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Antepartum Assessment, Care, And Education

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Question 1
Free
Multiple Choice

Which suggestion is most helpful for the pregnant patient who is experiencing heartburn?

Choose correct answer/s
A

Drink plenty of fluids at bedtime.

B

Eat only three meals a day so the stomach is empty between meals.

C

Drink coffee or orange juice immediately on arising in the morning.

D

Use Tums or Rolaids to obtain relief, as directed by the health care provider.

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Question 2
Free
Multiple Choice

What is the rationale for a woman in her first trimester of pregnancy to expect to visit her health care provider every 4 weeks?

Choose correct answer/s
A

Problems can be eliminated.

B

She develops trust in the health care team.

C

Her questions about labor can be answered.

D

The conditions of the expectant mother and fetus can be monitored.

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Question 3
Free
Multiple Choice

Which advice to the patient is one of the most effective methods for preventing venous stasis?

Choose correct answer/s
A

Sit with the legs crossed.

B

Rest often with the feet elevated.

C

Sleep with the foot of the bed elevated.

D

Wear elastic stockings in the afternoon.

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Question 4
Free
Multiple Choice

What is the gravida and para for a patient who delivered triplets 2 years ago and is now pregnant again?

Choose correct answer/s
A

2, 3

B

1, 2

C

2, 1

D

1, 3

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Question 5
Free
Multiple Choice

A patient, gravida 2, para 1, comes for a prenatal visit at 20 weeks of gestation. Her fundus is palpated 3 cm below the umbilicus. This finding is

Choose correct answer/s
A

appropriate for gestational age.

B

a sign of impending complications.

C

lower than normal for gestational age.

D

higher than normal for gestational age.

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Question 6
Multiple Choice

Which complaint made by a patient at 35 weeks of gestation requires additional assessment?

Choose correct answer/s
A
Abdominal pain
B
Ankle edema in the afternoon
C
Backache with prolonged standing
D
Shortness of breath when climbing stairs
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Question 7
Multiple Choice

A gravida 1 patient at 32 weeks of gestation reports that she has severe lower back pain. What should the nurse's assessment include?

Choose correct answer/s
A
Palpation of the lumbar spine
B
Exercise pattern and duration
C
Observation of posture and body mechanics
D
Ability to sleep for at least 6 hours uninterrupted
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Question 8
Multiple Choice

Which laboratory result would be a cause for concern if exhibited by a patient at her first prenatal visit during the second month of her pregnancy?

Choose correct answer/s
A
Rubella titer, 1:6
B
Platelets, 300,000/mm3
C
White blood cell count, 6000/mm3
D
Hematocrit 38%, hemoglobin 13 g/dL
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Question 9
Multiple Choice

A patient in her third trimester of pregnancy is asking about safe travel. Which statement should the nurse provide regarding safe travel during pregnancy?

Choose correct answer/s
A
"Only travel by car during pregnancy."
B
"Avoid use of the seat belt during the third trimester."
C
"You can travel by plane until your 38th week of gestation."
D
"If you are traveling by car stop to walk every 1 to 2 hours."
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Question 10
Multiple Choice

When a pregnant woman develops ptyalism, which guidance should the nurse provide?

Choose correct answer/s
A
Chew gum or suck on lozenges between meals.
B
Eat nutritious meals that provide adequate amounts of essential vitamins and minerals.
C
Take short walks to stimulate circulation in the legs and elevate the legs periodically.
D
Use pillows to support the abdomen and back during sleep.
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Question 11
Multiple Choice

When documenting a patient encounter, which term will the nurse use to describe the woman who is in the 28th week of her first pregnancy?

Choose correct answer/s
A
Multigravida
B
Multipara
C
Nullipara
D
Primigravida
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Question 12
Multiple Choice

You are performing assessments for an obstetric patient who is 5 months pregnant with her third child. Which finding would cause you to suspect that the patient was at risk?

Choose correct answer/s
A
Patient states that she doesn't feel any Braxton Hicks contractions like she had in her prior pregnancies.
B
Fundal height is below the umbilicus.
C
Cervical changes, such as Goodell's sign and Chadwick's sign, are present.
D
She has increased vaginal secretions.
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Question 13
Multiple Choice

Determine the obstetric history of a patient in her fifth pregnancy who has had two spontaneous abortions in the first trimester, one infant at 32 weeks' gestation, and one infant at 38 weeks' gestation.

Choose correct answer/s
A
G5 T1 P2 A2 L 2
B
G5 T1 P1 A1 L2
C
G5 T0 P2 A2 L2
D
G5 T1 P1 A2 L2
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Question 14
Multiple Choice

Use Nägele's rule to determine the EDD (estimated day of birth) for a patient whose last menstrual period started on April 12.

Choose correct answer/s
A
February 19
B
January 19
C
January 21
D
February 7
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Question 15
Multiple Choice

Which of the patient health behaviors in the first trimester would the nurse identify as a risk factor in pregnancy?

Choose correct answer/s
A
Sexual intercourse two or three times weekly
B
Moderate exercise for 30 minutes daily
C
Working 40 hours a week as a secretary in a travel agency
D
Relaxing in a hot tub for 30 minutes a day, several days a week
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Question 16
Multiple Choice

A patient who smokes one pack of cigarettes daily has a positive pregnancy test. The nurse will explain that smoking during pregnancy increases the risk of which condition?

Choose correct answer/s
A
Congenital anomalies
B
Death before or after birth
C
Neonatal hypoglycemia
D
Neonatal withdrawal syndrome
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Question 17
Multiple Choice

A patient with an IUD in place has a positive pregnancy test. When planning care, the nurse will base decisions on which anticipated action?

Choose correct answer/s
A
A therapeutic abortion will need to be scheduled since fetal damage is inevitable.
B
Hormonal analyses will be done to determine the underlying cause of the false-positive test result.
C
The IUD will need to be removed to avoid complications such as miscarriage or infection.
D
The IUD will need to remain in place to avoid injuring the fetus.
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Question 18
Multiple Choice

The health care provider reports that the primigravida's fundus can be palpated at the umbilicus. Which priority question will the nurse include in the patient's assessment?

Choose correct answer/s
A
"Have you noticed that it is easier for you to breathe now?"
B
"Would you like to hear the baby's heartbeat for the first time?"
C
"Have you felt a fluttering sensation in your lower pelvic area yet?"
D
"Have you recently developed any unusual cravings, such as for chalk or dirt?"
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Question 19
Multiple Choice

The nurse is scheduling the next appointment for a healthy primigravida currently at 28 weeks gestation. When will the nurse schedule the next prenatal visit?

Choose correct answer/s
A
1 week
B
2 weeks
C
3 weeks
D
4 weeks
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Question 20
Multiple Choice

Which information is covered by early pregnancy classes offered in the first and second trimesters?

Choose correct answer/s
A
Methods of pain relief
B
The phases and stages of labor
C
Coping with common discomforts of pregnancy
D
Prebirth and postbirth care of a patient having a cesarean birth
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