1.A nurse is preparing to measure the fundal height of a client who is at 22
weeks of gestation. At which location should the nurse expect to palpate
the fundus?: A. 5 cm above the umbilicus
B. Slightly above the umbilicus
C. Slightly below the umbilicus
D. 3 cm below the umbilicus
B. At 22 weeks of gestation, the fundal height should be just above the
level of the umbilicus. The distance in centimeters from the symphysis
pubis to the top of the fundus is a gross estimate of the weeks of
gestation.
2.A nurse in a prenatal clinic is reviewing the health record of a client who
is at 28 weeks of gestation. The history includes one pregnancy, terminated
by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a
,spontaneous abortion at 15 weeks. According to the GTPAL system, which
of the following describes the client's current status?: A. 4-0-1-2-2
B. 3-0-2-0-2
C. 2-0-0-2-0
D. 4-2-0-2-2
A. This response correctly describes the client's current status:
pregnant currently and had 3 prior pregnancies (G); no term births (T);
one pregnancy resulted in the preterm birth (P) of twins; two
pregnancies ended in abortion (A); and she has two living children (L).
3.A nurse is caring for a client who is in her first trimester of pregnancy
and asks the nurse if she can continue to exercise during pregnancy.
Which of the following responses by the nurse is appropriate?: A.
"Exercising during pregnancy is not recommended."
B. "Daily jogging for up to 30 minutes is fine throughout the pregnancy."
C. "Activities that raise the body temperature, such as saunas and hot
,tubs, are safe until the third trimester."
D. "It is recommended that pregnant clients limit their exercise routine
to stretching activities on a mat several times a week."
B. While weight-bearing exercises might become uncomfortable in the
last trimester, they are generally not contraindicated, providing the
client stays hydrated and avoids becoming overheated for extended
periods.
4.A nurse is caring for a client who is at 18 weeks of gestation. The client
tells the nurse that she felt fluttering movements in her abdomen 3 days
ago. The nurse should interpret this finding as which of the following?: A.
Ballottement
, B. Lightening
C. Quickening
D. Chloasma
C. Clients describe quickening as a fluttering sensation, which can be fel
as early as the 14th week of gestation although is most typically felt
between 16-20 weeks gestation (closer to 16 for multipara and closer to
20 for primipara patients). It reflects fetal movement.
5.A nurse is assessing a client who is in the third trimester of pregnancy.
The nurse should recognize which of the following findings as an
expected physiologic change during pregnancy?: A. Gradual lordosis
B. Increased abdominal muscle tone
C. Posterior neck flexion
D. Decreased mobility of pelvic joints
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