The nurse continuously researches on the alternative and more effective way of delivering the baby. This is an example of which of the following philosophy?

Cervical softening and uterine souffle are classified as which of the following?

The nurse is counseling a couple who has sought information about conceiving. The couple asks the nurse to explain when ovulation usually occurs. Which statement by the nurse is correct?

The nurse instructs a laboring client to use accelerated blow breathing. The client begins to complain of tingling fingers and dizziness. Which action should the nurse take?

When assessing a client at 12 weeks of gestation, the nurse recommends that she and her husband consider attending childbirth preparation classes. When is the best time for the couple to attend these classes?

Which statement made by the client indicates that the mother understands the limitations of breastfeeding her newborn?

When assessing the adequacy of sperm for conception to occur, which of the following is the most useful criterion?

A couple who wants to conceive but has been unsuccessful during the last 2 years has undergone many diagnostic procedures. When discussing the situation with the nurse, one partner states, “We know several friends in our age group, and all of them have their own child already, Why can’t we have one?”. Which of the following would be the most appropriate nursing diagnosis for this couple?

Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?

Heartburn and flatulence, common in the second trimester, are most likely the result of which of the following?

In which of the following areas would the nurse expect to observe chloasma?

A pregnant client states that she “waddles” when she walks. The nurse’s explanation is based on which of the following is the cause?

Which of the following represents the average amount of weight gained during pregnancy?

Softening of the lower uterine segment; Piskacek sign, which is an enlargement and softening of the uterus; serum laboratory tests; changes in skin pigmentation; and ultrasonic evidence of a gestational sac.

Cervical softening and uterine soufflé are two probable signs of pregnancy. Probable signs are objective findings that strongly suggest pregnancy.

Which of the following would the nurse identify as a presumptive sign of pregnancy?

signs of pregnancy that are subjective signs.

Which of the following common emotional reactions to pregnancy would the nurse expect to occur during the first trimester?

Common emotional reactions during this trimester include narcissism, passivity, or introversion. At times the woman may seem egocentric and self-centered.

the woman typically feels awkward, clumsy, and unattractive, often becoming more introverted or reflective of her own childhood.

During which of the following would the focus of classes be mainly on physiologic changes, fetal development, sexuality, during pregnancy, and nutrition?

focus on things the woman can do before and between pregnancies to increase the chances of having a healthy baby. For some women, getting their body ready for pregnancy takes a few months. For other women, it might take longer. Before getting pregnant, the woman should talk to her physician about preconception health care. The physician will want to discuss health history and any medical conditions the woman currently has that could affect a pregnancy. He or she also will discuss any previous pregnancy problems, medicines that the woman is currently taking, vaccinations that she might need, and steps she can take before pregnancy to prevent certain birth defects.

A good time to start a regular, pregnancy-friendly workout. It is a wonderful way to bond with and get support from other moms-to-be. This is also the time when screening tests or amniocentesis will be offered, as well as other chromosomal abnormalities, genetic disorders, and neural tube defects.

Focus on preparation for birth, parenting, and newborn care.

Which of the following would cause a false-positive result on a pregnancy test?

FHR/Fetal heart rate can be auscultated with a fetoscope as early as which of the following?

A client LMP began July 5, 2020. Her estimated date of delivery (EDD) should be which of the following?

Which of the following fundal heights indicates less than 12 weeks’ gestation when the date of the LMP is unknown?

When the fundal height is at the level of the xiphoid, the woman is already at ____ weeks gestation.

When the fundal height is at the level of the umbilicus, the woman is approximately ____weeks gestation.

Which of the following danger signs should be reported promptly during the antepartum period?

With symptoms such as pain or discomfort, straining, and hard stool, is a common condition affecting mothers. Hemorrhoids, pain at the episiotomy site, effects of pregnancy hormones, and haematinics used in pregnancy can increase the risk of postpartum constipation. Eating a high-fiber diet and increasing fluid intake is usually encouraged, although laxatives are commonly used in relieving constipation.

an inflammation of the mucous membranes lining the nose. This causes nasal congestion. Increased blood flow to the nasal passages and enlargement of the nasal veins also play a role.

