nur230 final pt 2 Questions with Answers (100% Correct
Answers)
What laboratory finding should a nurse report for a pregnant client at her first prenatal visit? —
Answer: A positive chlamydia culture.
What indicates understanding of gonorrhea treatment in a pregnant client? —Answer: The
client states she will need to tell her sexual partner to get treated as well.
What should a nurse do first for a client at 28 weeks gestation with severe headaches and
blurred vision? —Answer: Obtain a urine sample for protein.
What are presumptive signs of pregnancy that a nurse should include in teaching? —Answer:
Amenorrhea, nausea and vomiting, fatigue, and Chadwick's sign.
Using Naegele's rule, what is the estimated date of delivery (EDD) for a client whose last
menstrual period began on September 8? —Answer: June 1.
What is the correct GTPAL notation for a client with two term births, one preterm birth, one
abortion, and three living children? —Answer: G4 T2 P1 A1 L3.
What indicates understanding of nutritional needs during pregnancy? —Answer: The client
should increase caloric intake by about 340 calories during the second trimester.
What should a nurse do first when a client at 32 weeks reports leaking fluid from the vagina? —
Answer: Test the fluid with nitrazine paper.
What total weight gain should a nurse recommend for a pregnant client with a BMI of 31? —
Answer: 11-20 lb (5-9 kg).
What food should a nurse recommend to a pregnant adolescent to increase iron intake? —
Answer: Spinach.
What is the priority action when screening a pregnant client for intimate partner violence (IPV)?
—Answer: Ask the client in a private setting.
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, What is the best initial response by a nurse when suspecting IPV in a pregnant client with
bruising? —Answer: Can you tell me how these bruises happened?
What indicates understanding of the frequency of prenatal visits? —Answer: The client states
she'll need to come every month until 28 weeks.
What is considered a probable sign of pregnancy? —Answer: A positive pregnancy test.
What is the nurse's priority when a client at 30 weeks gestation reports sudden gush of vaginal
fluid? —Answer: Assess fetal heart rate.
What are danger signs of pregnancy that should be reported immediately? —Answer: Blurred
vision, swelling of hands and face, and epigastric pain.
What instruction should a nurse provide regarding fetal movement counts? —Answer: Count
movements for 1 hour daily; report fewer than 10 movements.
What lab result for a prenatal client at 28 weeks requires follow-up? —Answer: Hematocrit
32%.
What newborn complication should a nurse anticipate for a pregnant client with gonorrhea? —
Answer: Ophthalmia neonatorum.
What food combination provides a complete protein for a pregnant vegetarian? —Answer: Rice
and beans.
What stage and phase of labor is a client in with contractions every 5 minutes and 3 cm
dilation? —Answer: First stage, active phase.
What is the nurse's priority action for variable decelerations on the fetal heart monitor? —
Answer: Reposition the client.
What potential complication should a nurse anticipate for a client with polyhydramnios? —
Answer: Cord prolapse.
What should a nurse do first when late decelerations are observed on the fetal heart tracing? —
Answer: Turn the client to her left side.
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Answers)
What laboratory finding should a nurse report for a pregnant client at her first prenatal visit? —
Answer: A positive chlamydia culture.
What indicates understanding of gonorrhea treatment in a pregnant client? —Answer: The
client states she will need to tell her sexual partner to get treated as well.
What should a nurse do first for a client at 28 weeks gestation with severe headaches and
blurred vision? —Answer: Obtain a urine sample for protein.
What are presumptive signs of pregnancy that a nurse should include in teaching? —Answer:
Amenorrhea, nausea and vomiting, fatigue, and Chadwick's sign.
Using Naegele's rule, what is the estimated date of delivery (EDD) for a client whose last
menstrual period began on September 8? —Answer: June 1.
What is the correct GTPAL notation for a client with two term births, one preterm birth, one
abortion, and three living children? —Answer: G4 T2 P1 A1 L3.
What indicates understanding of nutritional needs during pregnancy? —Answer: The client
should increase caloric intake by about 340 calories during the second trimester.
What should a nurse do first when a client at 32 weeks reports leaking fluid from the vagina? —
Answer: Test the fluid with nitrazine paper.
What total weight gain should a nurse recommend for a pregnant client with a BMI of 31? —
Answer: 11-20 lb (5-9 kg).
What food should a nurse recommend to a pregnant adolescent to increase iron intake? —
Answer: Spinach.
What is the priority action when screening a pregnant client for intimate partner violence (IPV)?
—Answer: Ask the client in a private setting.
© 2025 All rights reserved
, What is the best initial response by a nurse when suspecting IPV in a pregnant client with
bruising? —Answer: Can you tell me how these bruises happened?
What indicates understanding of the frequency of prenatal visits? —Answer: The client states
she'll need to come every month until 28 weeks.
What is considered a probable sign of pregnancy? —Answer: A positive pregnancy test.
What is the nurse's priority when a client at 30 weeks gestation reports sudden gush of vaginal
fluid? —Answer: Assess fetal heart rate.
What are danger signs of pregnancy that should be reported immediately? —Answer: Blurred
vision, swelling of hands and face, and epigastric pain.
What instruction should a nurse provide regarding fetal movement counts? —Answer: Count
movements for 1 hour daily; report fewer than 10 movements.
What lab result for a prenatal client at 28 weeks requires follow-up? —Answer: Hematocrit
32%.
What newborn complication should a nurse anticipate for a pregnant client with gonorrhea? —
Answer: Ophthalmia neonatorum.
What food combination provides a complete protein for a pregnant vegetarian? —Answer: Rice
and beans.
What stage and phase of labor is a client in with contractions every 5 minutes and 3 cm
dilation? —Answer: First stage, active phase.
What is the nurse's priority action for variable decelerations on the fetal heart monitor? —
Answer: Reposition the client.
What potential complication should a nurse anticipate for a client with polyhydramnios? —
Answer: Cord prolapse.
What should a nurse do first when late decelerations are observed on the fetal heart tracing? —
Answer: Turn the client to her left side.
© 2025 All rights reserved
