Question 30 The nurse providing care for the pregnant client understands that which of the following are factors indicating the need for prenatal diagnostic test? (Select all that apply.)  

Questions 17 A client notices that the doctor writes “positive Chadwick’s sign” on her chart. She asks the nurse what this means. Which response by the nurse is most accurate?

Question 34 The client 32 weeks gestation presents to the clinic for her prenatal visit.  Which action should the nurse perform first? 

Question 12 During a client’s physical examination the nurse notes the lower uterine segment is soft on palpation.  How would the nurse document this finding?

Question 27 While a client is being interviewed at her first prenatal visit, she states that she has a 4-year-old son who was born at 41 weeks’ gestation and a 3-year-old daughter who was born at 35 weeks’ gestation and lost one pregnancy at 9 weeks and another at 18 weeks. Using the GTPAL system, how would the nurse record this information? State your answer following this example: 1-0-0-0-0.

Question 37 A client, 34 weeks pregnant, arrives at the ER with severe abdominal pain, uterine tenderness and an increased uterine tone. The client denies vaginal bleeding. The external fetal monitor shows fetal distress with severe, variable decels. The client most likely has which of the following?  

Question 5 A primigravida asks when she will be able to hear the fetal heartbeat for the first time. The nurse should explain that the heartbeat can be heard with what?

Question 9 A 33-year-old woman suspects she is pregnant and visits her primary health care provider for confirmation. The office nurse takes the client’s history and performs an initial assessment. After verifying her pregnancy, the nurse collects additional data to determine her risk for common complications of pregnancy. Complete the following sentence by choosing the most likely option for the missing information from the list of options provided. The nurse also schedules the client for a glucose tolerance test because some pregnant women develop _______________________ during pregnancy.

Question 21 Which probable diagnosis would the nurse expect for a client at 12 weeks’ gestation who arrives in the prenatal clinic complaining of cramping and vaginal spotting, but a pelvic examination reveals that the cervix is closed?

Question 10 A pregnant client’s mother is worried that her daughter is not “big enough” at 20 weeks. The nurse palpates and measures the fundal height at 20 cm, which is even with the woman’s umbilicus. What should the nurse report to the woman and her mother?