Which of the following characteristics of contractions would the nurse expect to find in a client experiencing true labor?

During which of the following stages of labor would the nurse assess “crowning” or when the newborn’s head or presenting part appears at the vaginal opening?

Cervical dilation and effacement occur. Effacement means that the cervix stretches and gets thinner. Dilatation means that the cervix opens. As labor nears, the cervix may start to thin or stretch (efface) and open (dilate). This prepares the cervix for the baby to pass through the birth canal (vagina).

The newborn and placenta are delivered. This stage is often called delivery of the “afterbirth” and is the shortest stage of labor. It may last from a few minutes to 20 minutes.

Lasts from 1 to 4 hours after birth, during which time the mother and newborn recover from the physical process of birth and the mother’s organs undergo the initial readjustment to the nonpregnant state.

Which of the following nursing interventions would the nurse perform during the third stage of labor?

Collecting a urine specimen and other laboratory tests is done on admission

Assessing uterine contractions every 30 minutes is performed during the latent phase of?

Coaching the client to push effectively is appropriate during the?

When assessing the newborn’s heart rate, which of the following ranges would be considered normal if the newborn were sleeping?

If the newborn was awake, the normal heart rate would range from?

Newborns 0 to 1 month old has a normal range of?

For the client who is using oral contraceptives, the nurse informs the client about the need to take the pill at the same time each day to accomplish which of the following?

When teaching a client about contraception. Which of the following would the nurse include as the most effective method for preventing sexually transmitted infections?

When preparing a woman who is 2 days postpartum for discharge, recommendations for which of the following contraceptive methods would be avoided?

May be started within the first postpartum week to ensure suppression of ovulation.

Protects the reproductive system from the introduction of semen or spermicides into the vagina and may be used after childbirth.

It must be fitted individually to ensure effectiveness. Because of the changes to the reproductive structures during pregnancy and following delivery, the diaphragm must be refitted, usually at the 6 weeks’ examination following childbirth or after a weight loss of 15 lbs or more. In addition, for maximum effectiveness, the spermicidal jelly should be placed in the dome and around the rim. However, the spermicidal jelly should not be inserted into the vagina until involution is completed at approximately 6 weeks.

For which of the following clients would the nurse expect that an intrauterine device would not be recommended?

May increase the risk of pelvic inflammatory disease, especially in women with more than one sexual partner, because of the increased risk of sexually transmitted infections. It should not be used if the woman has an active or chronic pelvic infection, postpartum infection, endometrial hyperplasia or carcinoma, or uterine abnormalities.

A client in her third trimester tells the nurse, “I’m constipated all the time!” Which of the following should the nurse recommend?

During this trimester, the enlarging uterus places pressure on the intestines. This coupled with the effect of hormones on smooth muscle relaxation causes decreased intestinal motility (peristalsis). Increasing fiber in the diet will help fecal matter pass more quickly through the intestinal tract, thus decreasing the amount of water that is absorbed. As a result, the stool is softer and easier to pass.

Which of the following would the nurse use as the basis for the teaching plan when caring for a pregnant teenager concerned about gaining too much weight during pregnancy?

The client tells the nurse that her last menstrual period started on January 14 and ended on January 20. Using Nagele’s rule, the nurse determines her EDD to be which of the following?

When taking an obstetrical history on a pregnant client who states, “I had a son born at 38 weeks gestation, a daughter born at 30 weeks gestation and I lost a baby at about 8 weeks,” the nurse should record her obstetrical history as which of the following?

When preparing to listen to the fetal heart rate at 12 weeks’ gestation, the nurse would use which of the following?

Which of the following should the nurse do when a primipara who is lactating tells the nurse that she has sore nipples?

Which of the following is the priority focus of nursing practice with the current early postpartum discharge?

A client at 36 weeks gestation is scheduled for a routine ultrasound prior to amniocentesis. After teaching the client about the purpose of the ultrasound, which of the following client statements would indicate to the nurse in charge that the client needs further instruction?

The ultrasound identifies blood flow through the umbilical cord.

