1
Maternal Newborn
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse
R
how to perform Leopold maneuvers. Which of the following images indicates the
E
first step of Leopold maneuvers? - ANS Evidence-based practice indicates
H
the nurse should perform this step first when performing Leopold maneuvers.
During this step, the nurse palpates the client's abdomen with her palms to
IG
determine which fetal part is in the uterine fundus. This step also identifies the lie
(transverse or longitudinal) and presentation (cephalic or breech) of the fetus.
GH
A client who is at 34 weeks of gestation asks the nurse how she will know when
she is in labor and should go to the hospital. Which of the following responses
IN
should the nurse make? - ANS The nurse should inform the client that a
sign of true labor is the bloody show, which is a blood-tinged discharge from the
Y
vagina that occurs when the cervix begins to efface and dilate. This is an
L
indication that the client should go to the hospital.
F
A nurse in a prenatal clinic is assessing a group of clients. Which of the following
clients should the nurse request the provider see first? -
is at 11 weeks of gestation and reports abdominal cramping
ANS A client who
, 2
When using the urgent vs nonurgent approach to client care, the nurse should
determine that the priority finding is a client who is at 11 weeks of gestation and
reports abdominal cramping. Abdominal cramping can indicate an ectopic
pregnancy or manifestations of spontaneous abortion. The nurse should request
R
that the provider see this client first.
Wrong Answers
HE
A client who is at 15 weeks of gestation and reports tingling and numbness in her
G
right hand
HI
A client who is at 20 weeks of gestation and reports constipation for the past 4
G
days
N
A client who is at 8 weeks of gestation and reports having three bloody noses in
I
the past week
LY
A nurse in a prenatal clinic is caring for a client who reports that her menstrual
F
period is 2 weeks late. The client appears anxious and asks the nurse if she is
pregnant. Which of the following responses should the nurse make? - ANS
Amenorrhea is a presumptive sign of pregnancy, not a positive sign. Therefore,
the nurse should explore the client's menstrual cycle to determine other
necessary interventions.
, 3
A nurse in an antepartal clinic is providing care for a client who is at 26 weeks of
gestation. Upon reviewing the client's medical record, which of the following
findings should the nurse report to the provider? (Click on the "Exhibit" button
for additional information about the client. There are three tabs that contain
R
separate categories of data.) - ANS Progress Notes
Fundal height 30 cm
Good fetal movement
HE
G
Not experiencing headache, dizziness, blurred vision, or vaginal bleeding
I
Fetal heart rate 110/min
GH
A fundal height measurement of 30 cm should be reported to the provider. Fundal
height should be measured in centimeters and is the same as the number of
N
gestational weeks plus or minus 2 weeks from 18 to 32 weeks gestation.
I
Therefore, the nurse should report this finding to the provider.
LY
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy.
F
The client states that she is, "happy one minute and crying the next." The nurse
should interpret the client's statement as an indication of which of the following?
- ANS The nurse should recognize and interpret the client's statement as an
indication of emotional lability. Many women experience rapid and unpredictable
changes in mood during pregnancy. Intense hormonal changes may be
Maternal Newborn
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse
R
how to perform Leopold maneuvers. Which of the following images indicates the
E
first step of Leopold maneuvers? - ANS Evidence-based practice indicates
H
the nurse should perform this step first when performing Leopold maneuvers.
During this step, the nurse palpates the client's abdomen with her palms to
IG
determine which fetal part is in the uterine fundus. This step also identifies the lie
(transverse or longitudinal) and presentation (cephalic or breech) of the fetus.
GH
A client who is at 34 weeks of gestation asks the nurse how she will know when
she is in labor and should go to the hospital. Which of the following responses
IN
should the nurse make? - ANS The nurse should inform the client that a
sign of true labor is the bloody show, which is a blood-tinged discharge from the
Y
vagina that occurs when the cervix begins to efface and dilate. This is an
L
indication that the client should go to the hospital.
F
A nurse in a prenatal clinic is assessing a group of clients. Which of the following
clients should the nurse request the provider see first? -
is at 11 weeks of gestation and reports abdominal cramping
ANS A client who
, 2
When using the urgent vs nonurgent approach to client care, the nurse should
determine that the priority finding is a client who is at 11 weeks of gestation and
reports abdominal cramping. Abdominal cramping can indicate an ectopic
pregnancy or manifestations of spontaneous abortion. The nurse should request
R
that the provider see this client first.
Wrong Answers
HE
A client who is at 15 weeks of gestation and reports tingling and numbness in her
G
right hand
HI
A client who is at 20 weeks of gestation and reports constipation for the past 4
G
days
N
A client who is at 8 weeks of gestation and reports having three bloody noses in
I
the past week
LY
A nurse in a prenatal clinic is caring for a client who reports that her menstrual
F
period is 2 weeks late. The client appears anxious and asks the nurse if she is
pregnant. Which of the following responses should the nurse make? - ANS
Amenorrhea is a presumptive sign of pregnancy, not a positive sign. Therefore,
the nurse should explore the client's menstrual cycle to determine other
necessary interventions.
, 3
A nurse in an antepartal clinic is providing care for a client who is at 26 weeks of
gestation. Upon reviewing the client's medical record, which of the following
findings should the nurse report to the provider? (Click on the "Exhibit" button
for additional information about the client. There are three tabs that contain
R
separate categories of data.) - ANS Progress Notes
Fundal height 30 cm
Good fetal movement
HE
G
Not experiencing headache, dizziness, blurred vision, or vaginal bleeding
I
Fetal heart rate 110/min
GH
A fundal height measurement of 30 cm should be reported to the provider. Fundal
height should be measured in centimeters and is the same as the number of
N
gestational weeks plus or minus 2 weeks from 18 to 32 weeks gestation.
I
Therefore, the nurse should report this finding to the provider.
LY
A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy.
F
The client states that she is, "happy one minute and crying the next." The nurse
should interpret the client's statement as an indication of which of the following?
- ANS The nurse should recognize and interpret the client's statement as an
indication of emotional lability. Many women experience rapid and unpredictable
changes in mood during pregnancy. Intense hormonal changes may be
