Exam 65: Reproduction

The nurse is discussing anticipated weight gain with a client who has a BMI of 32. Which statement by the client indicates understanding of the topic?

The nurse is admitting a client to the labor and delivery unit and is preparing to apply the tocodynamometer (toco). Which must the nurse do first to properly apply this equipment?

The nurse is performing the first Leopold maneuver on a client of 34 weeks gestation and notes the presence of fetal bottom and legs. The nurse knows that this maneuver would indicate which for this client?

The nurse is using a Doppler for obtaining the fetal heart tone of a client who is at 28 weeks gestation and obtains a rate of 98 bpm. Which is the nurse's next action for this client?

The nurse receives a call from a primapara who is at 37 weeks gestation. The client states, "I just wanted to let you know that we are on our way to the hospital. All of a sudden, my belly dropped so I know that I will be delivering the baby very soon." Which is the nurse's best response to this client?

The nurse is precepting a graduate nurse who is caring for a client who received an insertion of misoprostol at 8 am. The client has not had any contractions since this was inserted. At 10 am, the graduate nurse prepares to hang the oxytocin. Which should the precepting nurse do at this time?

The nurse is caring for a client at 33 weeks gestation who is being monitored for possible preeclampsia. The nurse prepares to check the client's patellar deep tendon reflex and places the client in which position?

The nurse is caring for a client who is 6 cm dilated with a fetus who has been diagnosed with a serious congenital heart defect. The client has rejected the use of continuous fetal monitoring so the nurse will use the Doppler and monitor the fetal heart rate (FHR)at what frequency?

The nurse is caring for a client who is prescribed to have labor induced with oxytocin. Which assessments must be completed by the nurse before initiating the oxytocin infusion? Select all that apply.

The certified nurse-midwife (CNM)is doing the first prenatal assessment on a client who states she believes she is 6 weeks pregnant. Which assessment finding by the CNM would indicate that this is the correct gestational age?

The nurse is assessing a pregnant client who is at 29 weeks gestation. The nurse notes that the client's blood pressure is 160/90 and documents that the clonus was noted after assessing the patellar reflex. Which assessment findings led the nurse to document this finding?

The nurse is assisting the health care provider with the first prenatal exam of a client. Prior to the vaginal speculum examination, which information should the nurse give the client to improve the client's comfort during the examination?

The nurse is caring for a client who had a cesarean section 4 hours ago. The client refuses to let the nurse complete the fundal assessment. Which statement is the best response to this problem?

The nurse has completed applying the ultrasound transducer to the client's abdomen and has confirmed that the rate is not the same as the client's. Which other assessment will assist the nurse in confirming that the sound that is heard is the true fetal heart rate (FHR)?

The nurse is admitting a client to the labor and delivery unit who states she is at 39 weeks and began having steady contractions approximately 6 hours ago. Which assessment findings discovered during the nurse's vaginal examination would indicate that this client will deliver within the next few hours? Select all that apply.

The nurse is caring for a client receiving oxytocin for induction of labor and notes that the client's contraction pattern shows a duration of 100 seconds and a frequency of 90 seconds. Which is the nurse's next action at this time?

The nurse is admitting a client at full term to the labor and delivery unit. Using Leopold's maneuvers, the nurse determines that the fetus is in the left sacroanterior position (LSA)position and will obtain the fetal heart rate (FHR)at which site on the client's abdomen?

The nurse is caring for a client who is in active labor and has just had an amniotomy. The nurse notes that the fetal heart rate has decreased from 140 bpm immediately prior to the amniotomy to 95 bpm. Upon vaginal examination, the nurse feels a portion of the umbilical cord in the vagina. Which is the nurse's next action in caring for this client?

A 16-year-old client comes to the prenatal clinic and is very concerned about a black line that has appeared on her abdomen. Which statement by the nurse will be most helpful to this client concerning this issue?

The nurse is caring for a client who delivered twins 2 days ago. During the morning assessment, the nurse notes that the fundus is firm and located midline and at the level of the umbilicus. Which should the nurse do in light of this information?