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WorksheetsPregnancy
Total questions: 20
Worksheet time: 10mins
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.
A urinalysis is done on a client in her third trimester. Which result would be considered abnormal?
Trace of glucose
2+ protein in urine
specific gravity of 1.010
Straw-like color
A client at 16 weeks' gestation comes to the office for a routine exam. At what location within the abdomen would the nurse anticipate the uterus to be found?
At the level of the umbilicus
At the xiphoid process
Halfway between the symphysis pubis and the umbilicus
Below the symphysis pubis
The nurse is counseling a client with a BMI of 23 about weight gain during pregnancy. The nurse teaches the client that during the second and third trimester of pregnancy, dietary intake should be increase by how many calories per day above what she was eating prior to the pregnancy?
100
300
500
1000
A client in her second trimester of pregnancy arrives at the health care facility for a routine follow-up visit. The nurse is required to educate the client so that the client knows what to expect during her second trimester. Which information should the nurse offer?
You may feel physical discomfort as the baby inside grows
You will experience quickening, and you will actually feel the baby.
You will be more conscious of the changes taking place in your body now.
You may have mood swings that could overwhelm your partner.
A client is having her vital signs and weight taken and recorded at a prenatal visit. She is in her second trimester at 23 weeks' gestation. Her weight gain in the first trimester was 2 pounds and she has currently gained 14 pounds overall. What is the nurse’s interpretation of this data?
Her weight gain was less than expected initially but now she has gained too much weight in the second trimester.
The client has displayed an ideal weight gain pattern.
Her weight gain in the first trimester is less that expected but she has caught up and her weight gain is good.
She needs to gain another 20 to 25 pounds by delivery to have appropriate weight gain for the pregnancy.
After teaching a group of women about the signs of pregnancy, the nurse understands that teaching was successful if the group makes which statement about positive signs?
They will be able to hear the fetal heart rate on auscultation
the woman will have amenorrhea
The will be a positive Hegar's sign
The client will experience quickening
A nurse is assessing a pregnant woman on a routine checkup. When assessing the woman's gastrointestinal tract, what would the nurse expect to find? Select all that apply.
hyperemic gums
increased peristalsis
reports of bloating
heartburn
nausea
A primiparous client is being seen in the clinic for her first prenatal visit. It is determined that she is 11 weeks pregnant. The nurse develops a teaching plan to educate the client about what she will most likely experience during this period. Which possible effect would the nurse include?
Ankle Edema
Urinary Frequency
Backache
Hemorrhoids
You are responsible for conducting an NST on your patient. What is the most reliable way that might help you determine proper positioning of the fetal heart monitor?
Ask the patient where baby usually hangs out
Perform Leopold's maneuver
Perform a external version
know that it is typically found in the left lower quadrant
You have just completed an NST on your patient and need to report to the physician that the findings are desired. What would you include in your report
NST is non-reactive
NST is reactive
FHT were found to be at 90 BPM
There was evidence of one acceleration.
