Pregnancy Assessment Questions

Pregnancy Assessment Questions Related

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Which information is covered by early pregnancy classes offered in the first and second trimesters?

  • A. Methods of pain relief
  • B. The phases and stages of labor
  • C. Coping with common discomforts of pregnancy
  • D. Prebirth and postbirth care of a patient having a cesarean birth
Correct Answer: C

Rationale: The correct answer is C: Coping with common discomforts of pregnancy. Early pregnancy classes in the first and second trimesters focus on providing expecting mothers with strategies to manage common physical and emotional challenges during pregnancy. This includes information on dealing with nausea, fatigue, backaches, and emotional changes. Understanding and coping with these discomforts can help pregnant women have a more comfortable and healthy pregnancy.

A: Methods of pain relief are typically covered in childbirth preparation classes closer to the due date, not in early pregnancy classes.
B: The phases and stages of labor are usually discussed in depth in childbirth education classes taken later in pregnancy, not in early pregnancy classes.
D: Prebirth and postbirth care of a patient having a cesarean birth is a specific topic that may be covered in a separate class for women who are planning or have been recommended to have a cesarean birth, not typically in early pregnancy classes.

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The labor nurse is reviewing breathing techniques with a primiparous patient admitted for induction of labor. When is the best time to encourage the laboring patient to use slow, deep chest breathing with contractions?

  • A. During labor, when she can no longer talk through contractions
  • B. During the first stage of labor, when the contractions are 3 to 4 minutes apart
  • C. Between contractions, during the transitional phase of the first stage of labor
  • D. Between her efforts to push to facilitate relaxation between contractions
Correct Answer: A

Rationale: The correct answer is A: During labor, when she can no longer talk through contractions. This is the best time to encourage slow, deep chest breathing as it helps the laboring patient stay calm, focused, and manage pain effectively during the intense active phase of labor. When a woman reaches the point where she can no longer talk through contractions, it indicates that she is in the active phase of labor and may benefit from slow, deep breathing to help cope with the intensity of contractions.

Explanation for why other choices are incorrect:
B: During the first stage of labor, when the contractions are 3 to 4 minutes apart - Contractions being 3 to 4 minutes apart may not necessarily indicate the active phase of labor requiring slow, deep breathing.
C: Between contractions, during the transitional phase of the first stage of labor - Transitional phase contractions are typically intense and close together, making it less ideal for relaxation breathing between contractions.
D: Between her efforts

Without doing a vaginal examination, a nurse concludes that a primigravida, who has received no medications during her labor, is in transition. Which of the following signs/symptoms would lead a nurse to that conclusion?

  • A. The woman fell asleep during a contraction.
  • B. The woman yelled at her partner and vomited.
  • C. The woman laughed at something on the television.
  • D. The woman began pushing with each contraction.
Correct Answer: B

Rationale: Yelling and vomiting are common signs of the transition phase of labor, characterized by intense contractions and emotional distress.

Which laboratory result would be a cause for concern if exhibited by a patient at her first prenatal visit during the second month of her pregnancy?

  • A. Rubella titer, 1:6
  • B. Platelets, 300,000/mm3
  • C. White blood cell count, 6000/mm3
  • D. Hematocrit 38%, hemoglobin 13 g/dL
Correct Answer: A

Rationale: The correct answer is A: Rubella titer, 1:6. A low rubella titer indicates susceptibility to rubella infection, which can be harmful during pregnancy. Rubella can lead to birth defects or miscarriage. Platelets, WBC count, and hematocrit/hemoglobin levels are within normal range and not typically concerning during the early stages of pregnancy.

A client who had a vaginal delivery 2 hours earlier has just been transferred to the postpartum unit from labor and delivery. Which of the following nursing care goals is of highest priority?

  • A. The client will breastfeed her baby every 2 hours.
  • B. The client will consume a nutritious diet.
  • C. The client will have a moderate lochial flow.
  • D. The client will ambulate in the hallways every shift.
Correct Answer: C

Rationale: Ensuring the client has a moderate lochial flow is a priority to monitor for postpartum hemorrhage.

A client, 6 cm and 80% effaced, has just received Demerol (meperidine) 50 mg IV for pain. Which of the following fetal heart changes would the nurse expect to observe on the internal fetal monitor tracing?

  • A. Drop in baseline heart rate.
  • B. Increase in number of variable decelerations.
  • C. Decrease in variability.
  • D. Rise in number of early decelerations.
Correct Answer: C

Rationale: Demerol can cross the placenta and cause decreased variability in the fetal heart rate.

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