Growth of the fetus, personal hygiene, and nutritional guidance Show
Awareness of the fetus as an individual and the expected changes of pregnancy lead the client to seek information regarding fetal growth, body changes, and nutrition. Information on infant care, travel to the hospital, signs of labor, signs of preeclampsia, and relaxation breathing techniques is appropriate in the last trimester. Interventions for nausea and vomiting, urinary frequency, and anticipated care are appropriate for the first trimester. Anticipate light fetal movements around 16-20 weeks gestation Expect to have an abdominal ultrasound for fetal anatomy evaluation Gain about 1 lb (0.5 kg) per week if pre-pregnancy BMI was normal Increase consumption of iron-rich foods like meat and dried fruit Plan for gestational diabetes screening near the end of the second trimester Upgrade to remove ads Only ₩37,125/year
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Get faster at matching terms Terms in this set (24)Which laboratory test is conducted during the initial prenatal visit? Select all that apply. One, some, or all responses may be correct. Cervical culture for Neisseria gonorrhoeae During the initial prenatal visit, a cervical culture for N. gonorrhoeae is obtained. A 1-hour glucose tolerance test is completed at 24 to 28 weeks of gestation. A 3-hour glucose tolerance test is completed if a pregnant client fails the 1-hour glucose tolerance test. A chest x-ray is required after 20 weeks of gestation if the client has a positive TST. Vaginal and anal cultures for GBS are obtained at 35 to 37 weeks of gestation. In the second hour after the client gives birth, her uterus is firm, above the level of the umbilicus, and to the right of midline. Which nursing action is an appropriate response to this situation? Having the client empty her bladder For which reason would the nurse encourage a client to void during the first stage of labor? A full bladder inhibits the progress of labor by encroaching on the uterine space and impeding the descent of the fetal head. The bladder may become atonic, but is not physically damaged during the course of labor. A full bladder may lead to prolonged labor but generally does not jeopardize fetal status as long as adequate placental perfusion continues. A full bladder during labor does not predispose the client to infection. A prenatal client's vaginal mucosa is noted to have a purplish discoloration. Which sign would be documented in the client's clinical record? Chadwick Which statement made by a pregnant client after a prenatal class on fetal growth and development indicates the need for additional teaching? "The baby gets food from the amniotic fluid." In which location is the presenting part of the fetus when it is at 0 station? The ischial spines are used as landmarks in relation to the fetus's head because they reflect the progression of labor; 0 station indicates that the presenting part is at the ischial spines. When the head enters the vagina, it is below the ischial spines and its position is designated with positive numbers (+1 to +4). When the presenting part is floating, the fetus is at -5 station. A position above the ischial spines is designated by a minus number (-1 to -4).
A pregnant client asks how smoking will affect her baby. Which information about cigarette smoking will influence the nurse's response? Cigarette smoking or continued exposure to secondary smoke causes both maternal and fetal vasoconstriction, resulting in fetal growth retardation and increased fetal and infant mortality. There is no clinical evidence that smoking relieves tension or that the fetus is more relaxed. Smoking causes vasoconstriction; permeability of the placenta to smoke is irrelevant. Although the fetal and maternal circulations are separate, vasoconstriction occurs in both mother and fetus. A client who is at 20 weeks' gestation visits the prenatal clinic for the first time. Assessment reveals temperature of 98.8°F (37.1°C), pulse of 80 beats per minute, blood pressure of 128/80 mm Hg, weight of 142 lb (64.4 kg) (prepregnancy weight was 132 lb [59.9 kg]), fetal heart rate (FHR) of 140 beats per minute, urine that is negative for protein, and fasting blood
glucose level of 92 mg/dL (5.2 mmol/L). Which would the nurse do after making these assessments? Document the results because they are expected at 20-weeks' gestation. Rationale Which descriptor would the nurse use when explaining to a client how to time the frequency of contractions? From the beginning of 1 contraction to the beginning of the next contraction The frequency of contractions is timed from the beginning of 1 contraction to the beginning of the next; this is the definition of 1 contraction cycle. The beginning, not the end, of a contraction is the starting point for timing the frequency of contractions. The time between the end of 1 contraction and the beginning of the next contraction is the interval between contractions. Timing from the beginning of 1 contraction to the end of the next contraction is too long a time frame and will produce inaccurate information. Which
information about adolescent growth and development would the nurse need to understand before discussing changes in body size to a 16-year-old adolescent at 24 weeks' gestation? Body image is very important to adolescents; therefore, pregnant teenagers are overly concerned about body size. Because of the changes in body size, the pregnant adolescent may feel insecure as she struggles to establish her identity. There are no data to support the statement that adolescents generally regain their figures 2 weeks after the birth. The optimal weight gain for an adolescent is at the upper range for her body mass index; this will help prevent complications, so limiting weight gain does not prevent complications. Although physiological growth is rapid, the adolescent's gravid size falls within the expected parameters for pregnant women and is not larger than that of adult women. One hour after a birth the nurse palpates a client's
