When assessing a client at 12 weeks of gestation, the nurse recommends that she and her husband attend childbirth preparation classes. When is the best time for the couple to participate in these classes?

A client at 30 weeks of gestation is on bed rest at home because of increased blood pressure. The home health nurse has taught her how to take her blood pressure and gave her parameters to judge a significant increase in blood pressure. When the client calls the clinic complaining of indigestion, which instruction should the nurse provide?

Which finding(s) is (are) of most concern to the nurse when caring for a woman in the first trimester of pregnancy? (Select all that apply.)

In developing a teaching plan for expectant parents, the nurse decides to include information about when the parents can expect the infant’s fontanels to close. Which statement is accurate regarding the timing of an infant’s fontanels’ closure should be included in this teaching plan?

The nurse is teaching a prenatal client about chorionic villus sampling (CVS). The nurse correctly teaches the client that risks related to CVS include which of the following? Select all that apply

A prenatal client at 35 weeks gestation is scheduled for an amniocentesis to determine fetal lung maturity. The nurse expects the lecithin/sphingomyelin (L/S) ratio to be:

A pregnant client is concerned about a blow to the abdomen if she continues to play basketball during her pregnancy. The nurse’s response is based upon her knowledge of which of the following facts concerning amniotic fluid?

A client states that she had a spontaneous abortion 12 months ago. The client asks if her hormones may have contributed to the loss of the pregnancy. The nurse’s response is based upon her knowledge of which of the following facts?

At 17 weeks pregnant, a mother asks the nurse questions about the development of her baby. The mother states that it may be too early to visualize anybody of the structures via ultrasound. The nurse’s best response in relation to fetal development at 17 weeks is:

The nurse encourages the mother of a healthy newborn to put the newborn to the breast immediately after birth for which reason?

Just after delivery, a newborn’s axillary temperature is 94 degrees F. What action would be most appropriate?

A client at 28 weeks gestation is admitted to the labor and birth unit. Which test would most likely be used to assess the client’s comprehensive fetal status?

The nurse is preparing a prenatal client for a transvaginal ultrasound. What nursing action should the nurse include in the preparations? Select all that apply

A nurse is teaching a group of student nurses about amniotic fluid. Which of the following statements by the student nurse reflects an understanding of the fetus’s contribution to the quality of amniotic fluid? Select all that apply.

A nurse is conducting a prenatal class on the female reproductive system. When a client in the class asks why the fertilized ovum stays in the Fallopian tube for 3 days, the nurse responds that the reason for this is that it:

The nurse is taking an initial history of a prenatal client. Which of the following, if detected by the nurse practitioner, would indicate a positive, or diagnostic sign of pregnancy?

After removing the epidural, the patient develops a severe headache when she sits up in bed. The physician has instructed the patient that she will need a blood patch. Which best describes this procedure?

On the first day following delivery, the physician ordered a hemoglobin level for the patient; the result was 9.9 g/dL. The physician did not list any other orders in the patient’s chart since that time. Which response of the nurse is most appropriate?

Which of the following patients would be at high risk of developing preeclampsia? Select all that apply

A patient who is 37 weeks pregnant has collapsed in the hallway of the hospital. A nurse responds and notes that the patient does not have a heart rate; which intervention must be modified to respond to this situation because of this patient’s pregnancy?

A woman at 35 weeks of gestation has had an amniocentesis. The results reveal that surface-active phospholipids are present in the amniotic fluid. The nurse is aware that this finding indicates:

A pregnant patient has a systolic blood pressure that exceeds 160 mm Hg. Which action should the nurse take for this patient?

A patient reports excessive vomiting in the first trimester of the pregnancy, which has resulted in nutritional deficiency and weight loss. The urinalysis report of the patient indicates ketonuria. Which disorder does the patient have?

A pregnant patient in the first trimester reports spotting of blood with the cervical os closed and mild uterine cramping. What does the nurse need to assess? Select all that apply.

After being rehydrated in the emergency department, a 24-year-old primipara in her 18th week of pregnancy is at home and is to rest at home for the next two days and take in small but frequent fluids and food as possible. Discharge teaching at the hospital by the nurse has been effective if the patient makes which statement?

At 37 weeks of gestation, a woman is admitted with a placental abruption after a motor vehicle accident. Which assessment data are most indicative of her condition worsening?

A pregnant woman presents to the emergency department complaining of persistent nausea and vomiting. She was diagnosed with hyperemesis gravidarum. The nurse should include which information when teaching about diet for hyperemesis? Select all that apply.

A pregnant patient with severe preeclampsia who is transported to a tertiary care center needs to be administered a magnesium sulfate injection for seizure activity. What actions does the nurse take when administering the drug? Select all that apply

A blunt abdominal trauma causes fetal hemorrhage in a pregnant patient. The nurse finds that the patient is Rh-negative. What action does the nurse take?