) A client at 8 weeks' gestation has been advised to have the embryo undergo genetic testing.
The nurse instructs the client that the area of the embryo being tested is which of the following?
A) Chorion
B) Amnion
C) Ectoderm
D) Endometrium - Answers a
A client informs the nurse of a positive result from an early pregnancy test but wants to be sure
that she is pregnant. Which response is the most appropriate for the nurse to make?
A) "Pregnancy can be detected 24 to 48 hours after conception, depending on the test."
B) "Pregnancy cannot be detected before 12 days after conception."
C) "Most early pregnancy tests are not reliable."
D) "Most pregnancy tests cannot differentiate between pregnancy and premenstrual hormone
levels." - Answers a
The nurse is instructing a client who is at 10 weeks' gestation on smoking cessation and
avoiding substance abuse because these substances will:
A) Interfere with hormone excretion of the fetus.
B) Facilitate the transfer of viruses and other diseases into the developing fetus.
C) Pass into the developing fetus through the placenta very easily.
D) Stop the synthesis of protein in the developing fetus. - Answers c
A client at 12 weeks' gestation with her first child tells the nurse that she is concerned that her
husband does not want the baby because he has a renewed interest in playing tennis and
visiting with college friends after work. The nurse realizes the client is describing a(n):
A) Father's reaction normally seen in the second trimester of pregnancy.
B) Father's reaction normally seen in the third trimester of pregnancy.
C) Father's reaction normally seen in the first trimester of pregnancy.
D) Atypical reaction of the father to pregnancy that should be further examined. - Answers c
After learning that she is pregnant, an adolescent client asks for information that she needs to
,know about the pregnancy and the baby because she cannot afford to see a doctor. The nurse
should do which of the following?
A) Provide the client with information on resources to assist with medical care during the
pregnancy and after delivery.
B) Instruct the client on aspects of pregnancy, fetal development, and labor and delivery.
C) Ask the client if her parents are aware that she is pregnant and if she is covered by their
medical insurance.
D) Tell the client that the father of the baby is responsible to pay for medical care for her during
the pregnancy and after delivery - Answers a
An adolescent client at 34 weeks' gestation tells the nurse that she cannot wait for "all of this to
be over" so she can resume her normal life. With which question should the nurse respond to
this client?
A) "Are your friends excited about the baby coming and planning a shower for you?"
B) "Have you done anything to prepare for the baby coming home after delivery?"
C) "Do you miss school and spending time with your friends?"
D) "Have you been able to get enough rest while keeping up with your studies?" - Answers b
A client who says she is "about 6 weeks pregnant" hears the baby's heartbeat for the first time
through a Doppler. What does this assessment finding indicate to the nurse?
A) The mother is at 8 to 12 weeks' gestation.
B) The mother is at 16 weeks' gestation.
C) The mother is at 4 to 8 weeks' gestation.
D) The mother is at 20 weeks' gestation - Answers a
A client is surprised to learn of being pregnant because the home pregnancy test was negative
when it was used a month ago. What should the nurse respond to this client?
A) "Home pregnancy tests are unreliable and should not be used without an ultrasound
afterward to confirm pregnancy."
B) "Home pregnancy tests can provide a false negative and should be repeated in a week if your
period has not yet started."
C) "Home pregnancy tests are unreliable and should not be used without a blood sample being
drawn afterward."
, D) "Home pregnancy tests lose their effectiveness after 6 months, and your kit was probably
old." - Answers b
The nurse notes that a client who is 18 weeks pregnant is experiencing gum hyperplasia with
areas of inflammation. What actions should the nurse take regarding this finding?
Select all that apply.
A) Encourage the use of dental floss to reduce gum overgrowth.
B) Do nothing because this is a normal finding with pregnancy.
C) Suggest seeing a dentist.
D) Discuss current dental habits.
E) Recommend flushing the mouth with hydrogen peroxide daily. - Answers c d
A client in the first trimester of pregnancy complains of a vaginal discharge and is concerned
that the baby is infected. The nurse should instruct the client to do which of the following?
Select all that apply.
A) Avoid douching.
B) Keep the vaginal area clean and wear cotton underwear.
C) See the primary care physician to assess for a vaginal infection.
D) Limit bathing to 2 times a week.
E) Limit dairy products and use lactose-free products whenever possible. - Answers a b
A client who is in the first trimester of pregnancy tells the nurse that she is constantly
nauseated and can vomit at any time. To assist this client, the nurse should instruct her to do
which of the following?
A) Drink a glass of water every time nausea occurs.
B) Take a multivitamin without iron each day.
C) Take over-the-counter Benadryl for the nausea.
D) Take a multivitamin with iron each day - Answers b
A nurse working in an OB/GYN outpatient clinic finds that on a routine anemia screen a
pregnant client in her second trimester has a hemoglobin of 10 g/dL and a serum ferritin level of
11 mg/L. The woman states that she has felt tired a lot, but otherwise feels fine. What actions
would be expected in caring for this client?