4 - Prenatal Care

Question 1

Schedule of prenatal visits.

Answer 1

Monthly for first 7 months

Q 2 weeks during 8th mth

Q week during 9th month

Question 2

FHR can be heard by Doppler at — gestation.

FHR can be heard by ultrasound stethoscope at — gestation.

Answer 2

10-12 wks

16-20 wks

Question 3

Measure Fundal Height after —- gestation.

Answer 3

12

Question 4

When does nurse begin assessing for fetal movements?

Answer 4

16-20 wks

Question 5

When is Group B Strep (GBS) lab obtained?

Answer 5

35-37 wks

Question 6

What is the One-Hour Glocuse Tolerance Test?

Answer 6

oral ingestion or IV administration of concentrated glucose with venous sample taken 1 hr later

***fasting not necessary

Question 7

When is One Hour Glucose test done?

Answer 7

initial visit for at-risk clients

24-28 wks for ALL clients

***>140 mg/dL required follow up

Question 8

When is Three Hour Glucose test done?

Answer 8

for clients w/ elevated One Hour Glucose tests

Question 9

What are routine lavs during prenatal visit?

Answer 9

Urinalysis

Glucose Test

PAP smear

Vaginal / Cervical Culture

PPD tuberculosis test

VDRL (Veneral Disease Research Lab)

HIV

TORCH

Maternal Serum Alpha Fetoprotein (MSAFP)

Question 10

What does TORCH stand for?

Answer 10

Toxoplasmosis
Other Infections
Rubella
Cytomegalovirus
Herpes Virus

***screening for a group of infections capable of crossing the placenta

Question 11

What is the MSAFP test done for?

Answer 11

Maternal Serum Alpha Fetoprotein

used to rule out Down Syndrome (would have a low level)

***done at 15-22 wks

Question 12

During exam, how can nurse help client ease discomfort?

Answer 12

have them void and breath deeply

Question 13

Which pattern of fetal movements require further evaluation?

Question 14

Treat N/V during first trimester?

Answer 14

eat crackers or dry toast 30 min - 1 hr before rising

avoid having an empty stomach

drink fluids b/t meals

Question 15

What do Kegal exercises help with?

Answer 15

reduce stress incontinence (urine leakage from coughing and sneezing)

Question 16

What type of underpants for UTIs?

Answer 16

cotton

Question 17

How to minimize heartburn?

Answer 17

small frequent meals

don’t allow stomach to get too empty or too full

sit up 30 mins after meals

OTC antacids

Question 18

How to deal w/ constipation?

Answer 18

drink lots of fluids

high fiber diet

exercise

Question 19

Relieve discomfort of hemorrhoids?

Answer 19

warm sitz bath

witch hazel pads

topical oitments

Question 20

Dealing w/ Vericose Veins during pregnancy?

Answer 20

rest w/ legs elevated

avoid constrictive clothing

wear support hose

avoid sitting/standing in one position for long periods

avoid sitting w/ legs crossed

sleep in left lateral position

Question 21

What causes Gingivitis, Nasal Stuffiness and Epistaxis?

Answer 21

elevated estrogen levels

Question 22

What should cause Braxton Hicks contractions to subside?

Answer 22

change of position and walking

Question 23

Danger signs during pregnancy

Answer 23

■ Gush of fluid from the vagina (rupture of amniotic fluid) prior to 37 weeks of gestation

■ Vaginal bleeding (placental problems such as abruption or previa)

■ Abdominal pain (premature labor, abruptio placentae, or ectopic pregnancy)

■ Changes in fetal activity (decreased fetal movement may indicate fetal distress)

■ Persistent vomiting (hyperemesis gravidarum)

■ Severe headaches (gestational hypertension)

■ Elevated temperature (infection)

■ Dysuria (urinary tract infection)

■ Blurred vision (gestational hypertension)

■ Edema of face and hands (gestational hypertension)

■ Epigastric pain (gestational hypertension)

■ Concurrent occurrence of flushed dry skin, fruity breath, rapid breathing, increased thirst and urination, and headache (hyperglycemia)

■ Concurrent occurrence of clammy pale skin, weakness, tremors, irritability, and lightheadedness (hypoglycemia)

Question 24

A nurse is teaching a group of women who are pregnant about measures to relieve backache during pregnancy. The nurse should teach the women which of the following? (Select all that apply.)

A. Avoid any lifting.
B. Perform Kegel exercises twice a day.
C. Perform the pelvic rock exercise every day.
D. Use proper body mechanics.
E. Avoid constrictive clothing.

Answer 24

C. Perform the pelvic rock exercise every day.

D. Use proper body mechanics.

Question 25

A client who is at 8 weeks of gestation tells the nurse that she isn’t sure she is happy about being pregnant. Which of the following is an appropriate response by the nurse to the client’s statement?

A. “I will inform the provider that you are having these feelings.”
B. “It is normal to have these feelings during the first few months of pregnancy.”
C. “You should be happy that you are going to bring new life into the world.”
D. “I am going to make an appointment with the counselor for you to discuss these thoughts.”

Answer 25

B. “It is normal to have these feelings during the first few months of pregnancy.”

Question 26

A nurse is caring for a client who is pregnant and reviewing signs of complications that should be promptly reported to the provider. Which of the following should be included?

A. Vaginal bleeding
B. Swelling of the ankles
C. Heartburn after eating
D. Lightheadedness when lying on back

Answer 26

A. Vaginal bleeding

Question 27

A client who is at 7 weeks of gestation is experiencing nausea and vomiting in the morning. The nurse in the prenatal clinic provides teaching that should include which of the following?

A. Eat crackers or plain toast before getting out of bed.
B. Awaken during the night to eat a snack.
C. Skip breakfast, and eat lunch after nausea has subsided.
D. Eat a large evening meal.

Answer 27

A. Eat crackers or plain toast before getting out of bed.

Question 28

A nurse is teaching a group of clients who are pregnant about behaviors to avoid during pregnancy. Which of the following statements by a client indicates a need for further instruction?

A. “I can have a glass of wine with dinner.”
B. “Smoking is a cause of low birth weight in babies.”
C. “Signs of infection should be reported to my doctor.”
D. “I should not take over-the-counter medications without checking with my obstetrician.

Answer 28

A. “I can have a glass of wine with dinner.”