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EAQ |116 Questions Completely Answered|2024|48 Pages
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A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 24. When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lbs) since conception. How should the nurse interpret this? 1. This weight gain indicates possible gestational hype...

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  • August 19, 2024
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  • 2024/2025
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EAQ 116 Questions Completely
Answered|2024
A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 24.
When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lbs) since conception.
How should the nurse interpret this?



1. This weight gain indicates possible gestational hypertension.

2. This weight gain indicates that the woman's infant is at risk for intrauterine growth restriction (IUGR).

3. This weight gain cannot be evaluated until the woman has been observed for several more weeks

4. The woman's weight gain is appropriate for this stage of pregnancy. - ✔ ✔ 4. The woman's weight
gain is appropriate for this stage of pregnancy.



This woman's BMI is within the normal range. During the first trimester, the average total weight gain is
only 1 to 2.5 kg. The desirable weight gain during pregnancy varies among women. The primary factor to
consider in making a weight gain recommendation is the appropriateness of the prepregnancy weight
for the woman's height. A commonly used method of evaluating the appropriateness of weight for
height is the BMI. This woman has gained the appropriate amount of weight for her size at this point in
her pregnancy. Weight gain should take place throughout the pregnancy. The optimal rate of weight
gain depends on the stage of the pregnancy.

A client in the first trimester of pregnancy reports feelings of ambivalence. How does the nurse react to
this finding?



1. The nurse understands it as a normal response during pregnancy.

2. The nurse refers the client to a support group.

3. The nurse understands that it may be due to a psychologic complication.

4. The nurse reports it to the primary health care provider. - ✔ ✔ 1. The nurse understands it as a
normal response during pregnancy.

,Ambivalence is the phenomenon of having conflicting feelings simultaneously. This is a normal response
observed in people preparing for a new role, such as parenthood. It is not necessary to refer the client to
a support group, because her response is normal. The client's ambivalence is not due to any physiologic
complication. This is not a condition that needs immediate medical supervision

A client is in the 21st week of her third pregnancy. The client's first pregnancy ended in fetal death in the
24th week of pregnancy, and the second one was terminated during the third month of gestation. How
does the nurse denote the obstetric history of this patient?

1. Gravida 1 para 1

2. Gravida 2 para 2

3. Gravida 3 para 2

4. Gravida 2 para 1 - ✔ ✔ 3. Gravida 3 para 2



Gravidity and parity information is obtained during history-taking interviews. The term gravidity
indicates the number of pregnancies. The term parity indicates the number of pregnancies in which the
fetus reached 20 weeks of gestation (the fetus may have been alive or stillborn). In this case, the client
had a total of three pregnancies, denoted by gravidity 3. Among the three pregnancies, two of them
reached 20 weeks of gestation, denoted by para 2. Gravida 1 Para 1 would indicate that the client had
one pregnancy, which completed 20 weeks of gestation. Gravida 2 para 2 indicates that the client had
two pregnancies, and both fetuses completed 20 weeks of gestation. Gravida 2 Para 1 indicates that the
client had two pregnancies, and only one fetus reached 20 weeks of gestation.

A client reports to the nurse that she had her menses on May 11th and again had some light bleeding on
May 26th. The client had her next menses on June 8th. What does the nurse inform the client?

1. "Please come again after your next menses."

2. "Your menstrual cycle has a duration of 15 days."

3. "You may need to undergo an ultrasound of the uterus."

4. "Having bleeding in the middle of your cycle is a normal finding." - ✔ ✔ 4. "Having bleeding in the
middle of your cycle is a normal finding."



Ovulation usually occurs on the 14th day of the menstrual cycle in a woman who has a 28-day menstrual
cycle. After ovulation, there is drop in the estrogen levels, which may result in some light bleeding. This
is also referred to as midcycle bleeding. The client had bleeding after 15 days of the first menstrual
period, which indicates that the client had midcycle bleeding. Therefore, in this case the nurse should

,assure the client that it is a normal finding. The client has the first menstrual cycle on May 11th and the
next one on June 8th. This indicates that the client has a normal 28-day menstrual cycle. The client is
normal and therefore does not need to come for a followup appointment after the next menses. The
client's findings do not indicate a uterine pathology; thus, the client need not undergo an ultrasound.

