Maternal Exam 1 Worksheets

1. Match • Gravida – number of p. regnancies • Para – viable pregnancies • Term – 37-42 weeks’ gestation • Viability – currently 22 – 24 weeks gestation • Quickening – first feeling of fetal movement. 2. Match • Gestation – age of pregnancy • Trimesters – segment of pregnancy • Antepartum – total time of pregnancy • Intrapartum – labor and birth • Post-partum – return to pre pregnancy. 3. Match • G – number of pregnancies • T – total number of term birth • P – total number of preterm births • A – total number of abortions • L – total number of living children 4. GTPAL? • Pregnancies 4, birth 38 wks., birth 40 wks., miscarriages 0, living 1, twins. o G4, T2, P0, A0, L3 5. A patient presents to the clinic for her first prenatal appointment. She states that she has had a set of twins who were born at 34 weeks, a son who was born at 40 weeks, and she has had two miscarriages. • G1, T1, P1, A2, L3 6. A patient presents to clinic for her first prenatal appointment. She states her LMP was 8/20. Which of the following would be her EDD? • 5/27 7. A patient presents to clinic for her first prenatal appointment. She states her LMP was 8/22. Which of the following would be her EDD? • 5/29 1. The nurse is providing instructions to a pregnant client visiting the antenatal clinic about foods that are rich in folic acid. The nurse would encourage the client to increase intake of which of the following foods that are highest in folic acid? • Green leafy vegetables 2. A pregnant client is seen in the health care clinic for a regular prenatal visit. The client tells the nurse that she is experiencing irregular contractions. The nurse determines that the client is experiencing Braxton Hicks contractions. Which of the following nursing actions would be appropriate? • Instruct the client that these are common and may occur throughout the pregnancy. 3. The nurse is collecting data from a client who is at 32 weeks’ gestation. The nurse measures the fundal height in centimeters and expects the findings to be which of the following? • 32 cm 4. The rubella titer comes back on a pregnant client as non-immune. What is the best plan for this client? • Plan to have the pt. vaccinated after delivery. 5. A patient is being admitted to prenatal care by the nurse. The patient states her last menstrual period was October 30, 2018. The nurse correctly calculates this mother’s due date as: • August 6, 2019 6. A client calls the physician’s office to schedule an appointment because a home pregnancy test was performed, and the results were positive. The nurse determines that the home pregnancy test identified the presence of which of the following in the urine? • Human chorionic gonadoptropin (hCG) 1 7. A pregnant client is seen in the health care clinic. During the prenatal visit, the client informs the nurse that she is experiencing pain in her calf when she walks. Which of the following is the appropriate nursing action? • Assess for signs of venous thrombosis. 8. The nurse is admitting a patient into the maternity clinic. Which of the following would the nurse document as a probable sign of pregnancy? • Pt has a positive pregnancy test. 9. A client in the second trimester of pregnancy is seen in the health care clinic. The client tells the nurse that she is a hostess at a local restaurant and is on her feet most of the day. She states that she has frequent low back pains and ankle edema by the end of the day. The nurse provides instructions to the woman about measures to relieve the discomfort. Which of the following statements, made by the client, indicates an understanding of how to relieve these discomforts? • When I get home I should lie on the floor, with my legs elevated onto a couch, and turn my hips and knees at right angles. 10. The nurse is reviewing the record of a client who has just been told that her pregnancy test is positive. The physician has documented the presence of Goodell’s sign. The nurse determines that this sign is indicative of: • A softening of the cervix Unit 2 1. Pregnancies 3, birth x2 at 39 wks., birth at 32 wks., miscarriages 0, living 3. • G3, T2, P1, A0, L3 2. A patient presents to the clinic for her first prenatal appointment. She states that she has 2 living children, both born at 39 weeks, and she has had one miscarriage. Which of the following would be her correct GPTPtAL (Gravida, Para, Term, Preterm, Abortion, Living)? • G4, P2, T2, P0, A1, L2 3. A patient presents to the clinic for her first prenatal appointment. The nurse interviews the patient about her obstetric history. When the nurse records the GTPAL, what part of the obstetric history is being assessed? • Gravida, term, preterm, abortion, living. 4. Calculate the due date: LMP March 30 • Due date: Jan 6 5. A patient presents to the clinic for her first prenatal appointment. She states that her LMP was 11/27. Which of the following would be her correct EDD? • 9/4 6. Calculate the due date: LMP October 26 • Due date: august 2 7. The nurse is teaching a new obstetric patient about symptoms to report to the primary provider immediately. It would indicate the need for more instruction if the patient states which of the following? • If I have even a small amount of odorless white vaginal discharge, I will call the clinic immediately. 8. The nurse is preparing the pregnant patient for routine testing at 16-20 weeks’ gestation. Which of the following preparations would the nurse provide? • A routine screening abdominal ultrasound requires no preparation, this is a noninvasive test. 9. A nurse is conducting a routine screening to detect a client’s risk for toxoplasmosis parasite infection during pregnancy. The nurse would ask the client about which of the following items to determine this risk? • Presence in the home of cats who use a kitty litter box for elimination. 10. A pregnant client asks the nurse in the clinic when she will be able to start feeling the fetus move. The nurse responds by telling the client that fetal movements will be noted between • 16- & 20-weeks’ gestation 1. The most likely result of uncontrolled blood sugar to fetal development for the mother with gestational diabetes is: • Increased fetal size termed macrosomia. 2. A patient with a history of mild hypertension presents to the prenatal clinic at 12 weeks’ gestation. Aware of increased risks for this patient which of the following warning signs would the nurse stress for this patient? • Blurry or impaired vision with unusual headache 3. The nurse has assisted in performing a nonstress test on a pregnant client and is reviewing the documentation related to the results of the test. The nurse notes that the physician has documented the test results as reactive. The nurse interprets that this result indicates: