Which sign or symptom is considered a first trimester warning sign and should be immediately reported by the pregnant woman to her health care provider quizlet?

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1. Why should a woman in her first trimester of pregnancy expect to visit her health care provider every 4 weeks?

A. Problems can be eliminated.
B. She develops trust in the health care team
C. Her questions about labor can be answered.
D. The conditions of the expectant mother and fetus can be monitored

D. The conditions of the expectant mother and fetus can be monitored

2. Which is the gravida and para for a client who delivered triplets 2 years ago and is now pregnant again?

A. 2, 3
B. 1, 2
C. 2, 1
D. 1, 3

C. 2, 1

3. A client, gravida 2, para 1, comes for a prenatal visit at 20 weeks of gestation. Her fundus is palpated 3 cmbelow the umbilicus. This finding is:

A. Appropriate for gestational age.
B. A sign of impending complications.
C. Lower than normal for gestational age.
D. Higher than normal for gestational age

C. Lower than normal for gestational age.

4. When documenting a client encounter, what term will the nurse use to describe the woman who is in the 28thweek of her first pregnancy?

A. Multigravida
B. Multipara
C. Nullipara
D. Primigravida

D. Primigravida

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

A. Client 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 Goodells sign and Chadwicks sign, are present.
D. She has increased vaginal secretions.

B. Fundal height is below the umbilicus.

6. Determine the obstetric history of a client in her fifth pregnancy who had two spontaneous abortions in thefirst trimester, one infant at 32 weeks gestation, and one infant at 38 weeks gestation.

A. G5 T1 P2 A2 L 2
B. G5 T1 P1 A1 L2
C. G5 T0 P2 A2 L2
D. G5 T1 P1 A2 L2

D. G5 T1 P1 A2 L2

7. Use Naegele's rule to determine the EDD (estimated day of birth) for a client whose last menstrual periodstarted on April 12.

A. February 19
B. January 19
C. January 21
D. February 7

B. January 19

8. The health care provider reports that the primigravidas fundus can be palpated at the umbilicus. Whichpriority question will the nurse include in the clients assessment?

A. "Have you noticed that it is easier for you to breathe now?"
B. "Would you like to hear the babys heartbeat for the first time?"
C. "Have you felt a fluttering sensation in your lower pelvic area yet?"
D. "Have you recently developed any unusual cravings, such as for chalk or dirt?"

C. "Have you felt a fluttering sensation in your lower pelvic area yet?"

9. The nurse is assessing a patient during a routine prenatal visit. Her pregnancy has been unremarkable, and ather last visit her fundal height measurement was 23 cm. The nurse measures the patient's fundal height at 24cm. What is the next nursing action?

A. Ask the patient when she last felt fetal movement.
B. Palpate the patient's bladder to determine if it is full.C. Review the patients chart for her pattern of weight gain.D. Assess the patients deep tendon reflexes (DTRs) bilaterally at the patella.

A. Ask the patient when she last felt fetal movement.

10. When assessing a pregnant woman in her last trimester, which question would be most appropriate to use togather information about weight gain and fluid retention?

A. "What is your usual dietary intake for a typical day?"
B. "What size maternity clothes are you wearing now?"
C. "How puffy does your face look by the end of a day?"
D. "How swollen do your ankles appear before you go to bed?

D. "How swollen do your ankles appear before you go to bed?

11. A woman asks the nurse about the frequency of prenatal visits. In an uncomplicated pregnancy, the nursewould tell her that appointments are scheduled:

A. Every 3 weeks until the 6th month, then every 2 weeks until delivery
B. Every 4 weeks until the 7th month, after which appointments will become more frequent
C. Monthly until the 8th month
D. Every 2 to 3 weeks for the entire pregnancy.

B. Every 4 weeks until the 7th month, after which appointments will become more frequent

12. The nurse has explained physiological changes that occur during pregnancy. Which of the following statementsindicate that the woman understands the information?

A. Blood pressure goes up toward the end of pregnancy.
B. My breathing will get deeper and a little faster.
C. I'll notice a decreased pigmentation in my skin.
D. There will be a curvature in the upper spine area

B. My breathing will get deeper and a little faster.

13. A woman tells the nurse that she is quite sure that she is pregnant. The nurse recognizes which of the followingto be a positive sign of pregnancy?

A. Amenorrhea
B. Uterine enlargement
C. hCG detected in the urine
D. Fetal heartbeat

D. Fetal heartbeat

14. A woman pregnant for the first time asks the nurse, "When will I begin to feel the baby move?" The nurse would answer:

A. Mothers may notice the baby moving around the 4th to 5th month.
B. Quickening varies with every woman.
C. You'll feel something by the end of the first trimester.
D. The baby will be big enough for you to feel in your 8th month.

