OB-GYN 1500 Quiz 1 Practice questions

OB-GYN 1500 Quiz 1 Practice questions 1. A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data? a. The client is not experiencing a rubella infection at this time. b. The client is immune to the rubella virus. c. The client requires a rubella vaccination at this time. d. The client requires a rubella immunization following delivery. i. A negative rubella titer indicates that the client is susceptible to the rubella virus and needs vaccination following delivery. Immunization during pregnancy is contraindicated because of possible injury to the developing fetus. Following rubella immunization, the client should be cautioned not to conceive for 1 month. 2. A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on July 27. What is the client's EDB? (State the date in MMDD. For example, July 27 is 0727). a. 0504 i. Using Nägele's rule, the nurse subtracts three months from the date of the last menstrual period, then adds 7 days. July minus 3 months equals April. There are 30 days in April, so 27 + 7 = May 4. The client's EDB is May 4, which would be written as 0504 in the MMDD format. 3. A nurse is teaching a client who is at 23 weeks of gestation about immunizations. Which of the following statements should the nurse include in the teaching? a. "You should not receive the rubella vaccine while breastfeeding." b. "You should receive a vaccine before you deliver." c. "You can receive an influenza vaccination during pregnancy." i. It is recommended that pregnant women receive annual influenza vaccinations. d. "You cannot receive the Tdap vaccine until after you deliver." 4. The nurse is assessing the laboratory report of a 40-week gestation client. Which of the following values would the nurse expect to find elevated above pre-pregnancy levels? a. Glucose b. Fibrinogen c. Hematocrit d. Bilirubin 5. A nurse is caring for a client who has a positive pregnancy test. The nurse is teaching the client about common discomforts in the first trimester of pregnancy as well as warning signs of potential danger. The nurse should instruct the client to call the clinic if she experiences which of the following manifestations? a. Leukorrhea b. Urinary frequency c. Nausea and vomiting d. Facial edema i. Facial edema is a warning sign of a hypertensive condition or preeclampsia and should be reported immediately to the provider. 6. A nurse is providing teaching about Kegel exercises to a group of clients who are in the third trimester of pregnancy. Which of the following statements by a client indicates understanding of the teaching? a. "These exercises help prevent constipation." b. "These exercises help pelvic muscles to stretch during birth." i. Kegel exercises improve the strength of perineal muscles, facilitating stretching and contracting during childbirth. c. "They can help reduce back aches." d. "They can prevent further stretch marks." 7. A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she can continue to exercise during pregnancy. Which of the following responses by the nurse is appropriate? a. "Exercising during pregnancy is not recommended." b. "Daily jogging for up to 30 minutes is fine throughout the pregnancy." i. While weight-bearing exercises might become uncomfortable in the last trimester, they are generally not contraindicated, providing the client stays hydrated and avoids becoming overheated for extended periods. c. "Activities that raise the body temperature, such as saunas and hot tubs, are safe until the third trimester.