasound can be performed to assess fetal gender.

• There are two types of ultrasounds that can be safely performed on a pregnant patient: abdominal and transvaginal