A. Mothers may notice the baby moving around the 4th to 5th month.

15. The client who is 40 weeks pregnant complains of a sense of weakness and dizziness when she lies on her back.The nurse assesses this as an indication of:
A. Supine hypotension
B. Orthostatic hypotension
C. Gestational hypertension

A. Supine hypotension

16. The nurse cautions the patient that because of hormonal changes in late pregnancy, the pelvic joints relax,which can result in: Select all that apply.

A. Waddling gait
B. Joint instability
C. Urinary frequency
D. Back pain
E. Aching in cervical spine

A. Waddling gait
B. Joint instability

The nurse is teaching a pregnant client about signs of possible pregnancy complications. Which should the nurse include in the teaching plan? Select all that apply. *

Report watery vaginal discharge.
Report puffiness of the face or around the eyes.
Report any bloody show when you go into labor
Report visual disturbances, such as spots before the eyes
Report any dependent edema that occurs at the end of the day.

Report watery vaginal discharge.
Report any bloody show when you go into labor

What is the AOG if the mother have her prenatal check up August 15, 2020? LMP is January 30. *

20 weeks and 6 days
31 weeks and 6 days
30 weeks and 6 days
31 weeks and 5 days

30 weeks and 6 days

Which sign of a potential complication is the most important for the nurse to share with the client? *

Constipation
Alteration in the pattern of fetal movement
Heart palpitations
Edema in the ankles and feet at the end of the day

Heart palpitations

Where should the nurse position herself when doing the fourth maneuver? (Leopold's
Maneuver) *

She should face the woman's feet
She should stay at the foot of the woman facing the face of the client
She should stay at the side of patient either left or right
She should may either stay at the foot part or at the head part of the patient

She should face the woman's feet

Which of the following indicates a mature fetus? Select all that apply.

BPD of 9.5
L/S ratio of 2:1
Body covered with thick lanugo and vernix caseosa

BPD of 9.5
L/S ratio of 2:1

Which of the following should be included in the history of past illness during the interview of the pregnant client? Select all that apply. *

Childhood diseases
Immunization with childhood diseases
Allergies
Past surgical procedures
Diseases that post potential difficulty during pregnancy

Childhood diseases
Immunization with childhood diseases
Allergies
Past surgical procedures
Diseases that post potential difficulty during pregnancy

The client who is 40 weeks pregnant complains of a sense of weakness and dizziness when she lies on her back. The nurse assesses this as an indication of: *

Supine hypotension
Orthostatic hypotension
Gestational hypertension
Pseudoanemia

Supine hypotension

When assessing a woman at follow-up prenatal visits, the nurse would anticipate which of the following to be performed? *

Hemoglobin and hematocrit
Urine for culture
Fetal ultrasound
Fundal height measurement

Fundal height measurement

A pregnant client reports that she works in a long-term care setting and is concerned about the impending flu season. She asks about receiving the flu vaccine. As the nurse, you are aware that some immunizations are safe to administer during pregnancy, whereas others are not. Which vaccines could this client receive? Select all that apply. *

Tetanus
Varicella
Influenza
Hepatitis A and B
Measles, mumps, rubella (MMR)

Tetanus
Influenza
Hepatitis A and B

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

Client states that she doesn't feel any Braxton Hicks contractions like she had in her prior pregnancies.
Fundal height is below the umbilicus.
Cervical changes, such as Goodells sign and Chadwicks sign, are present.
She has increased vaginal secretions.

Fundal height is below the umbilicus.

What is being assessed when doing the second maneuver? *

Fetal pole
Fetal back
Fetal part that lies the inlet
On which side is the cephalic prominence

Fetal back

The nurse cautions the patient that because of hormonal changes in late pregnancy, the pelvic joints relax, which can result in: Select all that apply. *

Waddling gait
Joint instability
Urinary frequency
Back pain
Aching in cervical spine

Waddling gait
Joint instability

A client is currently pregnant; she has a 5-year-old son and a 3-year-old daughter. She had one other pregnancy that terminated at 8 weeks. Which are her gravida and para? *

3, 2
4, 3
4, 2
3, 3

4, 2

A woman who is 16 weeks pregnant has come in for a follow-up visit with her significant other. To reassure the client regarding fetal well-being, which is the highest priority action for the nurse to perform? *

Assess the fetal heart tones with a Doppler stethoscope.
Measure the girth of the woman's abdomen.
Complete an ultrasound examination (sonogram).
Offer the woman and her family the opportunity to listen to the fetal heart tones.

Offer the woman and her family the opportunity to listen to the fetal heart tones.

