NR 327 exam 1 questions

1. Nurse in prenatal clinic, caring for client at 7 weeks. Client reports urinary frequency, asks if this will continue after delivery. Appropriate response? a. it occurs during the first trimester and near the end of preg 2. nurse is caring for pt during 1st trimester, after reviewing pt blood work, nurse notices she does not have immunity to rubella, which times should the nurse understand is recommended for rubella immunization? a. shortly after birth 3. nurse caring for client, considering several methods of contraception, IUD as being most reliable? a. IUD -intrauterine device (abstinence) 4. nurse is caring for client, first trimester, ask nurse if she can continue to exercise during pregnancy. Appropriate response? a. daily jogging for 30/min/day is fine throughout preg 5. nurse in prenatal clinic is caring for client, first trimester, client tells nurse she is upset, planned pregnancy, but having doubts and second thoughts. Appropriate response? a. ambivalent feelings are quite common for women early in preg 6. quickening 16-20 weeks 7. a nurse is instructing a female client about check BASAL TEMP to determine client is ovulating. nurse instruct client to check her temp at what time? a. early in the morning before arising 8. nurse is caring for client in labor, EFmonitor. Observe late decelerations, on the strip and interprets this as? a. uteroplacental insufficiency (hypoxic) 9. nurse caring for client, scheduled for a maternal serum alpha fetoprotein test at 15 wks. Explanation about test to client? a. SCREENING test for spinal defects in fetus *neural tube defects *abdominal wall defects microcephaly anencepaly 10. nurse is caring for client who is positive pregnancy test, nurse is teaching client about common discomfort in 1st trimester of pregnancy and warning signs danger . instruct client to call clinic if she experiences manifestations? a. facial edema - HTN or preeclampsia 11. nurse providing preconception counseling for pt who is planning preg, which supplement should the nurse recommend to prevent neural tube defect in fetus? a. folic acid 12. nurse in prenatal clinic, completing skin assessment for pt in 2nd trimester. expected findings? a. linea nigra chloasma striae gravidarum 13. nurse is leading discussion about contraception with group of 14 y.o clients. after presentation, client ask which method would be best for her to use. appropriate response? a. before i can help you, i need to know more about your sexual activity 14. nurse providing teaching to client about nutrition, at first prenatal visit. include in teaching? a. you will need to double your intake of iron during pregnancy