Pregnancy Assessment Questions

Pregnancy Assessment Questions Related

Review Pregnancy Assessment Questions related questions and content

The nurse is caring for a client who is scheduled to have an amniocentesis. Which intervention is most important for the nurse to perform after the procedure?

  • A. Evaluate need for Rh0D immunoglobulin
  • B. Clean site
  • C. Administer pain medication
  • D. Perform vital signs
Correct Answer: A

Rationale: The correct answer is A: Evaluate need for Rh0D immunoglobulin. After an amniocentesis, it is crucial to assess if the client is Rh-negative and the fetus is Rh-positive. If this is the case, Rh0D immunoglobulin should be administered to prevent Rh incompatibility issues in future pregnancies. This intervention is critical to prevent hemolytic disease in the newborn.
Cleaning the site (B) is important for infection prevention but not the most critical post-procedure intervention. Administering pain medication (C) can be done based on client's discomfort level but not the top priority. Performing vital signs (D) is important but assessing Rh status and administering Rh0D immunoglobulin take precedence.

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When caring for a woman whom a nurse suspects is being abused by her partner, the nurse should do which of the following?

  • A. Ask the client directly about how she sustained her injuries.
  • B. Counsel the client on how her behavior probably provoked the attack.
  • C. Inform the client that the police must arrest her partner.
  • D. Give the client a pamphlet with the names of matrimonial attorneys.
Correct Answer: A

Rationale: Directly asking about injuries helps assess the situation and provide appropriate support and resources.

An older adult patient has extensive wound care needs after discharge from the hospital. Which facility should the nurse discuss with the patient?

  • A. Hospice
  • B. Respite care
  • C. Assisted living
  • D. Skilled nursing
Correct Answer: D

Rationale: An intermediate care or skilled nursing facility offers skilled care from a licensed nursing staff.

A pregnant patient asks the prenatal nurse how much physical activity is safe during pregnancy. What is an acceptable response by the nurse?

  • A. Decreasing physical activity decreases emotional and physical symptoms.
  • B. Increasing physical activity increases emotional and physical symptoms.
  • C. Physical activity during pregnancy should be limited to hygiene and household tasks.
  • D. The level of activity prior to pregnancy is used to determine a safe activity level during pregnancy.
Correct Answer: D

Rationale: The correct answer is D because the level of activity prior to pregnancy is a good indicator of the safe activity level during pregnancy. This is because pregnant women are generally encouraged to continue their pre-pregnancy level of exercise, adjusting as needed based on individual circumstances.

A is incorrect because decreasing physical activity may lead to more physical discomfort and emotional symptoms. B is incorrect as increasing physical activity can be beneficial if done safely. C is incorrect because hygiene and household tasks alone may not provide sufficient physical activity during pregnancy.

Which government-instituted programs should the nurse include in a teaching session about controlling health care costs? (Select all that apply.)

  • A. Professional standards review organizations
  • B. Prospective payment systems
  • C. Diagnosis-related groups
  • D. Third-party payers
Correct Answer: B

Rationale: The federal government, the biggest consumer of health care, which pays for Medicare and Medicaid, has created professional standards review organizations (PSROs) to review the quality, quantity, and costs of hospital care. One of the most significant factors that influenced payment for health care was the prospective payment system (PPS). Established by Congress in 1983, the PPS eliminated cost-based reimbursement. Instead, the PPS grouped inpatient hospital services for Medicare patients into diagnosis-related groups (DRGs).

The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal serum is to determine whether the fetus has which condition?

  • A. Hemophilia
  • B. Sickle cell anemia
  • C. A neural tube defect
  • D. Abnormal lecithin-to-sphingomyelin ratio
Correct Answer: C

Rationale: The correct answer is C: A neural tube defect. Elevated AFP levels in maternal serum are indicative of neural tube defects in the fetus. AFP is produced by the fetal liver and yolk sac, and high levels may suggest a defect in the development of the neural tube. Hemophilia (A), sickle cell anemia (B), and abnormal lecithin-to-sphingomyelin ratio (D) do not directly correlate with AFP levels. Hemophilia is a genetic blood disorder, sickle cell anemia is a genetic blood disorder affecting hemoglobin, and abnormal lecithin-to-sphingomyelin ratio is related to fetal lung maturity.

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