A client's last menstrual period was June 10. What is her estimated date of birth (EDD)? *

April 7
March 17
March 27
April 17

March 17

Which women should undergo prenatal testing for the human immunodeficiency virus (HIV)? *

All women, regardless of risk factors
Women who have had more than one sexual partner
Women who have had a sexually transmitted infection (STI)
Woman who are monogamous with one partner

All women, regardless of risk factors

What is the fetal length of a 6 month old fetus? Note: do not put space between the number and the unit of measurement (use cm) *

30 cm

What is the EDC if the LMP is June 25, 2020?
1 point
March 1, 2021
April 1, 2021
April 2, 2021
April 1, 2020

April 1, 2021

A client, gravida 2, para 1, comes for a prenatal visit at 20 weeks of gestation. Her fundus is palpated 3 cm below the umbilicus. This finding is: *

Appropriate for gestational age.
A sign of impending complications.
Lower than normal for gestational age.
Higher than normal for gestational age.

Lower than normal for gestational age.

What is the AOG if the mother have her prenatal check May 28, 2020? LMP is March 1? *

12 weeks and 4 days
11 weeks and 3days
12 weeks and 5 days
11 weeks and 6 days

12 weeks and 4 days

What exercise is intended to relieve stress incontinence? *

Kegel exercise
Yoga
Hip tilt
Valsalva's maneuver

Kegel exercise

Which sign or symptom is considered a first-trimester warning sign and should be immediately reported by the pregnant woman to her health care provider? *

Nausea with occasional vomiting
Fatigue
Urinary frequency
Vaginal bleeding

Vaginal bleeding

The nurse has explained physiological changes that occur during pregnancy. Which of the following statements indicate that the woman understands the information? *

Blood pressure goes up toward the end of pregnancy.
My breathing will get deeper and a little faster.
I'll notice a decreased pigmentation in my skin.
There will be a curvature in the upper spine area.

My breathing will get deeper and a little faster.

A woman's obstetric history indicates that she is pregnant for the fourth time, and all of her children from previous pregnancies are living. One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation. What is her gravidity and parity using the GTPAL system? *

3-1-1-1-3
4-1-2-0-4
3-0-3-0-3
4-2-1-0-3

4-1-2-0-4

During the physical examination of a client beginning prenatal care, which initial action is most important for the nurse to perform? *

Only women who show physical signs or meet the sociologic profile should be assessed for physical abuse.
The client should empty her bladder before the pelvic examination.
The distribution, amount, and quality of body hair are of no particular importance.
The size of the uterus is discounted in the initial examination because it will be increasing in size during the second trimester.

The client should empty her bladder before the pelvic examination.

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

Abdominal pain
Ankle edema in the afternoon
Backache with prolonged standing
Shortness of breath when climbing stairs

Abdominal pain

A pregnant woman is the mother of two children. Her first pregnancy ended in a stillbirth at 32 weeks of gestation, her second pregnancy with the birth of her daughter at 36 weeks, and her third pregnancy with the birth of her son at 41 weeks. Using the five-digit system to describe this womans current obstetric history, what should the nurse record? *

4-1-2-0-2
3-1-2-0-2
4-2-1-0-1
3-1-1-1-3

4-1-2-0-2

The nurse is assessing a patient during a routine prenatal visit. Her pregnancy has been unremarkable, and at her last visit her fundal height measurement was 23 cm. The nurse measures the patient's fundal height at 24 cm. What is the next nursing action? *

Ask the patient when she last felt fetal movement.
Palpate the patient's bladder to determine if it is full.
Review the patients chart for her pattern of weight gain.
Assess the patients deep tendon reflexes (DTRs) bilaterally at the patella.

Ask the patient when she last felt fetal movement.

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Which symptom is considered a first trimester warning sign and should be reported immediately to the health care provider?

Excessive Nausea and Vomiting It's normal to have some nausea and vomiting during your first trimester. Most pregnant women go through that. But if it's severe or makes you dehydrated, that's something to heed. If you can't keep any water or fluids down for more than 12 hours, call your doctor.

Which of the following has the sign of a first trimester phase of pregnancy?

First Trimester (0 to 13 Weeks) Your body also undergoes major changes during the first trimester. These changes often cause a variety of symptoms, including nausea, fatigue, breast tenderness and frequent urination. Although these are common pregnancy symptoms, every woman has a different experience.

Which of the following usually occurs during the first trimester?

The neural tube (which becomes the brain and spinal cord), the digestive system, and the heart and circulatory system begin to form. The beginnings of the eyes and ears are developing. Tiny limb buds appear, which will develop into arms and legs. The heart is beating.

What are two things that happen during the first trimester of pregnancy?

A baby develops rapidly during the first trimester. The fetus begins to develop a brain and spinal cord, and the organs begin to form. The baby's heart will also begin to beat during the first trimester. Arms and legs begin to bud in the first few weeks, and by the end of eight weeks, fingers and toes start to form.