Before amniocentesis, a routine ultrasound is valuable in locating the placenta, locating a pool of amniotic fluid, and showing the physician where to insert the needle. Color Doppler imaging ultrasonography identifies blood flow through the umbilical cord. A routine ultrasound does not accomplish this.

As early as ____ weeks, the placenta can be detected by an ultrasound. The normal placenta is discoid with uniform echogenicity and rounded margins. It is usually located along the anterior or posterior uterine walls, extending into the lateral walls.

During a prenatal visit at 4 months gestation, a pregnant client asks whether tests can be done to identify fetal abnormalities. Between 18 and 40 weeks gestation, which procedure is used to detect fetal anomalies?

It is used between 18 and 40 weeks’ gestation to identify normal fetal growth and detect fetal anomalies and other problems.

It is done during the third trimester to determine fetal lung maturity.

It is performed at 8 to 12 weeks’ gestation to detect genetic disease.

It is done at approximately 18 weeks’ gestation to observe the fetus directly and obtain a skin or blood sample.

An adult female patient is using the rhythm (calendar-basal body temperature) method of family planning. In this method, the unsafe period for sexual intercourse is indicated by:

Ovulation (the period when pregnancy can occur) is accompanied by a basal body temperature increase of 0.7 degrees F to 0.8 degrees F and clear, thin cervical mucus.

A patient is in her last trimester of pregnancy. Nurse Vickie should instruct her to notify her primary health care provider immediately if she notices:

The nurse is developing a teaching plan for a patient who is 8 weeks pregnant. The nurse should tell the patient that she can expect to feel the fetus move at which time?

the fetus continues to gain weight steadily, the lungs start to produce surfactant, the brain is grossly formed, and myelination of the spinal cord begins.

the fetus might be able to respond to familiar sounds such as its mother’s voice, with movement. It is spending most of its sleep time in rapid eye movement (REM).

The nurse hears a mother telling a friend on the telephone about umbilical cord care. Which of the following statements by the mother indicates effective teaching?

When measuring a client’s fundal height, which of the following techniques denotes the correct method of measurement used by the nurse?

The nurse documents positive ballottement in the client’s prenatal record. The nurse understands that this indicates which of the following?

Fetal kicking felt by the client represents quickening. Usually, quickening occurs naturally at about the middle of a pregnancy. A woman pregnant for the first time (i.e., a primigravida woman) typically feels fetal movements at about 18–20 weeks, whereas a woman who has given birth at least once (i.e., a para woman) will typically feel movements around 15–17 weeks.

A woman pregnant for the first time (i.e., a primigravida woman) typically feels fetal movements at about?

A woman who has given birth at least once (i.e., a para woman) will typically feel movements around?

During a pelvic exam, the nurse notes a purple-blue tinge of the cervix. The nurse documents this as which of the following?

A bluish discoloration of the cervix, vagina, and labia resulting from increased blood flow. It can be observed as early as 6 to 8 weeks after conception, and its presence is an early sign of pregnancy.

Painless contractions beginning around the 4th month. Contractions are sporadic contractions and relaxation of the uterine muscle. Sometimes, they are referred to as prodromal or “false labor” pains. It is believed they start around 6 weeks gestation but usually are not felt until the second or third trimester of the pregnancy. It is the body’s way of preparing for true labor, but they do not indicate that labor has begun or is going to start.

It is an indication of pregnancy. It is a significant softening of the vaginal portion of the cervix from increased vascularization. This vascularization is a result of hypertrophy and engorgement of the vessels below the growing uterus. This sign occurs at approximately four weeks’ gestation.

Flexibility of the uterus against the cervix is known as?

The nurse understands that the fetal head is in which of the following positions with a face presentation?

With a vertex presentation, the head is?

With a brow (forehead) presentation, the head would be?

Head is categorized as a sinciput presentation.

With a fetus in the left anterior breech presentation, the nurse would expect the fetal heart rate would be most audible in which of the following areas?

The amniotic fluid of a client has a greenish tint. The nurse interprets this to be the result of which of the following?

