A 25 - year old pregnant patient is at 10 weeks of gestation.
Their BMI is calculated to be 24. Regarding weight gain during
pregnancy, the nurse should recommend:
A. A total weight gain of 39 lbs
B. First trimester weight gain of 2-4 lbs
C. Weight gain of 1 lb each week for 40 weeks
D. Weight gain of 6 lbs during the second and third trimesters
Correct Answers B. First trimester weight gain of 2-4
A client who is at 7 weeks of gestation is experiencing nausea
and vomiting in the morning. Which of the following should the
nurse include?
A. Eat crackers or plain toast before getting out of bed
B. Awaken during the night to eat a snack
C. Skip breakfast and eat lunch after nausea has subsided
D. Eat a large evening meal Correct Answers A. Eat crackers
or plain toast before getting out of bed
A client who is at 8 weeks of gestation tells the nurse, "I am not
sure I am happy about being pregnant." Which of the following
responses should the nurse make?
A. "I will inform the provider that you are having these
feelings."
B. "It is normal to have these feelings during the first few
months of pregnancy."
,C. "You should be happy that you are going to bring new life
into the world."
D. "I am going to make an appointment with the counselor for
you to discuss these thoughts." Correct Answers B. "It is
normal to have these feelings during the first few months of
pregnancy."
A multiparous client, Gravida 3 Para 2002 was examined 5
minutes ago. Her cervix was 8cm, 90% effaced. She now states
that she has to move her bowels. Which of the following should
the nurse do first?
A. Offer the client the bedpan.
B. Evaluate the progress of labor.
C. Notify the provider.
D. Encourage the client to push. Correct Answers B. Evaluate
the progress of labor.
A nurse educator in the labor and delivery unit is reviewing the
use of chemical agents to promote cervical ripening with a group
of newly licensed newly. Which of the following statements by
nurse indicates understanding of the teaching?
A. "They are tablets administered vaginally."
B. "They act by absorbing fluid from tissues."
C. "They promote dilation of the os."
D. "They include an amniotomy." Correct Answers A. "They
are tablets administered vaginally."
A nurse in a clinic is teaching a client of childbearing age about
recommended folic acid supplements. Which of the following
, defects can occur in the fetus or neonate as a result of folic acid
deficiency?
A. Iron deficiency anemia
B. Poor bone formation
C. Macrosomic fetus
D. Neural tube defects Correct Answers D. Neural tube defects
A nurse in a clinic receives a phone call from a client who
would like to be tested in the clinic to confirm a pregnancy.
Which of the following information should the nurse provide to
the client?
A. "You should wait until 4 weeks after conception to be
tested."
B. "You should be off any medications for 24 hr prior to the
test."
C. "You should be NPO for at least 8 hr prior to the test."
D. "You should collect urine from the first morning void."
Correct Answers D. "You should collect urine from the first
morning void."
A nurse in a prenatal clinic is caring for a client who is in the
first trimester of pregnancy. The client's health record includes
this data: G3 T1 P0 A1 L1. How should the nurse interpret this
information? (Select all that apply.)
A. Client has delivered one newborn at term
B. Client has experienced no preterm labor
C. Client has been through active labor
D. Client has had two prior pregnancies