1. A client Mrs. Geetha Ramaswamy who's planning a pregnancy asks the nurse about ways to promote a healthy pregnancy. Which of the following would be the nurse's best response?
A. "Pregnancy is a human process; you don't have to worry."
B. "You practice good health habits; just follow them and you'll be fine."
C. "There is nothing you can do to have a healthy pregnancy; it's all up to nature."
D. "Folic acid, 400 mcg, improves pregnancy outcomes by preventing certain complications."
Anwer: D. "Folic acid, 400 mcg, improves pregnancy outcomes by preventing certain complications."
2. The nurse Mrs. Sahana prepares a client who's 27weeks pregnant for a Non Stress Test (NST). Which intervention is most likely to stimulate fetal movements during this test?
A. Having the client drink orange juice
B. Instructing the client to brush her hand over a nipple
C. Advising the client not to eat for 12 hours before the test
D. Positioning the client on her left side
Answer: A. Having the client drink orange juice
3. A pregnant client Mrs. Savitha Fernandis comes to the facility for her first prenatal visit. When providing teaching, the nurse should be sure to cover which topic?
A. Labor techniques
B. Danger signs during pregnancy
C. Signs and symptoms of pregnancy
D. Tests to evaluate for high-risk pregnancy
Answer; B. Danger signs during pregnancy
4. A client Mrs. Sudharani who's 7 weeks pregnant comes to the clinic for her first prenatal visit. She reports smoking 18 to 20 cigarettes per day. When planning the client's care, the nurse anticipates informing her that if she doesn't stop smoking, her fetus will develop:
A. a neural tube defect.
B. a cardiac abnormality.
C. intrauterine growth retardation.
D. a renal disorder.
Answer: C. intrauterine growth retardation.
5. A client Mrs. Sannika Sonali, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of her fetus. Her BPP score is 8. What does this score indicate?
A. The fetus should be delivered within 24 hours.
B. The client should repeat the test in 24 hours.
C. The fetus isn't in distress at this time.
D. The client should repeat the test in 1 week.
Answer: C. The fetus isn't in distress at this time.
6. A client Mrs. Radhika Swamy is told that she needs to have a nonstress test to determine fetal well-being. After 20 minutes of monitoring, the nurse reviews the strip and finds two 15-beat accelerations that lasted for 15 seconds. What should the nurse do next?
A. Continue to monitor the baby for fetal distress.
B. Notify the physician and transfer the mother to labor and delivery for imminent delivery.
C. Inform the physician and prepare for discharge; this client has a reassuring strip.
D. Ask the mother to eat something and return for a repeat test; the results are inconclusive.
7. A client Mrs. Sharadha Devi who's 4 months pregnant asks the nurse how much and what type of exercise she should get during pregnancy. How should the nurse Reshma counsel her?
A. "Try high-intensity aerobics, but limit sessions to 15 minutes daily."
B. "Perform gentle back-lying exercises for 30 minutes daily."
C. "Walk briskly for 10 to 15 minutes daily, and gradually increase this time."
D. "Exercise to raise the heart rate above 140 beats/minute for 20 minutes daily."
Answer: C. "Walk briskly for 10 to 15 minutes daily, and gradually increase this time."
8. A client Mrs. Shambavi who's 24 weeks pregnant has sickle cell anemia. When preparing the plan of care, the nurse Bhavya should identify which factor as a potential trigger for a sickle cell crisis during pregnancy?
A. Sedative use
B. Dehydration
C. Hypertension
D. Tachycardia
Answer: B. Dehydration
9. During her first prenatal visit, a client Mrs. Sharmila expresses concern about gaining weight. Which of the following would be the nurse's best action?
A. Ask the client how she feels about gaining weight and provide instructions about expected weight gain and diet.
B. Be alert for a possible eating problem and do a further in-depth assessment.
C. Report the client's concerns to her caregiver
D. Ask her to come back to the clinic every 2 weeks for a weight check.
Answer: A. Ask the client how she feels about gaining weight and provide instructions about expected weight gain and diet.
