2/3 Flashcards
LMP: March 28, 2019
EDB: January 4, 2020
A client is currently 30 weeks gestation with twins. She has a 5 year old daughter that was born at 32 weeks and a 10 year old son born at 40 weeks. She miscarried at 8 weeks in between her son and daughter’s birth. What is her GTPAL?
G4T1P1A1L2
Gestational - pregnancies
A woman arrives at the clinic for her annual examination. She tells the nurse she thinks she has a vaginal infection and has been using over-the-counter cream for the past 2 days to treat it. Which is the nurse’s best initial response?
A. “Vaginal creams may interfere with the Papanicolau (Pap) Test”
B. “Using a vaginal cream is not a problem”
C. “Describe your symptoms to me”
D. “You are going to need to reschedule”
Answer: C
Rationale: describe them - variety things going on;
Vaginal creams can interfere with Pap test
Vaginal cream not a problem
May need to reschedule
The nurse is counseling a woman with primary dysmenorrhea. Which nonpharmacologoci intervention might be recommended?
A. take over-the-counter NSAIDS like Midol, Pamprin, or Aleve
B. reduce the intake of diuretic foods such as peaches and asparagus
C. temporarily substitute physical activity for a sedentary lifestyle
D. use a heating pad on the abdomen to relieve cramping
Answer: D
Rationale: bloat - retain water
Not want be sedentary
A woman has chosen the calendar method of conception control. Which is the most important assessment data for the nurse to obtain?
A. obtain a hx of menstrual cycle lengths for the 6 months
B. determine the pt’s weight pattern for the previous yr
C. examine skin pigmentation and hair texture for hormonal changes
D. explore the patient’s previous experiences with conception control
Answer: A
Already chosen - not discredit what chosen
The nurse is providing geneti counseling for an expectant couple who already have a child with trisomy 18. Which statement will the nurse include?
A. “You will need to have an abortion within 2-3 weeks”
B. “The fetus has a 50% chance of also having the disorder”
C. “An amniocentesis is an option to determine whether the fetus is affected”
D. “Would you like me to refer you to a psychologist for emotional support?”
Answer: C
Genetics
Amniocentesis
Emotional support - not bad thing
Facts best thing do
A woman at 10 weeks of gestation who is seen in the prenatal clinic with possible signs and symptoms of pregnancy likely will have which finding?
A. amenorrhea
B. positive urine pregnancy test
C. Chadwick’s sign
D. Hegar’s sign
Answer: A
Other probable
Amenorrhea - possible
Positive pregnancy test - not probable
Chadwick - see
Hegar - feel
A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is concerned about the effect of the exercise on the fetus. Which is the best advice by the nurse?
A. “You don’t need to modify your exercise during your pregnancy.”
B. “Stop exercising now because it will harm the fetus.”
C. “You may need to mofiy your exercise later in your pregnancy.”
D. “Jogging is too hard on your joints; switch to walking now.”
Answer: C
As bigger - may be harder; may need back off; may need modify as pregnancy progresses
Do need to modify
Yoga fine - modify poses as pregnancy progresses
The client is pregnant. Her first pregnancy resulted in a baby girl at 39 weeks. Her second pregnancy resulted in twin boys at 36 weeks gestation. What is her gravidity and parity in GTPAL?
A. G3T1P0A0L3
B. G2T2P01A0L3
C. G3T1P1A0L3
D. G3T1P2A0L3
Answer: C
Twin boys
The client’s LMP was November 13, 2022. Which is her estimated date of confinement (EDC)?
A. August 20, 2023
B. August 13, 2023
C. July 20, 2023
D. July 27, 2023
Answer: A
During a routine second-trimester visit to the prenatal clinic a client expresses concern regarding gaining weight and losing her figure. She says to the nurse, “I’m going on a diet.” Which is the nurse’s best response?
A. “That’s fine as long as you include a variety of foods daily.”
B. “It’s a good idea to keep your weight down during pregnancy.”
C. “If you add 340 kcal/day to your regular diet, you won’t become overweight.”
D. “Gain no more than 25 pounds, so that it will be easier to lose the weight later.”
Answer: C
Nutritional needs increase
Never advocate for diets ever
Morbidly obese - only 10 lbs
Overweight - 15-20 lbs
Avg weight - 25-30 lbs
Underweight women - more
Depends on BMI
To whatever eat - gain what necessary - going put weight on; needs ore cals - O2 consumption - snack and not gain any pounds
Which is the priority nursing care immediately after an amniocentesis?
A. provide perineal care after the procedure
B. encourage lots of fluid every hour
C. change the abdominal dressing
D. monitor signs of uterine contractions
Answer: D
Nothing into or out vagina
Abdomen, US, needle into belly
Lots fluid qhr not
Abdominal dressing - botched and issue
