Exam 9: Physical and Psychological Changes of Pregnancy

The partner of a pregnant patient at 16 weeks' gestation accompanies her to the clinic. The partner tells you that the baby just doesn't seem real to him, and he's having a hard time relating to his partner's fatigue and food aversions. Which of the following statements would be best for the nurse to make?

The nurse has completed a presentation for newly-pregnant women about the changes of pregnancy. Which participant's statement reflects accurate comprehension of the information?

A 20-year-old patient who is at 10 weeks' gestation is preparing for her first prenatal visit. She confides, "This pregnancy was unplanned. I'm not sure if I want to be pregnant or not. I haven't even told my boyfriend I'm pregnant. And I haven't decided if I'm going to continue the pregnancy." Which of the following statements should the nurse make next?

The nurse is presenting an in-service to nursing staff regarding the provision of culturally competent patient care. Which statement should the nurse include in the presentation?

A 28-year-old patient who is pregnant with her first child reports increased dental caries (cavities) since becoming pregnant. How should the nurse explain the likely cause for this change?

A 25-year-old woman is in the second trimester of her pregnancy. During the interview, you ask her partner what changes they have noticed during the pregnancy. Which of the following s would indicate a typical response to pregnancy?

The nurse is auscultating fetal heart tones in a patient who is 37 weeks' gestation. While in a supine position, the patient states, "I'm getting lightheaded and dizzy, and I feel clammy." Which of the following nursing actions is most appropriate?

The nurse is reviewing the assessment findings of a patient who is 35 weeks' gestation. Which of the following data suggests the need for further investigation?

The patient with a normal pre-pregnancy weight asks why she has been told to gain 25-35 pounds during her pregnancy, but her underweight friend was told to gain more weight. The nurse should tell the patient that recommended weight gain during pregnancy should be:

The labor and delivery nurse is talking with a patient who is expected to deliver her baby within the next several hours. The patient and her husband are Lebanese immigrants. During conversation, the nurse asks the couple if they have chosen a name for their baby. The patient's husband explains that their Muslim beliefs require that they choose the baby's name after the delivery, as it is God's will whether or not the baby will be born. Which nursing response is appropriate?

A patient who is experiencing her first pregnancy has just completed the initial prenatal examination with a certified nurse-midwife. Which statement indicates that the patient has a correct understanding of her condition?