A nurse is providing teaching to a client about nutrition at her first prenatal visit. What
should be included in the teaching? - ANS ✓You will need to double your intake of iron
during pregnancy
A nurse is caring for a client in a prenatal visit. BMI is 26.5. Client asks how much
weight she should gain during pregnancy. What is the most appropriate response by the
nurse? - ANS ✓The recommendation for you is 15-25 lbs
(BMI of 25-29.9 is considered overweight)
A nurse is caring for a client who is to undergo a biophysical profile (BPP). The client
asks the nurse what is being evaluated. What should the nurse include? - ANS ✓Fetal
breathing
Fetal motion
Amniotic fluid
A nurse is preparing to measure the fundal height of a client who is 22 weeks pregnant.
At which location should the nurse palpate the fundus? - ANS ✓Slightly above the
umbilicus
A nurse in a prenatal clinic is caring for a client who is 12 weeks pregnant and asks
abut the cause of her heartburn. Which response by the nurse is most appropriate? -
ANS ✓Increased progesterone production causes decreased motility of smooth muscle
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NR
A nurse in a prenatal clinic is reviewing the record of a client who is at 28 weeks of
gestation. The history includes 1 pregnancy, terminated at 9 weeks, birth of twins at 36
weeks, and an abortion at 15 weeks. What is the GTPAL for this patient? - ANS ✓G 4
T0
P1
A2
L2
A nurse is teaching a fetal development class to a group of clients at an antenatal clinic.
The nurse should include which in the teaching? - ANS ✓The baby's heart beat is audible
by a doppler stethoscope at 12 weeks of pregnancy
Quickening the feeling of fetal movement begins at 14 to 16 weeks in multiparous and
week 18 or later in nulliparous
A nurse in a prenatal clinic is caring for a client who asks what her EDD is. Her LMP
was May 4, 2015. Which of the following is an appropriate response by the nurse? -
ANS ✓February 11, 2016
A nurse in L&D is caring for a client who is undergoing EFM. The nurse observes the
FHR begins to slow after the start of contraction. The lowest rate occurs after the peak
of the contraction. What is the priority action by the nurse? - ANS ✓Place the client in
the lateral position
Late decel, fetal hypoxemia due to insufficient placental perfusion
A nurse is caring for a client who is to undergo amniotomy. What is the priority action
of the nurse? - ANS ✓Assess the FHR pattern
A nurse in a clinic is reviewing the medical records for clients who are pregnant. The
nurse anticipates that the doctor will order a maternal serum alpha fetoprotein
screening for which of the following patients? - ANS ✓All pregnant women
Contraction stress test indicates - ANS ✓Late decelerations occur with 50% of more of the
contraction
NR 327
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