Chapter 12 Antepartum Nursing Assessment
1) While completing the medical and surgical history during the initial
prenatal visit, the 16-year-old primigravida interrupts with Why are you asking
me all these questions? What difference does it make? Which statement
would best answer the clients questions?
1. We ask these questions to detect anything that happened in your past that
might affect the pregnancy.
2. We ask these questions to see whether you can have prenatal visits less often
than most clients do.
3. We ask these questions to make sure that our paperwork and records are
complete and up to date.
4. We ask these questions to look for any health problems in the past that might
affect your parenting.
Answer: 1
Explanation: 1. The course of a pregnancy depends on a number of factors,
including the past pregnancy history (if this is not a first pregnancy),
prepregnancy health of the woman, presence of disease/illness states, family
history, emotional status, and past health care.
Page Ref: 243
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. B. 1. Elicit patient values, preferences,
and expressed needs as part of clinical interview, implementation of care
plan, and evaluation of care. | AACN Essentials Competencies: IX. 1.
Conduct comprehensive and focused physical, behavioral, psychological,
spiritual, socioeconomic, and environmental assessments of health and illness
parameters in patients, using developmentally and culturally appropriate
approaches. | NLN Competencies: Relationship-Centered Care: Appreciate
the patient as a whole person, with his or her own life story and ideas about
the meaning of health or illness. | Nursing/Integrated Concepts: Nursing
Process: Assessment
Learning Outcome: 1 Summarize the essential components of a prenatal
history.
,MNL LO: 2.2.1 Perform a comprehensive prenatal assessment.
,1
Copyright 2016 Pearson Education, Inc.
2) During a clients initial prenatal visit, the nurse must assess and document
the clients current medical history, including which information?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Body mass index
2. Infections before the last menstrual period
3. Homeopathic or herbal medication use
4. Blood type and Rh factor
5. History of previous pregnancies
Answer: 1, 3, 4
Explanation: 1. The body mass index is an important part of the current
medical history to be assessed and documented.
3. Homeopathic and herbal medication use is important for the nurse to assess
and document in the current medical history.
4. The blood type must be assessed and documented in the current medical
history, as must the Rh factor.
Page Ref: 245
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. B. 1. Elicit patient values, preferences,
and expressed needs as part of clinical interview, implementation of care
plan, and evaluation of care. | AACN Essentials Competencies: IX. 1.
Conduct comprehensive and focused physical, behavioral, psychological,
spiritual, socioeconomic, and environmental assessments of health and illness
parameters in patients, using developmentally and culturally appropriate
approaches. | NLN Competencies: Relationship-Centered Care: Appreciate
the patient as a whole person, with his or her own life story and ideas about
the meaning of health or illness. | Nursing/Integrated Concepts: Nursing
, Process: Implementation
Learning Outcome: 1 Summarize the essential components of a prenatal
history.
MNL LO: 2.2.1 Perform a comprehensive prenatal assessment.
2
Copyright 2016 Pearson Education, Inc.
3) During the initial prenatal visit, the nurse obtains a weight of 42 kg (92.4 lb).
The nurse must further assess the client for information about which of the
following?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Eating habits
2. Foods regularly eaten
3. Income limitations
4. Blood pressure and pulse rate
5. Weight loss during pregnancy
Answer: 1, 2, 3
Explanation: 1. For a client whose weight is less than 100 lb, the nurse would
obtain information on eating habits.
2. For a client whose weight is less than 100 lb, the nurse would obtain
information on foods regularly eaten.
3. For a client whose weight is less than 100 lb, the nurse would obtain
information on income limitations.
Page Ref: 250
Cognitive Level: Analyzing
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. B. 1. Elicit patient values, preferences,
and expressed needs as part of clinical interview, implementation of care
plan, and evaluation of care. | AACN Essentials Competencies: IX. 1.
1) While completing the medical and surgical history during the initial
prenatal visit, the 16-year-old primigravida interrupts with Why are you asking
me all these questions? What difference does it make? Which statement
would best answer the clients questions?
1. We ask these questions to detect anything that happened in your past that
might affect the pregnancy.
2. We ask these questions to see whether you can have prenatal visits less often
than most clients do.
3. We ask these questions to make sure that our paperwork and records are
complete and up to date.
4. We ask these questions to look for any health problems in the past that might
affect your parenting.
Answer: 1
Explanation: 1. The course of a pregnancy depends on a number of factors,
including the past pregnancy history (if this is not a first pregnancy),
prepregnancy health of the woman, presence of disease/illness states, family
history, emotional status, and past health care.
Page Ref: 243
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. B. 1. Elicit patient values, preferences,
and expressed needs as part of clinical interview, implementation of care
plan, and evaluation of care. | AACN Essentials Competencies: IX. 1.
Conduct comprehensive and focused physical, behavioral, psychological,
spiritual, socioeconomic, and environmental assessments of health and illness
parameters in patients, using developmentally and culturally appropriate
approaches. | NLN Competencies: Relationship-Centered Care: Appreciate
the patient as a whole person, with his or her own life story and ideas about
the meaning of health or illness. | Nursing/Integrated Concepts: Nursing
Process: Assessment
Learning Outcome: 1 Summarize the essential components of a prenatal
history.
,MNL LO: 2.2.1 Perform a comprehensive prenatal assessment.
,1
Copyright 2016 Pearson Education, Inc.
2) During a clients initial prenatal visit, the nurse must assess and document
the clients current medical history, including which information?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Body mass index
2. Infections before the last menstrual period
3. Homeopathic or herbal medication use
4. Blood type and Rh factor
5. History of previous pregnancies
Answer: 1, 3, 4
Explanation: 1. The body mass index is an important part of the current
medical history to be assessed and documented.
3. Homeopathic and herbal medication use is important for the nurse to assess
and document in the current medical history.
4. The blood type must be assessed and documented in the current medical
history, as must the Rh factor.
Page Ref: 245
Cognitive Level: Understanding
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. B. 1. Elicit patient values, preferences,
and expressed needs as part of clinical interview, implementation of care
plan, and evaluation of care. | AACN Essentials Competencies: IX. 1.
Conduct comprehensive and focused physical, behavioral, psychological,
spiritual, socioeconomic, and environmental assessments of health and illness
parameters in patients, using developmentally and culturally appropriate
approaches. | NLN Competencies: Relationship-Centered Care: Appreciate
the patient as a whole person, with his or her own life story and ideas about
the meaning of health or illness. | Nursing/Integrated Concepts: Nursing
, Process: Implementation
Learning Outcome: 1 Summarize the essential components of a prenatal
history.
MNL LO: 2.2.1 Perform a comprehensive prenatal assessment.
2
Copyright 2016 Pearson Education, Inc.
3) During the initial prenatal visit, the nurse obtains a weight of 42 kg (92.4 lb).
The nurse must further assess the client for information about which of the
following?
Note: Credit will be given only if all correct and no incorrect choices are
selected.
Select all that apply.
1. Eating habits
2. Foods regularly eaten
3. Income limitations
4. Blood pressure and pulse rate
5. Weight loss during pregnancy
Answer: 1, 2, 3
Explanation: 1. For a client whose weight is less than 100 lb, the nurse would
obtain information on eating habits.
2. For a client whose weight is less than 100 lb, the nurse would obtain
information on foods regularly eaten.
3. For a client whose weight is less than 100 lb, the nurse would obtain
information on income limitations.
Page Ref: 250
Cognitive Level: Analyzing
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. B. 1. Elicit patient values, preferences,
and expressed needs as part of clinical interview, implementation of care
plan, and evaluation of care. | AACN Essentials Competencies: IX. 1.
