Obstetrics 1 Welcome to your Pregnancy A pregnant client is prescribed ferrous sulfate supplementation due to iron-deficiency anemia. The nurse is providing education about taking ferrous sulfate. Which instruction is essential for the client to follow when taking ferrous sulfate? Take the supplement with a full glass of milk. Administer the supplement on an empty stomach. Combine the supplement with calcium-rich foods. Take the supplement at bedtime. None A pregnant client with iron-deficiency anemia is prescribed iron dextran. What precaution should the nurse emphasize before administering iron dextran to the client? Administer the medication intramuscularly to enhance absorption. Monitor for signs of an allergic reaction during and after administration. Encourage the client to take the medication with a calcium-rich beverage. Administer the medication without considering the timing of meals. None A pregnant client in her first trimester is attending her initial prenatal education session. The nurse emphasizes the importance of which nutrient to support fetal neural tube development, and in which foods is it commonly found? Iron; found in red meat and legumes Calcium; found in dairy products Folic acid; found in leafy green vegetables and fortified cereals Vitamin D; found in fatty fish and eggs None A pregnant client asks the nurse about the timing of conception. The nurse explains that conception typically occurs when: The egg is fertilized during the follicular phase Ovulation occurs during the luteal phase The sperm fertilizes the egg in the fallopian tube Implantation takes place in the uterus None A client is trying to conceive and asks the nurse about the role of cervical mucus in the menstrual cycle. The nurse explains that fertile cervical mucus is characterized by: Thick and cloudy consistency Scant amount and acidic pH Thin and slippery consistency Absence of mucus None A client with irregular menstrual cycles is seeking advice on the best time to conceive. The nurse instructs the client to monitor for signs of ovulation, such as: Breast tenderness and bloating Increased basal body temperature Decreased cervical mucus production Late menstrual bleeding None A client in her third trimester expresses concern about the position of her baby. The nurse explains that a common and optimal fetal position for birth is: Breech position Transverse position Frank breech position Vertex position None A pregnant client is in her third trimester and asks the nurse about the function of the placenta. The nurse explains that the primary role of the placenta is to: Produce hormones essential for fetal development Provide oxygen and nutrients to the fetus Protect the fetus from infections Facilitate waste elimination from the fetus None A pregnant client with placenta previa is admitted to the hospital. The nurse prioritizes which assessment related to placenta previa? Fetal heart rate monitoring Checking maternal blood pressure Assessing maternal temperature Monitoring maternal respiratory rate None A pregnant client in her second trimester asks the nurse about the purpose of amniotic fluid. The nurse explains that amniotic fluid serves several functions, including: Providing a cushion for the fetus Nourishing the developing placenta Initiating uterine contractions Facilitating maternal-fetal blood exchange None A client at 38 weeks of gestation is admitted to the labor and delivery unit. During the assessment, the nurse notes clear, odorless fluid pooling around the client. The nurse suspects rupture of membranes and should prioritize which action? Administering oxytocin to induce labor Assessing the fetal heart rate Encouraging the client to ambulate Checking the cervix for dilation None A laboring client is experiencing umbilical cord prolapse. The nurse's immediate action should be to: Elevate the client's hips Insert a sterile gloved hand into the vagina to relieve pressure on the cord Administer tocolytic medications to stop contractions Prepare the client for an emergency cesarean section None A postpartum client asks the nurse about the appearance of the umbilical cord stump in her newborn. The nurse educates the client that the normal progression of the umbilical cord stump involves: Immediate detachment after birth Becoming dry and shriveled within 24 hours Changing color from blue to red Gradual drying and falling off within 1 to 2 weeks None A pregnant client is concerned about the risk of genetic diseases in her unborn child. The nurse explains that which of the following factors increases the risk of genetic disorders? Advanced maternal age Low maternal BMI Lack of prenatal vitamins Engaging in regular physical exercise None A pregnant client is prescribed a medication for a pre-existing medical condition. The nurse emphasizes the importance of consulting with the healthcare provider regarding the safety of the medication during pregnancy. This education is based on the understanding that: All medications are safe during pregnancy Teratogens can cause harm to the developing fetus Genetic diseases are unaffected by maternal medications Prenatal vitamins eliminate the risks of teratogenic effects None A woman planning to conceive visits the healthcare provider for preconception counseling. The nurse should prioritize which screening test to assess the woman's immunity to rubella? Hepatitis B surface antigen Varicella-zoster virus antibody Rubella IgG antibody Human immunodeficiency virus (HIV) test None A client is at risk for developing gestational diabetes mellitus (GDM). The nurse educates the client about the recommended screening test for GDM, which is typically performed around 24-28 weeks of gestation. What test should the nurse suggest? Fasting plasma glucose (FPG) Random blood glucose Oral glucose tolerance test (OGTT) Hemoglobin A1c (HbA1c) None A woman is planning a pregnancy and asks the nurse about the importance of taking folic acid. The nurse explains that adequate folic acid intake before