A client visits a prenatal clinic to ask why some couples have conjoined twins. What information should
the nurse provide to the client?

1. It happens more often among African-American women than Caucasians.

2. The estimated frequency of having conjoined twins are 4 in 1000 births.

3. The chances of having conjoined twins increases with using fertility drugs.

4. The chances of having conjoined twins increases with the maternal age - ✔ ✔ 3. The chances of
having conjoined twins increases with using fertility drugs.



The use of fertility drugs increases the chances of having both monozygotic and dizygotic twins.
Dizygotic twins are more common in African-American women than in Caucasians. The frequency of
having conjoined twins is 1 in 50,000 births, not 4 in 1000 births. The chances of having conjoined twins
are independent of maternal age, race, heredity, and parity

A client who is 8 weeks pregnant wants to know when she can feel the fetal movements in the womb.
What is the best nursing response?

1. "In another 8 to 12 weeks."

2. "In another 6 to 8 weeks."

3. "In another 4 to 6 weeks."

4. "In another 2 to 4 weeks." - ✔ ✔ 1. "In another 8 to 12 weeks."



Fetal movements are generally observed between 16 to 20 weeks of gestation. Because the client is in
the 8th week of gestation, she will be able to notice fetal movements in another 8 to 12 weeks. By this
time the arms and legs of the fetus will be completely developed. All the other options, which are below
16 weeks of gestation, are incorrect, because the arms and legs of the fetus are not well developed.
Therefore, the patient cannot feel the fetal movements after 6 to 8 weeks, 4 to 6 weeks, or 2 to 4 weeks
from the 8th week.

A client who is in the second trimester of pregnancy reports dizziness and fatigue. Which laboratory
findings indicate that the client is anemic?

, 1. Hematocrit value of 35%

2. Hematocrit value of 40%

3. Hemoglobin value of 11 g/dl

4. Hemoglobin value of 10 g/dl - ✔ ✔ 4. Hemoglobin value of 10 g/dl



Rationale: The decrease in normal hemoglobin values (12 to 16 g/dl blood) and hematocrit values (37%
to 47%) due to rapid expansion of plasma is referred to as physiologic anemia. If the hemoglobin value
drops to 11 g/dl or less during the first or third trimester, or less than 10.5 g/dl during the second
trimester, or if the hematocrit decreases to 32% or less, the woman is considered anemic. A hemoglobin
value of 10 g/dl indicates that the patient is anemic. A hematocrit value of 35% does not indicate that
the patient is anemic, and 40% is a normal value. In the first or third trimester, a hemoglobin value of
11% indicates that the patient is not anemic. Hemoglobin value of more than 10.5g/dl in the second
trimester is not considered anemia.

A dietician has asked a pregnant client to eat 12 ounces of fish every day. The nurse advises the client to
avoid fish such as swordfish, tilefish, and king mackerel. Which fetal complication is the nurse trying to
prevent by giving this suggestion?

1. Impaired bone development

2. Impaired protein metabolism

3. Impaired hemoglobin formation

4. Impaired neurologic development - ✔ ✔ 4. Impaired neurologic development



Swordfish, tilefish, and king mackerel are known to have high mercury content. Consumption of these
fish may lead to an increase in serum levels of mercury, which is neurotoxic to the fetus. Impaired bone
development may be caused by inadequate calcium and vitamin D intake, but this is unrelated to the
consumption of fish. Inadequate consumption of magnesium and vitamin B6 would result in impaired
protein metabolism in the fetus, but this is not directly related to fish consumption. Inadequate intake
of iron would result in impaired hemoglobin formation in the fetus.

A maternity client is being discharged shortly after a vaginal delivery. The nurse provides care
instructions for the client's safety and well-being. Which other intervention is a priority before
discharge? - ✔ ✔ Ensuring the client has access to warm lines (telephonic nursing care services that

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