It is the soft, downy hair on the shoulders and back of the fetus. This downy, unpigmented hair is the first type of hair that grows from hair follicles. It can be found everywhere on a baby’s body, except on the palms, lips, and soles of the feet. Most fetuses develop it around the fourth or fifth month of pregnancy.

Represents excessive amniotic fluid.

The white, cheesy substance covering the fetus. It is produced by dedicated cells and is thought to have some protective roles during fetal development and for a few hours after birth.

Which of the following refers to the single cell that reproduces itself after conception?

When teaching a group of adolescents about variations in the length of the menstrual cycle, the nurse understands that the underlying mechanism is due to variations in which of the following phases?

Always occurs from day 14 to day 28 of the cycle. Progesterone stimulated by LH is the dominant hormone during this phase to prepare the corpus luteum and the endometrium for possible fertilized ovum implantation

The final part of the secretory phase. The endometrium becomes pale and arteries constrict due to lower hormone release by the disintegrating corpus luteum.

When teaching a group of adolescents about male hormone production, which of the following would the nurse include as being produced by the Leydig cells?

It is made by the pituitary gland, a small gland located underneath the brain. It also plays an important role in sexual development and functioning. In women, it helps control the menstrual cycle and stimulates the growth of eggs in the ovaries.

It is produced and released in the anterior pituitary gland. This hormone is considered a gonadotropic hormone because of its role in controlling the function of ovaries in females and testes in males, which are known as the gonads.

What are the important considerations that the nurse must remember after the placenta is delivered? Select all that apply.

The normal umbilical cord is composed of:

The following are signs that the placenta has detached, except?

When the shiny portion of the placenta comes out first is called which of the following mechanisms?

When the baby’s head is out, the immediate action of the nurse is

The basic delivery set for normal vaginal delivery includes the following instruments/articles, except?

As soon as the placenta is delivered, the nurse must do which of the following actions?

The placenta should be delivered normally within how many minutes after the delivery of the baby?

In a woman who is not breastfeeding, menstruation usually occurs after how many weeks?

The normal respiration of a newborn immediately after birth is characterized as:

The minimum birth weight for full-term babies to be considered normal is:

In basal body temperature (BBT) technique, the sign that ovulation has occurred is an elevation of body temperature by

Lactation Amenorrhea Method(LAM) can be an effective method of natural birth control if

The intrauterine device prevents pregnancy by the ffg mechanism, except:

Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?

The natural family planning method called Standard Days (SDM), is the latest type and easy to use method. However, it is a method applicable only to women with regular menstrual cycles between how many days?

Nurse Lesley is conducting health teachings to a group of first-time mothers. Which of the following are signs of ovulation? Select all that apply.

The following methods of artificial birth control works as a barrier device, except:

It prevents pregnancy by not allowing the fertilized ovum from implanting on the endometrium. Some of this have copper added to it which is spermicidal. It is not a barrier since the sperms can readily pass through and fertilize an ovum at the fallopian tube.

The only type of contraception that can both prevent pregnancy and protect against sexually transmitted infections (STIs). It is a “barrier” method of contraception. They are made of very thin latex (rubber), polyurethane or polyisoprene and are designed to prevent pregnancy by stopping sperm from meeting an egg.

It is a birth control (contraceptive) device that prevents sperm from entering the uterus. A reusable, deep silicone cup that is inserted into the vagina and fits tightly over the cervix. It is held in place by suction and has a strap to help with removal. It is effective at preventing pregnancy only when used with spermicide.

It is a birth control (contraceptive) device that prevents sperm from entering the uterus. A small, reusable rubber or silicone cup with a flexible rim that covers the cervix. Before sex, it is inserted deep into the vagina so that part of the rim fits snugly behind the pubic bone. It is effective at preventing pregnancy only when used with spermicide.

Which of the following is a true statement about normal ovulation?

If a couple would like to enhance their fertility, the following means can be done. Select all that apply.