conception is crucial for preventing: Gestational diabetes Neural tube defects Preeclampsia Rh incompatibility None A nurse is providing preconception counseling to a woman planning to become pregnant. The nurse emphasizes the importance of maintaining a healthy lifestyle and informs the woman that avoiding which substance is crucial to reduce the risk of neural tube defects? Caffeine Alcohol Tobacco Artificial sweeteners None During a prenatal education session, a pregnant client asks about the benefits of breastfeeding. The nurse explains that breastfeeding provides the infant with essential nutrients and antibodies. Additionally, breastfeeding is associated with a reduced risk of: Postpartum depression Infant respiratory infections Maternal hypertension Neonatal hypoglycemia None A pregnant client is in her first trimester, and the nurse is assessing for potential risk factors. Which maternal factor poses an increased risk for neural tube defects during this trimester? Advanced maternal age Inadequate folic acid intake Multiparity Family history of preeclampsia None A pregnant client is in her second trimester, and the nurse is assessing for potential risk factors. The nurse should be particularly concerned about which factor that may contribute to gestational diabetes during this trimester? Underweight pre-pregnancy BMI Regular exercise routine History of gestational diabetes in a previous pregnancy Vegetarian diet None A pregnant client is in her third trimester, and the nurse is assessing for potential risk factors. Which maternal condition is associated with an increased risk of preterm birth during this trimester? Adequate prenatal care Normal blood pressure Multiple gestation First pregnancy None None A woman presents to the healthcare provider with suspected pregnancy. The provider orders a blood test to measure the quantitative levels of hCG. The nurse understands that this test is useful for: Confirming the presence of a gestational sac Determining the gender of the fetus Assessing the risk of chromosomal abnormalities Confirming and monitoring the progression of pregnancy None A pregnant client in her second trimester reports feeling lightheaded and dizzy when standing up quickly. The nurse attributes this symptom to: Elevated blood pressure Increased blood volume and vasodilation Decreased cardiac output Altered kidney function None A pregnant client expresses concern about experiencing heartburn during pregnancy. The nurse explains that heartburn is primarily attributed to: Increased production of stomach acid Decreased pressure on the lower esophageal sphincter Decreased gastric motility Elevated levels of progesterone None A pregnant client in her third trimester complains of back pain and asks the nurse for relief measures. The nurse recommends which self-care measure to alleviate back discomfort during pregnancy? High-impact aerobic exercises Frequent use of heating pads on the back Maintaining a proper posture and body mechanics Prolonged periods of sitting without breaks None A pregnant client is experiencing leg cramps and seeks advice from the nurse. The nurse recommends which self-care measure to relieve leg cramps during pregnancy? Restricting fluid intake before bedtime Pointing toes upward during cramps Wearing tight compression stockings Massaging the legs vigorously during cramps None A pregnant client in her second trimester expresses concern about experiencing nasal congestion. The nurse explains that nasal congestion during pregnancy is primarily attributed to: Increased blood volume and vasodilation Elevated levels of estrogen Decreased blood flow to the nasal mucosa Allergic rhinitis None A pregnant client in her third trimester reports experiencing frequent heartburn. The nurse recommends which lifestyle modification to alleviate heartburn during pregnancy? Consuming large meals at bedtime Lying down immediately after meals Eating smaller, more frequent meals Drinking caffeinated beverages before bedtime None A pregnant client at 28 weeks of gestation is scheduled for a routine prenatal visit. The nurse plans to assess the fundal height as part of the prenatal care assessment. Where should the nurse measure the fundal height, and what does it indicate at this gestational age? Measure at the symphysis pubis; indicates fetal growth and development Measure at the umbilicus; corresponds to the gestational age in weeks Measure below the xiphoid process; assesses amniotic fluid volume Measure at the iliac crest; monitors maternal weight gain None A pregnant client presents for her initial prenatal visit, and the nurse is obtaining a comprehensive health history. Which information is crucial for the nurse to assess regarding the client's obstetric history? Frequency of prenatal vitamins intake Previous pregnancies, including outcomes and complications Maternal age at menarche Current weight and height measurements None A pregnant client at 32 weeks of gestation expresses concerns about labor and delivery. The nurse provides education about breathing techniques and relaxation exercises for labor. Which breathing technique is commonly taught to promote relaxation and decrease anxiety during contractions? Rapid, shallow breathing Diaphragmatic or abdominal breathing Hyperventilation breathing Irregular, erratic breathing None A pregnant client in her first trimester presents for her initial prenatal visit. The nurse should instruct the client about the recommended schedule for routine prenatal care visits during the first trimester. What is the appropriate frequency for prenatal visits during the first trimester? Monthly Biweekly Weekly Every 6 weeks None A pregnant client at 8 weeks of gestation asks the nurse about the timing of the first ultrasound. The nurse explains that the first ultrasound is commonly performed during which part of the first trimester? At 4 weeks At 8-12 weeks At 16 weeks At 20 weeks None A pregnant client in her second trimester is attending a routine prenatal visit at 24 