Exam 14: Physical and Psychologic Changes of Pregnancy

The postpartum nurse is mentoring a new graduate nurse. They are working with a Muslim family who had their first child yesterday. The new graduate asks the family what supplies they have at home. The husband responds that they have not yet purchased anything for their baby. How should the mentoring nurse explain this finding to the new graduate nurse?

A patient who is in the second trimester of pregnancy tells the nurse that she has developed a darkening of the line in the midline of her abdomen from the symphysis pubis to the umbilicus. What other expected changes during pregnancy might she also notice?

The clinic nurse is assessing how the prenatal patient is meeting developmental tasks. The nurse uses Rubin's tasks, which include:

On examination of the prenatal patient, the nurse is aware that she will assess for a bluish pigmentation of the vagina. This objective (probable) sign of pregnancy is also known as:

It is 1 week before a pregnant patient's due date. The nurse notes on the chart that the patient's pulse rate was 74-80 before pregnancy. Today, the patient's pulse rate at rest is 90. What action should the nurse should take?

A woman calls the clinic and tells a nurse that she thinks she might be pregnant. She wants to use a home pregnancy test before going to the clinic, and asks the nurse how to use it correctly. What instruction should the nurse give?

The pregnant patient at 14 weeks' gestation is in the clinic for a regular prenatal visit. Her mother also is present. The grandmother-to-be states that she is quite uncertain about how she can be a good grandmother to this baby, because she works full-time. Her own grandmother was retired, and was always available when needed by a grandchild. The best response to this concern would be:

The nurse is examing a pregnant woman in the third trimester. What skin changes should the nurse highlight as an alteration for the woman's healthcare provider?

The clinic nurse is culturally sensitive when, while assessing the pregnant patient, he asks about:

The nurse recognizes that subjective pregnancy changes such as amenorrhea can be caused by:

The nurse in the prenatal clinic will tell the 38-weeks'-gestation patient to lie on her left side when the patient complains of:

The nurse is caring for a pregnant patient who speaks little English. Which action should the nurse take to make certain that the patient understands the plan of care?

The pregnant patient has moved to the United States from another country. She states that her grandmother has provided herbs for her to take during pregnancy. The patient asks the nurse whether the herbs are safe. How should the nurse respond?

The nurse understands that a patient's pregnancy is progressing normally when what physiologic changes are documented on the prenatal record of a woman at 36 weeks' gestation?

To answer a patient's about home pregnancy tests and their accuracy, the nurse must know that accuracy is affected by:

The nurse has completed a community presentation about the changes of pregnancy, and knows that the lesson was successful when a community member states, "One probable or objective change of pregnancy is:

A patient at 28 weeks' gestation asks the nurse why she has backaches. To help explain the changes, the nurse shows her a picture of the shape of her back. Which picture does the nurse use?Standard Text: Click on the correct area on the image.

The adolescent patient reports to the clinic nurse that her period is late, but that her home pregnancy test is negative. What should the nurse explain that these findings most likely indicate?

The nurse is listening to the fetal heart tones of a patient at 37 weeks' gestation while the patient is in a supine position. The patient states, "I'm getting lightheaded and dizzy." The best action by the nurse is to:

During her first months of pregnancy, a patient tells the nurse, "It seems like I have to go to the bathroom every 5 minutes." The nurse explains to the patient that this is because: