OB Chp 5-8 Flashcards

An expectant father asks the nurse, “Which part of the mature sperm contains the male chromosome?” What is the correct response by the nurse

One of the assessments performed in the birth room is checking the umbilical cord for blood vessels. Which finding is considered to be within normal limits?

What is the purpose of the ovum’s zona pellucida

The nurse is explaining the process of cell division during the preembryonic period to a group of nursing students. Which statement best describes the characteristics of the morula?

The upper uterus is the best place for the fertilized ovum to implant due to which anatomical adaptation?

Some of the embryo’s intestines remain within the umbilical cord during the embryonic period because the

A patient who is 16 weeks pregnant with her first baby asks how long it will be before she feels the baby move. Which is the nurse’s best answer?

Which statement best describes the changes that occur during the fetal period of development?

An expectant mother says to the nurse, “When my sister’s baby was born, it was covered in a cheese-like coating. What is the purpose of this coating?” The correct response by the nurse is to explain that the purpose of vernix caseosa is to

An expectant mother, diagnosed with oligohydramnios, asks the nurse what this condition means for the baby. Which statement should the nurse provide for the patient?

The nurse is conducting a staff in-service on multifetal pregnancy. Which statement regarding dizygotic twin development should the nurse include in the teaching session?

An infant is diagnosed with fetal anemia. Which information would support this clinical diagnosis?

The nurse is explaining the function of the placenta to a pregnant patient. Which statement indicates to the nurse that further clarification is necessary?

The nurse is assessing a newborn immediately after birth. After assigning the first Apgar score of 9, the nurse notes two vessels in the umbilical cord. What is the nurse’s next action?

A pregnant patient asks the nurse how her baby gets oxygen to breathe. What is the nurse’s best response?

Which physical characteristics decrease as the fetus nears term?(SATA)

Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy, including which of the following?

The nurse is planning a prenatal class on fetal development which characteristics of prenatal development should the nurse include for a fetus of 24 weeks based on fertilization age (SATA)

The nurse is explaining fetal circulation to a group of nursing students. Which information should be included in the teaching session?

A nurse is conducting prenatal education classes for a group of expectant parents. Which information should the nurse include in her discussion of the purpose of amniotic fluid?

During vital sign assessment of a pregnant patient in her third trimester, the patient complains of feeling faint, dizzy, and agitated. Which nursing intervention is most appropriate?

A pregnant woman has come to the emergency department with complaints of nasal congestion and epistaxis. Which is the correct interpretation of these symptoms by the health care provider

While providing education to a primiparous patient regarding the normal changes of pregnancy, what is an important information for the nurse to share regarding Braxton Hicks contractions?

What is the physiologic reason for vascular volume increasing by 40% to 60% during pregnancy

Physiologic anemia often occurs during pregnancy due to

Which finding is a positive sign of pregnancy?

A patient in her first trimester complains of nausea and vomiting. The patient asks, “Why is this happening?” What is the nurse’s best response?

The patient has just learned that she is pregnant and overhears the gynecologist saying that she has a positive Chadwick’s sign.When the patient asks the nurse what this means, how would the nurse respond?

An expected change during pregnancy is a darkly pigmented vertical midabdominal line. The nurse recognizes this alteration as

What is the best explanation that the nurse can provide to a patient who is concerned that she has “pseudoanemia” of pregnancy?

Which physiologic finding is consistent with normal pregnancy?

A pregnant woman complains of frequent heartburn. The patient states that she has never had these symptoms before and wonders why this is happening now. The most appropriate

response by the nurse is to

Which physiologic adaptation of pregnancy may lead to increased constipation during the pregnancy

Which physiologic findings related to gallbladder function may lead to the development of gallstones during pregnancy?

Which of these findings would indicate a potential complication related to renal function during pregnancy?

A pregnant woman notices that she is beginning to develop dark skin patches on her face. She denies using any different type of facial products as a cleansing solution or makeup. What would the priority nursing intervention be in response to this situation?

A patient reports to the clinic nurse that she has not had a period in over 12 weeks, she is tired, and her breasts are sore all of the time. The patient’s urine test is positive for hCG. What is the correct nursing action related to this information?

Which comment made by a patient in her first trimester indicates ambivalent feelings?

A patient who is 7 months pregnant states, “I’m worried that something wil happen to my baby which is the nurses best response

What is the term for the step in maternal role attainment that relates to the woman giving up certain aspects of her previous life?

An expectant patient in her third trimester reports that she developed a strong tie to her baby from the beginning and now is really in tune to her baby’s temperament. The nurse interprets this as the development of which maternal task of pregnancy?

