Chapter 10

Question 1

The nurse is preparing a class for expectant fathers. Which information should the nurse include?

Answer 1

Sexual activity is safe for normal pregnancy

Question 2

The spouse accompanies a pregnant client to a prenatal visit. Which question should the nurse use to determine the amount of anticipatory guidance the spouse will need?

Answer 2

“How are you feeling about becoming a father?”

Question 3

The nurse is teaching an early pregnancy class for clients in the first trimester of pregnancy. Which statement requires immediate intervention by the nurse?

Answer 3

“It is normal for my vaginal discharge to get green colored.”

Question 4

A client who is at 10 weeks’ gestation is concerned about the amount of saliva that is in her mouth since she seems to be spitting when she talks. How should the nurse respond?

Answer 4

“Excess salivation commonly occurs during the first trimester, although the cause is unknown.”

Question 5

Upon arriving at the prenatal clinic in the morning, the nurse receives messages from four clients. Which client complaint should be addressed first?

Answer 5

Multipara at 30 weeks’ gestation with vaginal bleeding after performing yoga

Question 6

A 32-year-old primipara who is at 8 weeks’ gestation asks if she should expect any breathing changes as the pregnancy progresses. How should the nurse respond?

Answer 6

“If you develop shortness of breath, it should improve in the last few weeks of your pregnancy, as lightening occurs.”

Question 7

A client in the first trimester of pregnancy is experiencing nausea. What should the nurse suggest the client do to relieve the nausea?

Answer 7

Eat small, frequent meals.

Question 8

A client in the third trimester of pregnancy reports frequent leg cramps. What strategy would be most appropriate for the nurse to suggest?

Answer 8

Flex the foot to stretch the calf.

Question 9

A client in the third trimester of pregnancy reports working 8 hours a day as a cashier and stands when at work. What response by the nurse is the most appropriate?

Answer 9

“Your risk of preterm labor is higher.”

Question 10

A pregnant client asks what kinds of medications cause birth defects. Which statement would best answer this question?

Answer 10

“To be safe, do not take any medication without talking to your doctor.”

Question 11

A pregnant client who swims 3 to 5 times per week asks the nurse if she should stop this activity. What is the appropriate nursing response?

Answer 11

“You should continue your exercise program because it would be beneficial.”

Question 12

A pregnant client in the 21st week of pregnancy is planning a vacation with family and asks which method of travel she should use. How should the nurse respond?

Answer 12

“Fly on an airplane.”

Question 13

The nurse is explaining the importance of fetal activity assessment to a pregnant client. What should the nurse do to best reinforce the significance of fetal kick monitoring?

Answer 13

Explain the reason for counting fetal movement to the client.

Question 14

A 23-year-old client who is at 10 weeks’ gestation with a first pregnancy expresses worry over feeling no sexual desire for her spouse and asks if this is normal. How should the nurse respond?

Answer 14

“That sounds normal. In many cases, sexual desire decreases in the first trimester, but it increases again during the second trimester.”

Question 15

The nurse is assisting an expectant couple in developing a birth plan. Which instructions should the nurse include when teaching about this plan?

Answer 15

It is a communication tool between the client and the healthcare provider.

Question 16

A pregnant couple would like their 5-year-old to attend the birth. Which should the nurse say in response to this couple’s plan?

Answer 16

“You should bring someone who will only tend to any specific needs of your child.”

Question 17

The nurse is preparing materials for couples beginning prenatal care. What information is most important for the nurse to include?

Answer 17

There are various types of healthcare providers to support the client through the process.

Question 18

An expectant couple is determining their compatibility with a healthcare provider. Which question should the nurse encourage the couple to ask first?

Answer 18

“What is your philosophy of birth?”

Question 19

The nurse is teaching a couple pregnant for the first time. Which statement made by the couple about prenatal classes indicates that additional information is necessary?

Answer 19

“Eliminate the risk of needing a vacuum extraction or cesarean birth.”

Question 20

The community nurse is providing prenatal care to a client in the home who has been unable to receive traditional prenatal care. Which barriers should the nurse consider when caring for this client? Select all that apply.

1. Location of healthcare facilities
2. View that prenatal care is insignificant
3. Lack of transportation to healthcare facilities
4. Appointment schedule conflicting with work hours
5. Lack of support to care for other children while attending prenatal appointments

Answer 20

1,3,4,5

Question 21

The nurse is evaluating the effectiveness of prenatal education provided to the spouse of a pregnant client. Which observations indicate that this education was effective? Select all that apply.

1. Client is relaxed.
2. Client and spouse are arguing.
3. Spouse is looking forward to the birth.
4. Spouse expresses fear of being a father.
5. Client is following prenatal recommendations.

Answer 21

1,3,5

Question 22

The nurse is preparing to perform an initial prenatal assessment of a pregnant client who recently immigrated to the United States. Which cultural aspects should the nurse include during the assessment of this client? Select all that apply.

1. Birth rituals
2. Nutritional practices
3. Use of home remedies
4. Expectations to return to work
5. Beliefs about exercise and activity

Answer 22

1,2,3,5

Question 23

A client in the second trimester of pregnancy is experiencing severe heartburn. What should the nurse explain about the reasons for this health problem? Select all that apply.

1. Decreased gastrointestinal motility
2. Changes in carbohydrate metabolism
3. Increased production of progesterone
4. Relaxation of the esophageal sphincter
5. Displacement of the stomach by the enlarging uterus

Answer 23

1,3,4,5

Question 24

The nurse is preparing teaching for a pregnant client with a history of preterm labor. What information should the nurse specifically provide regarding sexual activity? Select all that apply.

1. Avoid intercourse.
2. Avoid nipple stimulation.
3. Avoid intercourse if vaginal bleeding occurs.
4. Avoid intercourse after the membranes rupture.
5. There are no restrictions to intercourse during pregnancy.

Answer 24

1,2