Pregnancy

The nursing instructor is pointing out to a group of nursing students the various findings which are expected during a normal assessment of a pregnant client. The instructor determines the session is successful when the students correctly provide which gestational week that the patient should be able to feel fetal movement?

• 28

• 6

• 18

• 23

A lactose intolerant client is concerned about getting enough calcium in her diet. Which foods could the nurse suggest she include in her diet to increase her calcium intake? Select all that apply.

• peanuts

• almonds

• broccoli

• molasses

• carrots

What physiological changes would be noted in a pregnant woman? Select all that apply.

• decreased prolactin levels

• increased hemoglobin and hematocrit

• enlarged pituitary gland

• lordosis

• delayed gastric emptying and decreased peristalsis

A nurse is conducting a nutrition class for a group of pregnant women. What information accurately addresses this issue? Select all that apply.

• The baby will require increased protein for development, so the mother needs to ingest 8 to 9 g of additional protein per day above her nonpregnant requirements.

• Total iron requirements equal 1,000 mg, with the greatest need being in the second trimester.

• Calcium supplements may decrease the chance of developing pre-eclampsia in women who had a pre-existing deficiency.

• Larger fish should be avoided during pregnancy due to the higher volume of mercury present.

• Folic acid is needed during the third trimester to reduce the chance of birth defects such as neural tube defects and cleft lip/palate.

The nurse is concerned that a client is not obtaining enough folic acid. Which test would the nurse anticipate being used to evaluate the fetus for potential neural tube defects?

• alpha-fetoprotein analysis

• triple-marker screen

• doppler flow study

• amniocentesis

A client is in her second trimester, and the health care provider has recommended she undergo an amniocentesis. The nurse explains that the procedure is used to diagnose which conditions? Select all that apply.

• chromosomal abnormalities

• inborn errors of metabolism

• neural tube defects

• Rh incompatibility

• HIV

The nurse discovers a new prescription for RhoGAM for a client who is about to undergo a diagnostic procedure. The nurse will administer the RhoGAM after which procedure?

• Contraction Stress Test

• Amniocentesis

• Nonstress test

• Biophysical Profile (BPP)

The gravid woman at 8 weeks' gestation is scheduled for a transvaginal ultrasound. After teaching has been completed, which statements indicate understanding? Select all that apply.

• "A small wand shaped probe will be placed in my vagina."

• "I will have gel placed on my abdomen prior to starting the procedure."

• "I will need to drink fluids before the procedure."

• "I will be able to see my fetus's heart beating during the test."

• "I will need a catheter placed in my bladder to aid in the procedure."

A client who is uncertain when her LMP occurred is given an EDD of April 23 after the first ultrasound. Based on this information, the nurse determines the client's LMP was probably which day?

• July 13

• July 16

• July 19

• July 21

The client is 32 weeks pregnant and has been referred for 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?

• The BPP is a diagnostic procedure whereby a needle is inserted into the amniotic sac to obtain fluid.

• The BPP is a blood test to detect placental problems.

• The BPP is a screening for neural tube defects

• The BPP is an ultrasound that measures breathing, body movement, tone, and amniotic fluid volume.