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OB Exam 1 Practice Questions Guaranteed Answers Prenatal Care Key Points 1. Concern from Client's Mother about Size at 20 Weeks - Nurse's report: "The height of your uterus is at the level of your belly button, which is exactly expected at this point in your pregnancy." 2. Vital Signs and C...

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  • August 20, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
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OB Exam 1 Practice Questions Guaranteed Answers
Prenatal Care Key Points



1. Concern from Client's Mother about Size at 20 Weeks

- Nurse's report: "The height of your uterus is at the level of your belly button, which is exactly
expected at this point in your pregnancy."



2. Vital Signs and Complaints in Third Trimester

- Appropriate nursing intervention: Instruct the client to roll onto her left side and recheck her blood
pressure after 5 minutes. This change in position can relieve pressure on the vena cava and aorta,
helping to resolve any hypotension.



3. Nasal Congestion and Nosebleeds

- Correct interpretation by healthcare provider: Increased estrogen levels lead to a greater blood
supply to the mucous membranes, which can cause both congestion and bleeding from the nose.



4. Suggestion for Heartburn Relief

- Recommended action: Utilize Tums or Alkamints for relief, as prescribed by the healthcare provider.



5. Braxton Hicks Contractions Education

- Important explanation for clients: Although these contractions can happen throughout pregnancy,
you may not notice them until the third trimester.



6. Reason for Increased Vascular Volume During Pregnancy

- Main objective: To ensure sufficient blood circulation to the placenta.



7. Cause of Physiologic Anemia in Pregnancy

- Key factor: Occurs due to dilution of hemoglobin concentration in the blood.



8. Positive Signs of Pregnancy

, - Correct answer: Visualization of the fetus through ultrasound.



9. Gravida and Para Calculation

- For a currently pregnant client with children: Gravida = 4, Para = 2 (5-year-old son, 3-year-old
daughter, plus one previous pregnancy that ended at 8 weeks).



10. Estimated Date of Birth Calculation

- From last menstrual period on June 10: Estimated due date would be March 17.



11. Frequency of Prenatal Visits in First Trimester

- Reason for visits: To keep track of the health status of the mother and fetus.



12. Nausea and Vomiting Explanation

- Best response to the client: "This may be attributed to hormonal changes happening in your body."



13. Preventing Venous Stasis Advice

- Effective method: It is recommended to rest frequently with legs elevated.



14. Chadwick's Sign Explanation

- Nurse's response: "This indicates the bluish discoloration of the cervix observed during pregnancy."



15. Gravida and Para for Triplet Delivery

- For a client who had triplets 2 years ago: Gravida = 2, Para = 1.



16. Leg Cramp Relief Instruction

- Advice for client: Dorsiflex the foot to help alleviate the cramp.



17. Fundal Height Assessment for 20 Weeks

- Finding: 3 cm below the umbilicus indicates it is lower than expected for gestational age.

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