Pregnancy Assessment Questions

Pregnancy Assessment Questions Related

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You are performing assessments for an obstetric patient who is 5 months pregnant with her third child. Which finding would cause you to suspect that the patient was at risk?

  • A. Patient states that she doesn't feel any Braxton Hicks contractions like she had in her prior pregnancies.
  • B. Fundal height is below the umbilicus.
  • C. Cervical changes, such as Goodell's sign and Chadwick's sign, are present.
  • D. She has increased vaginal secretions.
Correct Answer: B

Rationale: The correct answer is B: Fundal height is below the umbilicus. At 5 months pregnant with her third child, fundal height should be at or above the level of the umbilicus. A fundal height below the umbilicus may indicate intrauterine growth restriction or other fetal growth issues. This finding suggests a potential risk to the pregnancy's progress.

Incorrect Choices:
A: Patient not feeling Braxton Hicks contractions is common and not necessarily indicative of risk.
C: Presence of cervical changes like Goodell's and Chadwick's signs are expected physiological changes in pregnancy and do not necessarily indicate risk.
D: Increased vaginal secretions can be normal during pregnancy and do not necessarily signify a risk.

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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.

A client with type 1 diabetes mellitus is 6 weeks pregnant. Her fasting glucose and hemoglobin A1C are noted to be 168 mg/dL and 12%, respectively. Which of the following nursing diagnoses is appropriate for the nurse to make at this time?

  • A. Altered maternal skin integrity.
  • B. Deficient maternal fluid volume.
  • C. Risk for fetal injury.
  • D. Fetal urinary retention.
Correct Answer: C

Rationale: The high glucose levels and elevated A1C indicate poor glycemic control, which poses a risk for fetal injury due to potential complications like macrosomia or congenital anomalies.

A breastfeeding mother and her baby are being discharged home after delivery. The nurse is providing anticipatory guidance about what signs to expect the baby to exhibit every 24 hours by the end of the first week. Which of the following should the nurse include in his/her instructions?

  • A. The baby will have at least 6 wet diapers.
  • B. The baby will have at least 6 pasty stools.
  • C. The baby will breastfeed at least 6 times.
  • D. The baby will gain at least 6 ounces.
Correct Answer: A

Rationale: Adequate wet diapers indicate proper hydration and milk intake.

A woman is being interviewed by a triage nurse at a medical doctor's office. Which of the following signs/symptoms by the client would warrant the nurse to suggest that a pregnancy test be done? Select all that apply.

  • A. Amenorrhea.
  • B. Fever.
  • C. Fatigue.
  • D. Nausea.
Correct Answer: A

Rationale: Amenorrhea, fatigue, and nausea are common early signs of pregnancy. Fever is not typically associated with pregnancy and may indicate an infection.

Which complaint made by a patient at 35 weeks of gestation requires additional assessment?

  • A. Abdominal pain
  • B. Ankle edema in the afternoon
  • C. Backache with prolonged standing
  • D. Shortness of breath when climbing stairs
Correct Answer: A

Rationale: The correct answer is A: Abdominal pain. This complaint at 35 weeks of gestation requires additional assessment as it could indicate a serious issue such as preterm labor, placental abruption, or other complications. Abdominal pain in late pregnancy should never be ignored. Ankle edema in the afternoon, backache with prolonged standing, and shortness of breath when climbing stairs are common discomforts in pregnancy and may not necessarily indicate a serious problem at this stage.

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