RASMUSSEN COLLEGE MATERNAL CHILD NURSING NUR 2513 EXAM 1 STUDY GUIDE

1. While the vital signs of a pregnant client in her third trimester are being assessed, the client complains of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate? 2. A pregnant client 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? 3. Which suggestion is appropriate for the pregnant client who is experiencing heartburn? 4. While providing education to a primiparous client regarding the normal changes of pregnancy, what is important for the nurse to explain about Braxton Hicks contractions? 5. What is the reason for vascular volume increasing by 40% to 60% during pregnancy? 6. Physiologic anemia often occurs during pregnancy because of: 7. A client is currently pregnant; she has a 5-year-old son and a 3-year-old daughter. She had one other pregnancy that terminated at 8 weeks. Which are her gravida and para? 8. A client’s last menstrual period was June 10. What is her estimated date of birth (EDD)? 9. Why should a woman in her first trimester of pregnancy expect to visit her health care provider every 4 weeks? 10. A client in her first trimester complains of nausea and vomiting. She asks, “Why does this happen?” What is the nurse’s best response? 11. A client notices that the health care provider writes “positive Chadwick’s sign” on her chart. She asks the nurse what this means. Which is the nurse’s best response? 12. Which is the gravida and para for a client who delivered triplets 2 years ago and is now pregnant again? 13. To relieve a leg cramp, what should the client be instructed to perform? 14. Which complaint made by a client at 35 weeks of gestation requires additional assessment? 15. A pregnant woman is the mother of two children. Her first pregnancy ended in a stillbirth at 32 weeks of gestation, her second pregnancy with the birth of her daughter at 36 weeks, and her third pregnancy with the birth of her son at 41 weeks. Using the five-digit system to describe this woman’s current obstetric history, what should the nurse record? 16. Which laboratory result would be a cause for concern if exhibited by a client at her first prenatal visit during the second month of her pregnancy? . 17. A client in her third trimester of pregnancy is asking about safe travel. Which statement should the nurse give about safe travel during pregnancy? 18. The client has just learned she is pregnant and overhears the gynecologist saying that she has a positive Chadwick’s sign. When the client asks the nurse what this means, how should the nurse respond? 19. When a pregnant woman develops ptyalism, what should the nurse advise? 20. A pregnant immigrant has an unknown immunization history. When she presents for routine vaccinations, which will the nurse administer? 21. When documenting a client encounter, what term will the nurse use to describe the woman who is in the 28th week of her first pregnancy? 22. You are performing assessments for an obstetric client who is 5 months pregnant with her third child. Which finding would cause you to suspect that the client was at risk? 23. What is the best explanation that you can provide to a pregnant client who is concerned that she has “pseudo anemia” of pregnancy? Which physiologic finding is consistent with normal pregnancy? 24. A pregnant client complains that since she has been pregnant, her nose is always stuffed and she feels like she has a cold. Past medical history is negative for respiratory problems such as hay fever, sinusitis, or other allergies. What is the most likely cause for the client’s presentation? 25. A pregnant client complains of frequent heartburn. The client states that she has never had these symptoms before and wonders why this is occurring now. The best response that the nurse can provide is: 26. Which physiologic event may lead to increased constipation during pregnancy? 27. Which physiologic findings are seen with respect to gallbladder function that might lead to the development of gallstones during pregnancy? 28. Which of these findings would indicate a potential complication related to renal function during pregnancy? 29. A pregnant client 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? 30. Determine the obstetric history of a client in her fifth pregnancy who had two spontaneous abortions in the first trimester, one infant at 32 weeks’ gestation, and one infant at 38 weeks’ gestation. 31. Use Nägele’s rule to determine the EDD (estimated day of birth) for a client whose last menstrual period started on April 12. 32. Which of the client health behaviors in the first trimester would the nurse identify as a risk factor in pregnancy?