ch 12 nursing management durign pregnancy Flashcards
a woman in the 34th week of pregnancy says to the nurse, i still feel like having intercourse with my husband. the woman’s pregnancy has been uneventful. the nurse responds based on the understanding that:
it is safe to have intercourse at this time
on the first prenatal visit, examination of the woman’s internal genitalia reveals a bluish coloration of vaginal mucosa and cervix. the nurse documents this finding as:
chadwick sign
a nurse is teaching a pregnant couple about birth education. the nurse determines that the teaching was successful when the couple makes which statement?
well know what to do to actively take part in our child’s birth
when assessing a woman at follow-up prenatal visits, the nurse would anticipate which procedure to be performed?
fundal height measurement
during a routine prenatal visit, a client, 36 weeks pregnant, states she has difficulty breathing and feels her pulse rate is really fast. the nurse finds her pulse to be 100 bpm (increased baseline from 70-74 bpm) and irregular, with bilateral crackles in the lower lung bases. which nursing diagnosis would be the priority for this client?
impaired gas exchange related to pulmonary congestion
when preparing a woman for amniocentesis, the nurse would instruct her to perform which action?
empty the bladder
a client who is 4 months pregnant is at the prenatal clinic for her initial visit. her history revels she has 7 year old twins who were born at 34 weeks gestation, a 2 year old son born at 39 weeks gestation, and a spontaneous abortion 1 year ago at 6 weeks gestation. using the GTPAL method, the nurse would document her obstetric history as:
4 1 1 1 3
(current pregnancy, number of full term pregnancies, number of premature pregnancies, number of pregancies ending before 20 weeks/viability, number of living children)
a client’s last menstrual period was April 11. Using the Naegele rule, estimate date of delivery
january 18
(subtract 3 months then add 7 days to last menstrual period)
during a non stress test, when monitoring fetal heart rate, the nurse notes that when the expectant mother reports fetal movement, the heart rate increases 15 beats or more above the baseline. this occurs about 4 to 5 times during the testing period. the nurse interprets this as:
reactive pattern
a nurse is assessing a pregnant woman in her last trimester. which question would be most appropriate to sue to gather information about weight gain and fluid retention?
how swollen do your ankles appear before you go to bed?
a pregnant woman in the 36 week of gestation reports that her feet are quite swollen at the end of the day. after careful assessment, the nurse determines that this is an expected finding at this stage of pregnancy. which intervention is appropriate for the nurse to suggest
try elevating your legs when you sit
a pregnant woman needs an update in her immunizations. which vaccination would the nurse ensure the woman receives?
hepatitis b
a pregnant woman is flying across the country to visit her family. after teaching the woman about traveling during pregnancy, which statement would indicate that the teaching was successful?
i’ll get up and walk around the airplane every two hours
during a routine prenatal visit, a client at 36 weeks pregnant swathes she has difficulty breathing and fast heart rate. the nurse finds her pulse to be 100 bpm and irregular bilateral crackles in the lower lung bases. priority nursing diagnosis?
impaired gas exchange related to pulmonary congestion
a biophysical profile has been completed on a pregnant woman. the nurse interprets which score as normal?
9
a nurse is teaching a pregnant client in her first trimester about discomforts that she may experience. the nurse determines that the teaching was successful when the woman identifies which discomforts as common during the first trimester. select all that apply:
-urinary frequency
-breast tenderness
-cravings
a nurse is reviewing the medical record of a pregnant woman and notes that she is gravida II. the nurse interprets this to indicate the number of
pregnancies
a nurse measures a pregnant woman’s fundal height and finds it to be 28 cm. the nurse interprets this to indicate that the client is at how many weeks gestation?
28
a pregnant woman has a rubella titer drawn on her first prenatal visit. the nurse explains that this test measures:
immunity to german measles
a nurse is working with a pregnant client to schedule follow up visits for the pregnancy. which statement by the client indicates that these understands the scheduling?
from now until i am 28 weeks pregnant i will be coming once a month
a nurse is describing the various brith methods to pregnant couples. which information would the nurse include as part of the lamaze method?
use of specific breathing and relaxation techniques
after teaching a group of prospective new parents about the different perinatal education methods, the nurse determines that the teaching was successful when the parents identity which as the bradley method?
partner coached method
a pregnant woman in her second trimester tells the nurse, I’ve been passing a lot of gas and feel bloated. which suggestion would be helpful first the woman? select all that apply.
-watch how much beans and onions you eat
-try exercising a little more
-some say eating mints can help
-cut down on your intake of cheeses
when describing perinatal education to a pregnant woman and her partner, the nurse emphasizes which goal as the primary one?
-provide knowledge and skills to actively participate in birth and parenting
