Pregnancy Assessment Questions

Pregnancy Assessment Questions Related

Review Pregnancy Assessment Questions related questions and content

The nurse is performing the interval history on a patient at 30 weeks of gestation. What data would the prenatal nurse bring to the attention of the health-care provider?

  • A. Hgb change from 12 g/dL (at first prenatal visit) to 11 g at 28 weeks
  • B. negative ketones in the urine
  • C. dysuria for 3 days
  • D. weight gain of 3 pounds in the last 2 weeks
Correct Answer: C

Rationale: Rationale: Choice C (dysuria for 3 days) is the correct answer as it could indicate a urinary tract infection (UTI) which can lead to complications during pregnancy. Dysuria may be a sign of UTI, which can progress quickly in pregnant women. Bringing this to the health-care provider's attention is essential for prompt treatment to prevent potential harm to both the mother and baby.

Summary of other choices:
A: Hgb change is within normal range for pregnancy, not necessarily alarming.
B: Negative ketones in the urine are expected and indicate adequate glucose utilization.
D: Weight gain of 3 pounds in 2 weeks is considered normal in the third trimester and not typically a cause for concern unless sudden or excessive.

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A nurse is teaching about the effects of globalization. Which information should the nurse include in the teaching session?

  • A. Increased spread of communicable diseases
  • B. Increased homogeneous mix of nursing staff
  • C. Decreased poverty and increased 'health tourism'
  • D. Decreased urbanization as populations shift to the suburbs
Correct Answer: A

Rationale: Although globalization of trade, travel, and culture has improved the availability of health care services, the spread of communicable diseases such as tuberculosis and severe acute respiratory syndrome (SARS) has become more common.

The nurse is counseling a woman who has been diagnosed with mild osteoporosis. Which of the following should be included in the counseling session?

  • A. Begin a regimen of walking each day.
  • B. Refrain from drinking chocolate milk.
  • C. Increase her daily intake of red meat.
  • D. Only wear shoes with rubber soles.
Correct Answer: A

Rationale: Weight-bearing exercises like walking can help strengthen bones and reduce the risk of fractures in individuals with osteoporosis.

The health care practitioner caring for a pregnant client diagnosed with gonorrhea writes the following order: ceftriaxone 250 mg IM × one dose. The medication is available in 1-gram vials. The nurse adds 8 mL of normal saline to the vial. How many mL of the medication should the nurse administer? Calculate to the nearest whole.

  • A. 2 mL
  • B. 3 mL
  • C. 4 mL
  • D. 5 mL
Correct Answer: A

Rationale: The nurse should administer 2 mL of the medication. The calculation is based on the concentration of the medication after dilution.

A patient at 36 weeks gestation is undergoing a nonstress (NST) test. The nurse observes the fetal heart rate baseline at 135 beats per minute (bpm) and four nonepisodic patterns of the fetal heart rate reaching 160 bpm for periods of 20 to 25 seconds each. How will the nurse record these findings?

  • A. NST positive, nonreassuring
  • B. NST negative, reassuring
  • C. NST reactive, reassuring
  • D. NST nonreactive, nonreassuring
Correct Answer: C

Rationale: Step 1: The baseline fetal heart rate is 135 bpm, which is within the normal range of 110-160 bpm.
Step 2: The four nonepisodic patterns of fetal heart rate reaching 160 bpm for 20-25 seconds each indicate accelerations, a positive sign.
Step 3: A reactive NST requires at least two accelerations of the fetal heart rate within a 20-minute window, which this scenario meets.
Step 4: Therefore, the nurse will record these findings as NST reactive, reassuring because the fetal heart rate responded appropriately to stimuli.
Summary of Other Choices:
A: NST positive, nonreassuring - Inaccurate, as the findings indicate a reassuring response.
B: NST negative, reassuring - Incorrect, as the test results are actually reactive, not negative.
D: NST nonreactive, nonreassuring - Wrong, as the test is reactive and reassuring, not nonreactive and nonreassuring.

A nurse is following the PDSA cycle for quality improvement. Which action will the nurse take for the letter “A”?

  • A. Act
  • B. Alter
  • C. Assess
  • D. Approach
Correct Answer: A

Rationale: There are many models for quality improvement and performance improvement. One model is the PDSA cycle: plan, do, study, and act.

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