Deck 11: The Expectant Family: Needs and Care

Question 1

The primiparous client has told the nurse that she is afraid she will develop hemorrhoids during pregnancy because her mother did.Which of the following statements would be best for the nurse to make?

A)"It is not unusual for women to develop hemorrhoids during pregnancy."
B)"Most women don't have any problem until after they've delivered."
C)"If your mother had hemorrhoids,you will get them too.Get used to the idea."
D)"If you get hemorrhoids,you probably will need surgery to get rid of them."

Answer 1

"It is not unusual for women to develop hemorrhoids during pregnancy."

Question 2

The nurses assessing a pregnant African-American in the first trimester understands that which of the following might be a cultural practice?

A)Use of herbs like dandelion during pregnancy to increase lactation
B)Drinking ginseng tea for dizziness
C)Eating clay to supply dietary minerals
D)Consulting a spiritual advisor to ensure a healthy pregnancy and birth

Answer 2

Eating clay to supply dietary minerals

Question 3

The nurse is caring for a pregnant client.The client's husband has come to the prenatal visit.Which question is the best for the nurse to use to assess the father's adaptation to the pregnancy?

A)What kind of work do you do?
B)What furniture have you gotten for the baby?
C)How moody has your wife been lately?
D)How are you feeling about becoming a father?

Answer 3

How are you feeling about becoming a father?

Question 4

A 43-year-old client has just had a positive pregnancy test.She cries and states,"I just don't know what I'll do.I can't be pregnant." Which of the following nursing diagnoses would be the most appropriate?

A)Decisional conflict related to unexpected pregnancy
B)Knowledge deficit related to advanced maternal age
C)Depression related to unexpected pregnancy
D)Self-esteem disturbance related to advanced maternal age

Question 5

The nurse teaches the pregnant client that positions for sexual intercourse might need modification during later pregnancy.An appropriate position for intercourse during the third trimester is:

A)Lithotomy.
B)Fowler's.
C)Supine.
D)Side-lying.

Question 6

A client in her third trimester of pregnancy reports frequent leg cramps.What strategy would be most appropriate for the nurse to suggest?

A)Point the toes of the affected leg.
B)Increase intake of protein-rich foods.
C)Limit her activity for several days.
D)Flex the foot to stretch the calf.

Question 7

A pregnant client who swims 3-5 times per week asks the nurse if she should stop this activity.What is the appropriate nursing response?

A)"You should decrease the number of times you swim per week."
B)"Continuing your exercise program would be beneficial."
C)"You should discontinue your exercise program immediately."
D)"You should consider a less strenuous type of exercise."

Question 8

After teaching a pregnant client about the effects of smoking on pregnancy,the nurse knows that the client needs further education when she states,"I am at increased risk for:

A)"Pre-eclampsia."
B)"Preterm birth."
C)"Placenta previa."
D)"Abruptio placentae."

Question 9

The pregnant client in her second trimester states,"I didn't know my breasts would become so large.How do I find a good bra?" The best answer for the nurse to make would be:

A)"Avoid cotton fabrics and get an underwire bra;they fit everyone best."
B)"Just buy a bra one cup size bigger than usual,and it will fit."
C)"Look for wide straps and cups big enough for all of your breast tissue."
D)"There isn't much you can do for comfort.Try not wearing a bra at all."

Question 10

Which method of travel would be most appropriate for a client in her 25th week of pregnancy?

A)Automobile
B)Airplane
C)Train
D)None;this client should not travel.

Question 11

Remedies for back pain in pregnancy that are supported by research evidence and may safely be taught to any pregnant woman by the nurse include: (Select all that apply. )

A)Pelvic tilt.
B)Water aerobics.
C)Sit-ups.
D)Proper body mechanics.
E)Maintaining good posture.
F)Supporting the back with pillows.

Question 12

A first-trimester pregnant client asks the nurse if she may continue her yoga classes.The best answer the nurse could give is:

A)"Yoga positions are safe during pregnancy."
B)"Care must be taken when you perform yoga positions that require balance."
C)"Stretching that accompanies yoga is safe during pregnancy."
D)"Positions lying on the back must be avoided,but other positions are safe."

Question 13

Which of the following statements,if made by a pregnant client,would indicate that she understands health promotion during pregnancy?

A)"I lie down after eating to relieve heartburn."
B)"I try to limit my fluid intake to three or four glasses each day."
C)"I elevate my legs while sitting at my desk."
D)"I am avoiding exercise to stay well rested."

Question 14

To promote self-care,the nurse should help the pregnant client understand that nausea can be relieved by:

A)The intake of spicy foods.
B)Avoiding eating until 2 hours after rising.
C)Eating small,frequent meals.
D)Avoiding carbonated beverages.

Question 15

A 38-year-old client in her second trimester states that she desires to begin an exercise program to decrease her fatigue.Which of the following would be the most appropriate nursing response?

A)"Fatigue should resolve in the second trimester,but walking daily might help."
B)"Avoid a strenuous exercise regimen at your age.Drink coffee t.i.d."
C)"Avoid an exercise regimen,because you are pregnant.Try to nap daily."
D)"Fatigue will increase as pregnancy progresses,but jogging daily might help."