Pregnancy Assessment Questions

Pregnancy Assessment Questions Related

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The nurse is teaching her client about the methods of electronic fetal monitoring during labor. Her client asks which method has the fewest risks to her baby and allows her the most freedom. What is the most appropriate response by the nurse?

  • A. Internal and external monitoring have equal risks. You will have to remain in the bed with both of these methods.'
  • B. Internal monitoring is a more invasive method, but we only use internal monitoring if we have difficulty obtaining accurate information with external monitoring.'
  • C. External monitoring will allow you the most freedom of movement and does not require any invasive procedures for you or your baby.'
  • D. External monitoring is not invasive but you have to remain in the bed.'
Correct Answer: C

Rationale: The correct answer is C because external monitoring allows the client the most freedom of movement and does not require any invasive procedures for her or the baby. External monitoring involves placing sensors on the abdomen to monitor the baby's heart rate and the mother's contractions. This method is non-invasive and allows the mother to move around during labor, promoting comfort and mobility.

Choice A is incorrect because internal monitoring is more invasive than external monitoring. Choice B is incorrect because internal monitoring is not used solely based on difficulty obtaining accurate information with external monitoring. Choice D is incorrect because external monitoring does not require the mother to remain in bed; she can move around freely.

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A nurse hears a co-worker state that anybody could be a nurse since it is so automated with infusion devices and electronic monitoring; technology is doing the work. What is the nurse’s best response?

  • A. Technology use has to be combined with nursing judgment.
  • B. The focus of effective nursing care is technology.
  • C. If it’s so easy, why don’t you do it?
  • D. That is true in the 20th century.
Correct Answer: A

Rationale: In many ways, technology makes work easier, but it does not replace nursing judgment. Technology does not replace your critical eye and clinical judgment. Most importantly, it is essential to remember that the focus of nursing care is not the machine or the technology; it is the patient.

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.

A client’s vital signs during labor and delivery were: BP 100/58–110/66, T 98.6ºF–98.8ºF, P 72–80 bpm, R 20–24 rpm. The client’s vitals 2 hours postpartum are BP 100/56, TPR 99.4ºF, P 70 bpm, R 20 rpm. Which of the following actions should the nurse perform at this time?

  • A. Check the client’s lochia flow.
  • B. Ask the client if she is having chills.
  • C. Encourage the client to drink fluids.
  • D. Assess the client’s lung fields.
Correct Answer: A

Rationale: Checking the client’s lochia flow is important to ensure there is no excessive bleeding, which could indicate postpartum hemorrhage.

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.

When a pregnant woman develops ptyalism, which guidance should the nurse provide?

  • A. Chew gum or suck on lozenges between meals.
  • B. Eat nutritious meals that provide adequate amounts of essential vitamins and minerals.
  • C. Take short walks to stimulate circulation in the legs and elevate the legs periodically.
  • D. Use pillows to support the abdomen and back during sleep.
Correct Answer: A

Rationale: The correct answer is A: Chew gum or suck on lozenges between meals. Ptyalism is excessive saliva production during pregnancy. Chewing gum or sucking on lozenges can help manage excessive saliva by promoting swallowing and reducing the sensation of saliva accumulation. This guidance addresses the symptom directly. Choices B, C, and D do not specifically address ptyalism. B focuses on nutrition, C on circulation, and D on physical comfort, which are important aspects of pregnancy but not directly related to managing ptyalism.

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