ATI: Prenatal Care

Question 1

When can the heartbeat of the fetus be first heard by doppler?

Answer 1

Late in the first trimester

Question 2

When should a nurse start assessing fetal movement?

By what weeks?

Answer 2

16-20 weeks of gestation

Question 3

When do you admin RhO(D) immune globulin IM and to which clients?

Answer 3

• At 28 weeks
• Clients who are Rh -

Question 4

When would a nurse obtain GBS cultures?

GBS= Group B Streptococcus

Answer 4

At 35-38 weeks

Question 5

Should a woman fast for a 1-hour glucose test?

Answer 5

No fasting is necessary

Question 6

When should the glucose test be done for at risk women?

Answer 6

During first initial prenatal visit

Question 7

When should the glucose test be done for non-at risk pregnant women?

Answer 7

From 24-28 weeks of gestation

Question 8

What are some common discomforts during the first trimester of pregnancy?

Answer 8

• Breast tenderness
• Nausea and vomiting
• Urinary Frequency (1st and 3rd)

Question 9

How can we help women decrease the probability of getting UTIs during pregnancy?

Answer 9

• Consume plenty of fluids
• Wipe from front to back
• Avoid bubble baths
• Avoid tight fitting pants

Question 10

Constipation usually occurs during the 2nd or 3rd trimester, how can we educate the client about this?

Answer 10

• Drink plenty of water
• Eat fiber
• Exercise

Question 11

How can we educate the client to differentiate between Braxton Hicks contractions vs real contractions?

Answer 11

• Braxton Hicks contractions should improve while changing positions or walking
• If contractions increase in intensity and frequency, they are true contractions and client should call provider

Question 12

A client is in her 1st trimester. She experiences abdominal cramping and/or vaginal bleeding. What can this indicate?

Answer 12

• Miscarriage
• Ectopic pregnancy

This is danger signs during pregnancy

Question 13

• Blurred vision
• Severe headaches
• Edema of face and hands

All are indicative of what warning signs?

Answer 13

Gestational hypertension/Preeclampsia

Question 14

Client is in her second/third trimester. Her breath smells of acetone/fruity. What can this be?

Answer 14

Hyperglycemia / Gestational Diabetes

Question 15

Feelings of ambivalence are experienced during the first trimester. What does this mean?

Answer 15

Feeling of ambivalence is when the mother feels unsure or conflicting feelings about the pregnancy. This is normal.