When talking with a pregnant client who is experiencing aching swollen leg veins, the nurse would explain that this is most probably the result of which of the following? A. Thrombophlebitis B. Pregnancy-induced hypertension C. Pressure on blood vessels from the enlarging uterus D. The force of gravity pulling down on… Read More »
To differentiate as a female, the hormonal stimulation of the embryo that must occur involves which of the following? A. Increase in maternal estrogen secretion B. Decrease in maternal androgen secretion. C. Secretion of androgen by the fetal gonad. D. Secretion of estrogen by the fetal gonad. … Read More »
Which of the following findings in a woman would be consistent with a pregnancy of two months duration? A. Weight gain of 6-10 lbs. And the presence of striae gravidarum. B. Fullness of the breast and urinary frequency. C. Braxton Hicks contractions and quickening. D. Increased respiratory rate and ballottement. … Read More »
When the baby’s head is out, the immediate action of the nurse is A. Cut the umbilical cord B. Wipe the baby’s face and suction mouth first C. Check if there is a cord coiled around the neck D. Deliver the anterior shoulder Correct Answer: C. Check… Read More »
While the client is in active labor with twins and the cervix is 5 cm dilated, the nurse observes contractions occurring at a rate of every 7 to 8 minutes in a 30-minute period. Which of the following would be the nurse’s most appropriate action? A. Note the fetal heart rate patterns. B.… Read More »
Cervical softening and uterine souffle are classified as which of the following? A. Diagnostic signs B. Presumptive signs C. Probable signs D. Positive signs Correct Answer: C. Probable signs Cervical softening (Goodell sign) and uterine soufflé are two probable signs of pregnancy. Probable signs are objective findings… Read More »
A client at 8 weeks’ gestation calls complaining of slight nausea in the morning hours. Which of the following client interventions should the nurse question? A. Taking 1 teaspoon of bicarbonate of soda in an 8-ounce glass of water. B. Eating a few low-sodium crackers before getting out of bed. C. Avoiding… Read More »
Which of the following is a positive sign of pregnancy? A. Fetal movement felt by mother B. Enlargement of the uterus C. (+) pregnancy test D. (+) ultrasound Correct Answer: D. (+) ultrasound A positive ultrasound will confirm that a woman is pregnant since the fetus in… Read More »
When delivering the baby’s head the nurse supports the mother’s perineum to prevent a tear. This technique is called A. Marmet’s technique B. Ritgen’s technique C. Duncan maneuver D. Schultze maneuver Correct Answer: B. Ritgen’s technique Ritgen’s technique is done to prevent the perineal tear. This is… Read More »
A client tells the nurse, “I think my baby likes to hear me talk to him.” When discussing neonates and stimulation with sound, which of the following would the nurse include as a means to elicit the best response? A. High-pitched speech with tonal variations. B. Low-pitched speech with a sameness of tone.… Read More »