weeks of gestation. The nurse explains the recommended frequency for prenatal care visits during the second trimester. What is the appropriate schedule for routine prenatal visits during the second Monthly Biweekly Weekly Every 6 weeks None A pregnant client in her second trimester asks about the timing of the anatomy ultrasound. The nurse informs the client that the anatomy ultrasound is usually performed during which part of the second trimester? At 16 weeks At 20 weeks At 24 weeks At 28 weeks None A pregnant client in her third trimester is attending a routine prenatal visit at 34 weeks of gestation. The nurse explains the recommended frequency for prenatal care visits during the third trimester. What is the appropriate schedule for routine prenatal visits during the third trimester? a) Monthly b) Biweekly c) Weekly d) Every 6 weeks None A pregnant client at 30 weeks of gestation asks about the timing of the Group B Streptococcus (GBS) screening. The nurse informs the client that the GBS screening is usually performed during which part of the third trimester? At 28 weeks At 30 weeks At 34 weeks At 38 weeks None A pregnant client expresses concerns about the changes in her body and emotional well-being during pregnancy. The nurse recognizes the need to assess the client's adaptation to pregnancy. Which statement by the client indicates a positive maternal adaptation to pregnancy? "I am worried about gaining too much weight." "I feel overwhelmed and anxious about the upcoming changes." "I have started reading books about childbirth and parenting." "I don't think my partner understands what I'm going through." None A partner of a pregnant individual expresses feelings of uncertainty and anxiety about becoming a parent. The nurse recognizes the need to assess paternal adaptation. Which action by the partner suggests positive adaptation to the pregnancy? Avoiding discussions about the pregnancy and future responsibilities Attending prenatal classes and participating in birthing education Expressing frustration and withdrawal from the pregnant individual Minimizing the significance of the pregnancy and parenting role None A pregnant client in her third trimester seeks advice about recognizing danger signs that may indicate complications. Which statement by the client demonstrates an understanding of potential danger signs during pregnancy? "I should expect occasional dizziness and lightheadedness." "Swelling of my ankles and feet is a normal and expected occurrence." "Sudden severe abdominal pain with vaginal bleeding needs immediate attention." "Feeling mild contractions occasionally is a common part of the third trimester." None A pregnant client at 30 weeks of gestation is scheduled for a routine prenatal visit. The nurse is preparing to measure the fundal height. Where should the nurse measure the fundal height, and what does it typically indicate at this gestational age? Measure at the symphysis pubis; assesses fetal growth and development Measure at the umbilicus; corresponds to the gestational age in weeks Measure below the xiphoid process; evaluates amniotic fluid volume Measure at the iliac crest; monitors maternal weight gain None A nurse is assisting in the prenatal care of a pregnant client and is performing Leopold's maneuvers. Which step of Leopold's maneuvers involves palpating the lower abdomen to determine the presenting part and position of the fetus? First maneuver Second maneuver Third maneuver Fourth maneuver None A pregnant client reports that this is her first pregnancy, and she has never given birth. In terms of the GTPAL system, how would this client's obstetric history be classified? G1 P0 T0 A0 L0 G0 P0 T0 A0 L0 G1 P1 T0 A0 L0 G0 P1 T0 A0 L0 None A pregnant client is expecting twins. In terms of the GTPAL system, how would this client's obstetric history be classified if she has previously given birth to a single living child? G2 P1 T1 A0 L1 G2 P2 T0 A0 L1 G1 P1 T1 A0 L1 G1 P2 T0 A0 L1 None A pregnant client reports two previous pregnancies, both ending in spontaneous abortions. In terms of the GTPAL system, how would this client's obstetric history be classified? G2 P0 T0 A2 L0 G2 P0 T0 A0 L2 G2 P0 T0 A1 L0 G2 P0 T0 A0 L1 None A pregnant client in her first trimester asks the nurse about nutritional recommendations. What advice should the nurse provide regarding the client's nutritional needs during the first trimester? Increase calorie intake by 500 calories per day. Focus on consuming foods high in iron and calcium. Emphasize the importance of adequate folic acid intake. Limit protein intake to avoid excessive weight gain. None A pregnant client in her second trimester expresses concern about constipation. What dietary advice should the nurse provide to address this issue during the second trimester? Increase fiber intake from fruits, vegetables, and whole grains. Reduce fluid intake to avoid exacerbating bloating. Limit intake of high-fiber foods to prevent excessive gas. Focus on a low-residue diet to ease bowel movements. None A pregnant client in her third trimester is concerned about gestational diabetes and wants guidance on managing blood sugar levels through nutrition. What advice should the nurse provide to support blood sugar control during the third trimester? Consume a diet low in carbohydrates to minimize glucose intake. Opt for frequent, small meals and snacks to maintain stable blood sugar levels. Increase saturated fat intake to provide a stable energy source. Limit fiber intake to avoid spikes in blood sugar levels. None A client with infertility issues is prescribed an ovulation stimulant. What is the primary action of ovulation stimulants in the context of fertility treatment? Enhance fertilization of the egg by sperm. Induce the release of mature eggs from the ovaries. Increase cervical mucus production to facilitate sperm transport. Inhibit the formation of ovarian cysts. None Time's up Post navigation Previous Previous post: Med-Surg II 10Next Next post: Obstetrics 2