A. "Pregnancy is a human process; you don't have to worry."
B. "You practice good health habits; just follow them and you'll be fine."
C. "There is nothing you can do to have a healthy pregnancy; it's all up to nature."
D. "Folic acid, 400 mcg, improves pregnancy outcomes by preventing certain complications."
Anwer: D. "Folic acid, 400 mcg, improves pregnancy outcomes by preventing certain complications."
2. The nurse Mrs. Sahana prepares a client who's 27weeks pregnant for a Non Stress Test (NST). Which intervention is most likely to stimulate fetal movements during this test?
A. Having the client drink orange juice
B. Instructing the client to brush her hand over a nipple
C. Advising the client not to eat for 12 hours before the test
D. Positioning the client on her left side
Answer: A. Having the client drink orange juice
3. A pregnant client Mrs. Savitha Fernandis comes to the facility for her first prenatal visit. When providing teaching, the nurse should be sure to cover which topic?
A. Labor techniques
B. Danger signs during pregnancy
C. Signs and symptoms of pregnancy
D. Tests to evaluate for high-risk pregnancy
Answer; B. Danger signs during pregnancy
4. A client Mrs. Sudharani who's 7 weeks pregnant comes to the clinic for her first prenatal visit. She reports smoking 18 to 20 cigarettes per day. When planning the client's care, the nurse anticipates informing her that if she doesn't stop smoking, her fetus will develop:
A. a neural tube defect.
B. a cardiac abnormality.
C. intrauterine growth retardation.
D. a renal disorder.
Answer: C. intrauterine growth retardation.
5. A client Mrs. Sannika Sonali, 30 weeks pregnant, is scheduled for a biophysical profile (BPP) to evaluate the health of her fetus. Her BPP score is 8. What does this score indicate?
A. The fetus should be delivered within 24 hours.
B. The client should repeat the test in 24 hours.
C. The fetus isn't in distress at this time.
D. The client should repeat the test in 1 week.
Answer: C. The fetus isn't in distress at this time.
6. A client Mrs. Radhika Swamy is told that she needs to have a nonstress test to determine fetal well-being. After 20 minutes of monitoring, the nurse reviews the strip and finds two 15-beat accelerations that lasted for 15 seconds. What should the nurse do next?
A. Continue to monitor the baby for fetal distress.
B. Notify the physician and transfer the mother to labor and delivery for imminent delivery.
C. Inform the physician and prepare for discharge; this client has a reassuring strip.
D. Ask the mother to eat something and return for a repeat test; the results are inconclusive.
7. A client Mrs. Sharadha Devi who's 4 months pregnant asks the nurse how much and what type of exercise she should get during pregnancy. How should the nurse Reshma counsel her?
A. "Try high-intensity aerobics, but limit sessions to 15 minutes daily."
B. "Perform gentle back-lying exercises for 30 minutes daily."
C. "Walk briskly for 10 to 15 minutes daily, and gradually increase this time."
D. "Exercise to raise the heart rate above 140 beats/minute for 20 minutes daily."
Answer: C. "Walk briskly for 10 to 15 minutes daily, and gradually increase this time."
8. A client Mrs. Shambavi who's 24 weeks pregnant has sickle cell anemia. When preparing the plan of care, the nurse Bhavya should identify which factor as a potential trigger for a sickle cell crisis during pregnancy?
A. Sedative use
B. Dehydration
C. Hypertension
D. Tachycardia
Answer: B. Dehydration
9. During her first prenatal visit, a client Mrs. Sharmila expresses concern about gaining weight. Which of the following would be the nurse's best action?
A. Ask the client how she feels about gaining weight and provide instructions about expected weight gain and diet.
B. Be alert for a possible eating problem and do a further in-depth assessment.
C. Report the client's concerns to her caregiver
D. Ask her to come back to the clinic every 2 weeks for a weight check.
Answer: A. Ask the client how she feels about gaining weight and provide instructions about expected weight gain and diet.