ch 11 maternal adaptation during pregnancy Flashcards
during a vaginal exam, the nurse notes that the lower uterine segment is softened. the nurse documents this finding as:
Hegar sign
the nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of labor. what will the mother likely experience in that time?
urinary frequency
a gravida 2 para 1 client in the 10th week of her pregnancy says she urinates often. which response is most appropriate?
by the time you are 12 weeks pregnant, the frequent urination should really decrease, but it is likely to return toward the end of your pregnancy
in a client’s seventh month of pregnancy, she reports feeling dizzy, like she is going to pass out when she lies down flat on my back. the nurse explains that this is due to:
pressure of the gravid uterus on the vena cava
a primiparous client is being seen in the clinic for her first prenatal visit. it is determined that she is 11 weeks pregnant. the nurse develops a teaching plan to educate the client about what she will most likely experience during this period. which possible effect would the nurse include:
urinary frequency
the nurse is discussing the insulin needs of a primiparous client with diabetes who has been using insulin for the past few years. the nurse informs the client that her insulin needs will increase during pregnancy based on the understanding that the placenta produces:
hPL, which decreases the effect on insulin
when teaching a pregnant client about the physiologic changes of pregnancy, the nurse reviews the effect of pregnancy on glucose metabolism. which underlying reason for the effect would the nurse include?
glucose moves through the placenta to assist the fetus
a nurse strongly encourages a pregnant client to avoid eating swordfish and tilefish because these fish contain what a component?
mercury, which could harm the developing fetus if eaten in large amounts
which change in the muskuloskeletal system would the nurse mention when teaching a group of pregnant women about the physiologic changes of pregnancy?
increased lordosis
assessment of a pregnant woman reveals a pigmented line down the middle of her abdomen. the nurse documents this as which finding?
linea nigra
a nurse is assessing a pregnant woman on a routine checkup. when assessing the woman’s gi tract, what would the nurse expect to find? select all that apply
-hyperemic gums
-reports of bloating
-heartburn
-nausea
a woman suspecting she is pregnant asks the nurse about which sings would confirm her pregnancy. the nurse would explain that which sign would confirm the pregnancy?
palpable fetal movement
the nurse is developing a teaching plan about nutrition for a group of pregnant women. which recommendations would the nurse include in the discussion. select all that apply
-eat three meals with snacking
-avoid using diuretics
-participate in physical activity
assessment of a pregnant woman reveals that she compulsively craves ice. the nurse documents this finding as
pica
a woman in her second trimester comes for a follow up visit and says to the nurse i feel like i’m on an emotional roller coaster. which response by the nurse would be the most appropriate
-mood swings are completely normal during pregnancy
while talking with a woman in her third trimester, the nurse understands that which behavior indicates that the woman is learning to givee of oneself
questioning ability to become a good mother
a nurse is assessing a client who may be pregnant. the nurse reviews the client’s history for presumptive signs. which signs would the nurse most likely note? select all that apply.
-amenorrhea
-nausea
after teaching a refresher class to a group of prenatal clinic nurses about pregnancy, insulin, and glucose, the nurse determines that additional teaching is needed when the group identifies which hormone as being involved with opposing insulin?
aldosterone
a pregnant woman comes to the clinic and tells the nurse that she has been having a whitish discharge. the nurse suspects vulvovaginal candidiases based on which assessment finding
vaginal itching
a woman is at 20 weeks gestation. the nurse would expect to find the fundus in which area?
at the level of the ambilicus
a woman comes to the prenatal clinic for an evaluation because she things that she may be pregnant. the nurse is assisting the health care provider with the vaginal examination. the exam reveals a vaginal mucosa and cervix that are bluish-purple in color. based on the information, the nurse suspects that the client is most likely how many weeks pregnant?
6 weeks (chadwick’s sign occurs 6-8 weeks)
a nurse is monitoring a clients hCG levels because she has had a previous ectopic pregnancy and one spontaneous abortion. which finding would the nurse interpret as indicating that the pregnancy is progressing appropriately?
doubling of the level every 2-3 days
a nurse is providing nutritional counseling to a pregnant woman and gives her suggestions about consuming foods that are high in folic acid. as part of the plan of care, the client is to keep a food diary that the client and nurse will review at the next visit. when reviewing the client’s diary, which meals would indicate to the nurse that the client is increasing her intake of folic acid? select all that apply
-chicken breast with baked potato and broccoli
-cheeseburger with spinach and baked beans
-strawberry walnut salad with romain lettuce
a pregnant woman asks the nurse, i’ve heard i should avoid eating certain types of fish. so what fish can i eat? select all that apply:
-shrimp
-salmon
-catfish
a woman in her second trimester comes to the clinic for a routine follow up. the woman’s prepregnancy bp was 112/70. on this visit, the woman’s bp was 104/64. the nurse would interpret this finding as suggestive of which event?
a normal pregnancy finding secondary to progesterone effects
at a routine visit, a pregnant woman nearing the end of her second trimester tells the nurse she has frequent urges to urinate when she goes to sleep. which response by the nurse would be appropriate?
your kidneys increase their activity when you lie down causing you to urinate
a nurse is teaching a pregnant woman about ways to prevent the development of the food borne illness listeriosis. the nurse determines that the teaching was successful when the woman identifies the need to avoid which foods? select all that apply
-soft cheese
-refrigerated meat spreads
-store made chicken salad
the nurse is assessing a pregnant woman who is at 12 weeks gestation. the woman’s bmi was 18 prior to pregnancy. her pregnancy weight was 98 lbs (44.5 kg). which measurement would the nurse determine as appropriate weight gain for the woman during the first trimester?
104 lb (47 kg)
a nurse is conducting a class for a group of pregnant women in their first trimester about the emotional responses that occur during pregnancy. which response would the nurse identify as being seen commonly during the second trimester?
acceptance
a nurse is assessing a pregnant woman and suspects that the woman may be experiencing pica. to help support this suspicion, the nurse evaluates the woman for signs and symptoms of which condition?
iron deficiency anemia