In the sympto-thermal method, the parameters being monitored to determine if the woman is fertile or infertile are:

The following are important considerations to teach the woman who is on a low dose (mini-pill) oral contraceptive except:

Infertility can be attributed to male causes such as the following except:

Spinnbarkeit is an indicator of ovulation which is characterized as:

Vasectomy is a procedure done on a male for sterilization. The organ involved in this procedure is

It is a gland about the size of a chestnut and weighs about 30 grams (about 1 ounce). It is part of the male reproductive system and is located inside the body. Its most important function is the production of a fluid that, together with sperm cells from the testicles and fluids from other glands, makes up semen. The muscles of it also ensure that the semen is forcefully pressed into the urethra and then expelled outwards during ejaculation.

A pair of glands that also include the prostate gland and the bulbourethral glands. It is located in the pelvis superior to the rectum, inferior to the fundus of the bladder and posterior to the prostate. It contribute around 70% of the fluid that will eventually become semen. The fluid that they secrete has a number of properties and components that are important for semen function and sperm survival.

Male sex glands that have both an endocrine and exocrine function. Oval-shaped reproductive structures that are found in the scrotum and separated by the scrotal septum. The male reproductive gland that is responsible for producing sperm and making androgens, primarily.

Breast self-examination is best done by the woman on herself every month during

A woman is considered to be menopause if she has experienced cessation of her menses for a period of

A nursing instructor is conducting a lecture and is reviewing the functions of the female reproductive system. She asks the student nurse to describe the follicle-stimulating hormone (FSH) and the luteinizing hormone (LH). The student nurse accurately responds by stating that:

A nurse is describing the process of fetal circulation to a client during a prenatal visit. The nurse accurately tells the client that fetal circulation consists of:

During a prenatal visit at 38 weeks, a nurse assesses the fetal heart rate. The nurse determines that the fetal heart rate is normal if which of the following is noted?

A client arrives at a prenatal clinic for the first prenatal assessment. The client tells a nurse that the first day of her last menstrual period was September 19th, 2013. Using Naegele’s rule, the nurse determines the estimated date of confinement as:

A nurse is collecting data during an admission assessment of a client who is pregnant with twins. The client has a healthy 5-year-old child that was delivered at 37 weeks and tells the nurse that she doesn’t have any history of abortion or fetal demise. The nurse would document the GTPAL for this client as:

A nurse is performing an assessment of a primipara who is being evaluated in a clinic during her second trimester of pregnancy. Which of the following indicates an abnormal physical finding necessitating further testing?

A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The physician has documented the presence of a Goodell’s sign. The nurse determines this sign indicates:

A nursing instructor asks a nursing student who is preparing to assist with the assessment of a pregnant client to describe the process of quickening. Which of the following statements if made by the student indicates an understanding of this term?

A nurse-midwife is performing an assessment of a pregnant client and is assessing the client for the presence of ballottement. Which of the following would the nurse implement to test for the presence of ballottement?

A nurse is assisting in performing an assessment on a client who suspects that she is pregnant and is checking the client for probable signs of pregnancy. Which of the following signs indicates a probable sign of pregnancy? Select all that apply.

Fetal Heart Rate detected by electronic device (Doppler) at 10-12 weeks, While

Fetal Heart rate detected by nonelectronic device (fetoscope) at 20 weeks AOG

A pregnant client calls the clinic and tells a nurse that she is experiencing leg cramps and is awakened by the cramps at night. To provide relief from the leg cramps, the nurse tells the client to:

A nurse is providing instructions to a client in the first trimester of pregnancy regarding measures to assist in reducing breast tenderness. The nurse tells the client to:

A pregnant client in the last trimester has been admitted to the hospital with a diagnosis of severe preeclampsia. A nurse monitors for complications associated with the diagnosis and assesses the client for:

A client in the first trimester of pregnancy arrives at a health care clinic and reports that she has been experiencing vaginal bleeding. A threatened abortion is suspected, and the nurse instructs the client regarding management of care. Which statement, if made by the client, indicates a need for further education?

