Pregnancy Assessment Questions

Pregnancy Assessment Questions Related

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The nurse is teaching a patient at 28 weeks of gestation how to perform fetal movement counts. What statement by the patient indicates the patient understands teaching?

  • A. I need to count the baby's movements for 1 hour every day.
  • B. I should wait to count the baby's movements after work.
  • C. If the baby moves less than 10 times in 2 hours, I need to call the midwife.
  • D. Once the baby moves 5 times, I can stop counting the movements.
Correct Answer: C

Rationale: The correct answer is C because it accurately reflects the recommended protocol for fetal movement counts. By counting fetal movements over a 2-hour period and contacting the midwife if fewer than 10 movements are felt, the patient demonstrates understanding of the importance of monitoring fetal well-being. This approach aligns with the standard practice of assessing fetal activity as a crucial indicator of fetal health.

Choice A is incorrect because counting for 1 hour may not provide a comprehensive assessment. Choice B is incorrect as it suggests delaying monitoring, which could be dangerous if there are concerns about fetal movement. Choice D is incorrect as it implies stopping the count prematurely, potentially missing crucial information about the baby's activity level.

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A birth plan is being developed by a pregnant couple. Which of the following items should be included in the plan?

  • A. The method of infant feeding the mother plans on using.
  • B. The name and address of her health care insurance company.
  • C. The couple's baby name preferences.
  • D. The couple's cell phone numbers.
Correct Answer: A

Rationale: A birth plan typically includes the mother's preferences for labor, delivery, and postpartum care, including infant feeding methods.

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 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.

The nurse is caring for a client and her partner who just birthed a 33-week fetal demise. Which of the following actions by the nurse is appropriate at this time?

  • A. Recommend that the woman be moved to a medical unit.
  • B. Refrain from discussing the loss with the couple.
  • C. Ask the couple if they would like to hold their baby.
  • D. Obtain an order for a milk suppressant for the mother.
Correct Answer: C

Rationale: Allowing the couple to hold their baby facilitates the grieving process and provides closure.

What does optimal nursing care after an amniocentesis include?

  • A. Pushing fluids by mouth
  • B. Monitoring uterine activity
  • C. Placing the patient in a supine position for 2 hours
  • D. Applying a pressure dressing to the puncture site
Correct Answer: B

Rationale: The correct answer is B: Monitoring uterine activity. After an amniocentesis, it is crucial to monitor uterine activity to detect any signs of preterm labor or uterine contractions. This helps in identifying any potential complications early on and ensures prompt intervention if needed.

A: Pushing fluids by mouth is important for hydration but not directly related to optimal nursing care after an amniocentesis.
C: Placing the patient in a supine position for 2 hours is not recommended as it may increase the risk of hypotension and discomfort for the patient.
D: Applying a pressure dressing to the puncture site is not necessary after an amniocentesis as the risk of bleeding is minimal and pressure dressings may increase the risk of infection.

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