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Maternity Nursing Content Post Test- HURST questions with answers.
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Maternity Nursing Content Post Test-HURST questions with answers.
A client comes to the clinic and states that she believes she is pregnant. What probable signs of
pregnancy does the nurse expect to see?
Select All That Apply
1. Amenorrhea
2. Facial chloasma
3. Fetal movement
4. Breast tenderness
5. Positive pregnancy test
6. Urinary frequency ANS - 2, 5
Rationale
2., & 5. Correct: Probable signs are things that most likely indicate pregnancy and are signs the primary
healthcare provider will identify. Facial chloasma, also known as the mask of pregnancy, is a probable
sign. A positive pregnancy test is also a probable sign of pregnancy. Why isn't it a positive sign of
pregnancy? There are other conditions that can increase hCG levels.
1. Incorrect: Amenorrhea is a presumptive sign of pregnancy. What does the word presumptive sign
mean? Well, these signs suggest or indicate pregnancy but they could be attributed to something else.
Presumptive signs are things that the client will recognize.
3. Incorrect: Fetal movement felt by the nurse is a positive sign.
4. Incorrect: Breast tenderness is a presumptive sign.
6. Incorrect: Urinary frequency is a presumptive sign.
A client in her first trimester of pregnancy has been attending educational sessions on pregnancy. What
statements by the client would indicate to the nurse that client teaching has been successful?
Select All That Apply
1. "Good food sources of iron includes spinach, raisins, and dark chocolate."
2. "I will eat at least 40 grams of protein a day."
, 3. "Taking folic acid will help prevent heart defects from occurring."
4. "Swimming is an acceptable exercise for me while I am pregnant."
5. "I can gain 2 pounds (0.9 kg) per week during my first trimester."
6. "I need to stay out of hot tubs while pregnant." ANS - 1, 4, 6
Rationale
1., 4., & 6. Correct: Good sources of iron include liver, spinach, lentils, raisins, fortified cereals, dark
chocolate, and dried fruits. Walking and swimming are the best exercises for a pregnant woman.
Remember, no high impact. We also do not want them to get overheated, so do not let mom get into
hot tubes or under heating blankets because this will increase body temperature and can cause birth
defects.
2. Incorrect: Pregnant women should increase protein intake to 60 grams per day. Here's the deal,
normal protein intake is about 40 to 45 grams per day. But when you are pregnant, you have a lot of
tissue growth going on in your body, so you need more protein.
3. Incorrect: Folic acid helps to prevent what type of defect? Neural Tube Defects. Spinal bifida or
myelomeningocele and anencephaly are the big neutral tube defects.
5. Incorrect: During the entire 1st trimester, the client should gain no more than 4 pounds (1.8 kg).
A client in her third trimester comes to the clinic for a routine prenatal visit. The nurse notes a weight
gain of 4 pounds (1.8 kg) in a week. What action should the nurse take?
Choose One
1. Check urine for protein.
2. Educate on proper weight gain during pregnancy.
3. Notify the primary healthcare provider.
4. Send client to the labor and delivery unit. ANS - 1
Rationale
1. Correct: We are worried about pre-eclampsia, so we need to check the client's BP and check urine for
protein.
2. Incorrect: If the client's BP and urine are ok, then you can educate the client about proper weight
gain.
3. Incorrect: It is a little premature to notify the primary healthcare provider. Let's check some things
first.
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