Which situation best describes a man trying on fathering behaviors?

A 36-year-old divorcee with a successful modeling career finds out that her 18-year-old daughter is expecting her first child. Which is a major factor in determining how this woman will respond to becoming a grandmother?

Which comment made by a new mother to her own mother is most likely to encourage the grandmother’s participation in the infant’s care?

Which comment made by a new mother exhibits understanding of her toddler’s response to a new sibling?

An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for the baby. What information should the nurse provide

A pregnant patient comes into the medical clinic stating that her family and friends are telling her that she is always talking about the pregnancy and nothing else. She is concerned that something is wrong with her. What psychological beahabviribo.rciosmsh/eteesxthibiting?

A patient relates a story of how her boyfriend is feeling her aches and pains associated with her pregnancy. She is concerned that her boyfriend is making fun of her concerns. How would you respond to this patient statement?

The nurse is assessing a patient in her 37th week of pregnancy for the psychological responses commonly experienced as birth nears. Which psychological responses should the nurse expect to evaluate?(SATA)

The nurse is teaching a pregnant patient about signs of possible pregnancy complications. Which should the nurse include in the teaching plan?

Which findings are presumptive signs of pregnancy?

Which suggestion is most helpful for the pregnant patient who is experiencing heartburn?

What is the rationale for a woman in her first trimester of pregnancy to expect to visit her health care provider every 4 weeks?

Which advice to the patient is one of the most effective methods for preventing venous stasis?

What is the gravida and para for a patient who delivered triplets 2 years ago and is now pregnant again

A patient, gravida 2, para 1, comes for a prenatal visit at 20 weeks of gestation. Her fundus is palpated 3 cm below the umbilicus. This finding is

Which complaint made by a patient at 35 weeks of gestation requires additional assessment?

A gravida 1 patient at 32 weeks of gestation reports that she has severe lower back pain. What should the nurse’s assessment include?

Which laboratory result would be a cause for concern if exhibited by a patient at her first prenatal visit during the second month of her pregnancy

A patient in her third trimester of pregnancy is asking about safe travel. Which statement should the nurse provide regarding safe travel during pregnancy?

When a pregnant woman develops ptyalism, which guidance should the nurse provide?

When documenting a patient encounter, which term will the nurse use to describe the woman who is in the 28th week of her first pregnancy?

You are performing assessments for an obstetric patient who is 5 months pregnant with her third child. Which finding would cause you to suspect that the patient was at risk?

Determine the obstetric history of a patient in her fifth pregnancy who has had two spontaneous abortions in the first trimester, one infant at 32 weeks gestation and one infant at 38 weeks gestation

Use Nägele’s rule to determine the EDD (estimated day of birth) for a patient whose last menstrual period started on April 12.

Which of the patient health behaviors in the first trimester would the nurse identify as a risk factor in pregnancy?

A patient who smokes one pack of cigarettes daily has a positive pregnancy test. The nurse will explain that smoking during pregnancy increases the risk of which condition

A patient with an IUD in place has a positive pregnancy test. When planning care, the nurse will base decisions on which anticipated action?

The health care provider reports that the primigravida’s fundus can be palpated at the umbilicus. Which priority question will the nurse include in the patient’s assessment?

The nurse is scheduling the next appointment for a healthy primigravida currently at 28 weeks gestation. When will the nurse schedule the next prenatal visit?

Which information is covered by early pregnancy classes offered in the first and second trimesters

Which is the method of childbirth that helps prevent the fear-tension-pain cycle by using slow abdominal breathing in early labor and rapid chest breathing in advanced labor?

Which type of cutaneous stimulation involves massage of the abdomen

What does a birth plan help the parents accomplish

A relaxation technique that can be used during the childbirth experience to decrease maternal pain perception is

Which technique would provide the best pain relief for pregnant woman with an occiput posterior position?

The labor nurse is reviewing breathing techniques with a primiparous patient admitted for induction of labor. When is the best time to encourage the laboring patient to use slow, deep chest breathing with contractions?

In a prenatal education class, the nurse is reviewing the importance of using relaxation techniques during labor. Which patient statement will the nurse need to correct?

