Exam 7: Physiologic Adaptations to Pregnancy

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

A client, 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:

A client in her first trimester complains of nausea and vomiting. She asks, "Why does this happen?" What is the nurse's best response?

Which physiologic event may lead to increased constipation during pregnancy?

The client with an IUD has a positive pregnancy test. When planning care, the nurse will base decisions on which anticipated action?

A client notices that the health care provider writes "positive Chadwick's sign" on her chart. She asks the nurse what this means. Which is the nurse's best response?

A client's last menstrual period was June 10. What is her estimated date of birth (EDD)?

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

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

Which are presumptive signs of pregnancy? (Select all that apply.)

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

A client 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?

Which of these findings would indicate a potential complication related to renal function during pregnancy?

Which suggestion is appropriate for the pregnant client who is experiencing heartburn?

A pregnant client complains of frequent heartburn. The client states that she has never had these symptoms before and wonders why this is occurring now. The best response that the nurse can provide is:

A pregnant client has come to the emergency department with complaints of nasal congestion and epistaxis. Which is the correct interpretation of these symptoms by the health care provider?

The nurse is planning care for a client in her first trimester of pregnancy who is experiencing nausea and vomiting. Which interventions should the nurse plan to teach this client? (Select all that apply.)

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?

A pregnant client's mother is worried that her daughter is not "big enough" at 20 weeks of gestation. The nurse palpates and measures the fundal height at 20 cm, which is even with the woman's umbilicus. Which should the nurse report to the client and her mother?

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