Exam 7: Antepartum Assessment, Care, and Education

A pregnant patient reports that she works in a long-term care setting and is concerned about the impending flu season. She asks about receiving the flu vaccine. As the nurse, you are aware that some immunizations are safe to administer during pregnancy, whereas others are not. Which vaccines could this patient receive? (Select all that apply.)

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

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

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

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

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

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

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?

Which technique would provide the best pain relief for a pregnant woman with an occiput posterior position?

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

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

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

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

Which is the method of childbirth that helps prevent the fear-tension-pain cycle by using slow abdominal breathing in early labor and rapid chest breathing in advanced labor?

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?

The labor nurse is reviewing breathing techniques with a primiparous patient admitted for induction of labor. When is the best time to encourage the laboring patient to use slow, deep chest breathing with contractions?

The prenatal nurse educator is teaching couples the technique of applying sacral pressure during labor. Which should be included in the teaching session? (Select all that apply.)

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

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?

Calculate the estimated date of birth (EDD) in October using Nägele's rule for a patient whose last normal menstrual period (LNMP) began on January 1. Record your answer as a whole number. _______