A pregnant patient reports that she works in a long-term care setting and is concerned about the impending flu season. She asks about receiving the flu vaccine. As the nurse, you are aware that some immunizations are safe to administer during pregnancy, whereas others are not. Which vaccines could this patient receive? (SATA)

The nurse is planning care for a patient in her first trimester of pregnancy. The patient is experiencing nausea and vomiting. Which interventions should the nurse plan to share with this patient?(SATA)

Which factors contribute to the presence of edema in the pregnant patient?(SATA)

The prenatal nurse educator is teaching couples the technique of applying sacral pressure during labor. Which should be included in the teaching session?(SATA)

When planning a healthy diet with a pregnant patient, what should the nurse’s first action be?

The nurse is meeting with a patient with an elevated BMI regarding an optimal diet for pregnancy. Which major source of nutrients should be a significant component of this patient’s diet?

In order to increase the absorption of iron by a pregnant patient, which beverage should an iron preparation be given with?

When should iron supplementation during a normal pregnancy begin?

A patient in her fifth month of pregnancy asks the nurse, “How many more calories should I be eating daily?” What is the correct response by the nurse

A pregnant patient’s diet may not meet her need for folate. Which food choice is an excellent source of this nutrient?

A pregnant patient asks the nurse if she can double her prenatal vitamin dose because she does not like to eat vegetables. What is the nurse’s response regarding the danger of taking excessive vitamins?

The nurse is conducting a prenatal nutrition education class for a group of nursing students. Which statement best describes the condition known as pica?

Which effect is a common response to both smoking and cocaine use in the pregnant patient?

Which is the most important reason for evaluating the pattern of weight gain in pregnancy?

A pregnant patient would like to know which foods, other than dairy products, contain the most calcium. Which food group would the nurse recommend?

To determine cultural influences on a patient’s diet, what is the nurse’s primary action?

In teaching a pregnant adolescent about nutrition, what should the nurse include in the care plan?

The traditional diet of Asian women includes little meat and few dairy products and may be low in calcium and iron. The nurse can assist a patient increase her intake of these foods by

which action

Which patient would require additional calories and nutrients?

A patient postdelivery is concerned about getting back to her prepregnancy weight as soon as possible. She had only gained 15 lb during her pregnancy. Which assessment factor would be of concern at her 6-week postpartum checkup?

Which clinical finding is associated with inadequate maternal weight gain during pregnancy

A pregnant patient arrives for her first prenatal visit at the clinic. She informs the nurse that weight gain during pregnancy. Preeclampsia is based on maternal hypertension, proteinuria, and edema states.she has been taking an additional 400 mcg of folic acid prior to becoming pregnant. Based on the patient’s history, she has reached 8 weeks’ gestation. Which recommendation would the nurse provide regarding folic acid supplementation?

Which patient is most at risk for a low-birth-weight infant?

Changes in the diet of the pregnant patient who has phenylketonuria would include

When explaining the recommended weight gain to your patient, the nurse’s teaching should include which statement?

Which patient has correctly increased her caloric intake from her recommended pregnancy intake to the amount necessary to sustain breastfeeding in the first 6 postpartum months?

A pregnant woman of normal weight enters her 13th week of pregnancy. If the patient eats and exercises as directed, what will the nurse anticipate as the ongoing weight gain for the remaining trimesters?

A patient with a BMI of 32 has a positive pregnancy test. What is the maximum number of pounds that the nurse will advise the patient gain during the pregnancy?

A pregnant patient with significant iron-deficiency anemia is prescribed iron supplements.The patient explains to the nurse that she cannot take iron because it makes her nauseous.What is the best response by the nurse?

Which guidance related to a healthy diet during pregnancy will the nurse provide to a patient in her 1st trimester?

For the pregnant patient who is a vegan, what combination of foods will the nurse advise to meet the nutritional needs for all essential amino acids?

A pregnant patient has lactose intolerance. Which recommendation will the nurse provide to best help the patient meet dietary needs for calcium?

The nurse is reviewing a list of foods high in folic acid with a patient who is considering becoming pregnant. The nurse determines that the patient understands the teaching when the patient states she will include which list of foods in her diet?

A patient at 8 weeks’ gestation complains to the nurse, “I feel sick almost every morning. And I throw up at least two or three times a week.” What is the nurse’s best guidance for this patient?

The nurse is teaching a patient taking prenatal vitamins how to avoid constipation. Which should the nurse plan to include in the teaching session?(SATA)

The nurse is teaching a breastfeeding patient about substances to avoid while she is breastfeeding. Which substances should the nurse include in the teaching session?(SATA)

The nurse is advising a lactose-intolerant pregnant patient about calcium intake. Which calcium sources are approximately equivalent to 1 cup of milk (SATA)

The nurse is teaching a pregnant patient about food safety during pregnancy and lactation.Which statements by the patient indicate she understood the teaching(SATA)