In a lecture on sexual functioning, the nurse plans to include the fact that ovulation occurs when the:

The chief function of progesterone is the:

The developing cells are called a fetus from the:

After the first four months of pregnancy, the chief source of estrogen and progesterone is the:

The nurse recognizes that an expected change in the hematologic system that occurs during the 2nd trimester of pregnancy is:

The nurse is aware that an adaptation of pregnancy is an increased blood supply to the pelvic region that results in a purplish discoloration of the vaginal mucosa, which is known as:

A pregnant client is making her first antepartum visit. She has a 2-year-old son born at 40 weeks, a 5-year-old daughter born at 38 weeks, and 7-year-old twin daughters born at 35 weeks. She had a spontaneous abortion 3 years ago at 10 weeks. Using the GTPAL format, the nurse should identify that the client is:

Which of the following terms applies to the tiny, blanched, slightly raised end arterioles found on the face, neck, arms, and chest during pregnancy?

Which of the following conditions is common in pregnant women in the 2nd trimester of pregnancy?

A 21-year old client, 6 weeks pregnant is diagnosed with hyperemesis gravidarum. This excessive vomiting during pregnancy will often result in which of the following conditions?

Which of the following answers best describes the stage of pregnancy in which maternal and fetal blood are exchanged?

Gravida refers to which of the following descriptions?

A pregnant woman at 32 weeks’ gestation complains of feeling dizzy and lightheaded while her fundal height is being measured. Her skin is pale and moist. The nurse’s initial response would be to:

A pregnant woman’s last menstrual period began on April 8, 2020, and ended on April 13. Using Naegele’s rule her estimated date of birth would be:

A nurse is caring for a client in labor. The nurse determines that the client is beginning in the second stage of labor when which of the following assessments is noted?

A nurse is performing an assessment of a client who is scheduled for cesarean delivery. Which assessment finding would indicate a need to contact the physician?

A nurse is caring for a client in labor and prepares to auscultate the fetal heart rate by using a Doppler ultrasound device. The nurse most accurately determines that the fetal heart sounds are heard by:

The nurse asks the baby's sister her feelings and perception now that she have a baby sister. This is an example of following which of the following philosophy?

The following are the top 3 reasons for infant mortality, EXCEPT:

Knowing the anatomy and physiology of the female reproductive system, the student nurse know that the this part is where fertilization takes place.

During counseling, the nurse includes which of the following statement/s?

Statement 1: Implantation takes place in the uterus.

Statement 2: The fusion of egg and sperm cells takes place in the vagina

During the student nurse school visit, one of the female students says "I am sexuality attracted to my female classmate". This is best described as which of the following sexual orientation?

Which of the following issues related to sexuality would probably address by the use of health education related to barrier as a form of contraception?

Which of the following hormones hold the embryo after implantation by making sure that the uterus will not contract?

Which of the following patient response would suggest further need for health teaching?

Patient 1: "I can use lactation amenorrhea method for as long as am breastfeeding."

Patient 2: "I can use LAM if my child is exclusively breastfeeding."

Which of the following patient response would suggest further need for health teaching?

Patient 1: "While using IUD, should check the string before any sexual intercourse

Patient 2: "I might experience spotting and uterine cramps for the next 2-3 weeks after the insertion of my IUD

Which of the following patient response would suggest further need for health teaching?

Patient 1: "1 can have coitus with my wife soon after vasectomy and she will not get pregnant"

Patient 2: "Tubal ligation is when they cut or tie my fallopian tubes."

Which of the following patient response would suggest further need for health teaching?

Patient 1: "I was injected January 1 my next dose of DMPA is April"

Patient 2: "I should still use condoms even injected with DMPA if I would want to prevent acquiring sexually transmitted disease"

Which of the following is TRUE regarding OB scoring?

Patient 1: "A gestation age of 25 should be counted as 1 Parity"

Patient 2: "A still born child delivered at 39 weeks of AOG has an OB score of

G1 P1 T1 P0 A0 L0 M0"

Which of the following signs may indicate fetal distress and make the fetus risk for infection?

Which of the following is TRUE regarding FETAL DEVELOPMENT

Statement 1: The sperm changes its plasma membrane after ejaculation

Statement 2: When an egg cell and sperm cell fused, this is called zygote

The layer in the pre-embryonic phase that is responsible for the development of lungs, gastrointestinal tract, liver and pancreas