fundus to determine whether involution is taking place. The fundus is firm, in the midline, and 2 fingerbreadths below the umbilicus. Which would the nurse do next? Continue periodic assessments and record the findings Immediately after birth the uterus is 2 cm below the umbilicus; during the first several postpartum hours the uterus will rise slowly to just above the level of the umbilicus. These findings are expected, and they should be recorded. Encouraging the client to void is unnecessary; if the bladder is full, the uterus will be higher and pushed to one side. Notifying the health care provider is unnecessary; involution is occurring as expected. Massage is used when the uterus is soft and "boggy." At which point during a human pregnancy does the embryo become a fetus? During the 8th week of pregnancy the organ systems and other structures are developed to the extent that they take the human form; at this time the embryo becomes a fetus and remains so until birth. At the end of the 2nd week of pregnancy, the developing cells are called an embryo. At the time of implantation, the group of developing cells is called a blastocyst. The embryo can be visualized on ultrasound before it becomes a fetus. A vaginal examination reveals that a client's cervix is 90% effaced and dilated to 6 cm. The fetus's head is at station 0, and the fetus is in a right occiput anterior
position. The contractions are occurring every 3 to 4 minutes, are lasting 60 seconds, and are of moderate intensity. Which description is appropriate to use when reporting on the client's condition? Midway through first stage of labor Which potential complication is associated with ketonuria that can occur when clients severely restrict their calorie intake during
pregnancy? Preterm labor Which action
would the nurse take when a client's membranes rupture while her labor is being augmented with an oxytocin infusion and variable decelerations in the fetal heart rate occur? Change the client's position. Early in the ninth month of pregnancy a client experiences painless vaginal bleeding secondary to a placenta previa. Which intervention would the client's plan of care include? Placing the client in the semi-Fowler position to increase cervical pressure Which direction would be given to a client with a fourth-degree perineal laceration to protect the area from additional trauma? "Eat a high-fiber diet with increased fluid intake." The fetus of a client in labor is found to be at +1 station. Where would the nurse locate the presenting part? Just below the ischial spines Which factor accounts for the greatest portion of weight gain during pregnancy? Fetal growth When teaching about nutrition during pregnancy, which is the change in daily caloric intake the nurse would say the pregnant woman needs? An increase of 300 calories per day is the recommended caloric increase for adult women to meet the increased metabolic demands of pregnancy. A decrease of 100 to 200 calories per day will not meet the metabolic demands of pregnancy and may harm the fetus. An increase of 500 calories per day is the recommended caloric increase for breast-feeding mothers. Which is the most appropriate response when a client asks if the nurse thinks the ordered nonstress test is necessary? "You seem to have doubts about this test." Which action would the nurse take when external fetal uterine monitoring shows fetal heart rate (FHR)
decelerations in a uniform wave shape that reflects the shape of the contraction? Continue to monitor for return of the FHR to baseline when each contraction ends. The reading noted by the nurse represents early decelerations that occur with head compression during a contraction, with the fetal heart rate (FHR) returning to baseline at the end of the contraction. Head compression and cord compression are both common occurrences during a contraction; intervention is unnecessary if the FHR returns to baseline at the end of the contraction. The dorsal recumbent position will increase pressure on the vena cava and is contraindicated. Which phrase describes the location of the presenting part when the fetus is at +1 station? Below the ischial spines A +1 station indicates that the fetal presenting part is 1 cm below the ischial spines, which are the points of engagement. Entrance of the pelvic inlet is designated as 0 station or as a negative number. The head must be at +3 to +5 to be visible at the vaginal opening. Which complication is the pregnant client at risk for related to the dilation of renal pelves and ureters? Urinary tract infection Dilation of renal pelves and ureters during pregnancy increases the risk of urinary tract infections. Frequent urination is an expected occurrence during pregnancy due to increased bladder sensitivity during early pregnancy and due to bladder compression by the uterus during later pregnancy.By the end of the first trimester the glomerular filtration rate increases by 50% and remains elevated throughout pregnancy. During normal pregnancy there is an increased urinary excretion of protein and albumin, most notably after 20 weeks' gestation. Sets with similar termsMaternity31 terms Neels24 EAQ- Pregnancy, birth, and uncomplicated postpartum53 terms michelle_arlotto Chapter 16: Giving Birth Practice Questions41 terms skykai01 Sets found in the same folderAdaptive Quizzing Women's Health/Disorders and Chi…24 terms Mariegraced Adaptive Quiz Nursing Care of the Newborn24 terms Mariegraced Adaptive quizzing Pregnancy, Labor, Childbirth, Po…24 terms Mariegraced Vsim9 terms kcbrendemuehl Other sets by this creatorComponents of Community Assessment7 terms Mariegraced Pedi15 terms Mariegraced Week 1 - Introduction to Pediatrics Family And Soc…25 terms Mariegraced Week 1 - Introduction to Pediatrics Perspectives O…24 terms Mariegraced Which instruction is most important for the nurse to include when teaching a client about a contraction stress test?Which instruction is most important for the nurse to include when teaching a client about a contraction stress test (CST)? Empty the bladder before the test.
Which information would the nurse include in discharge teaching of a postpartum client?Which information should the nurse include in the discharge teaching of a postpartum client? Exercises may be resumed immediately and should be done for the rest of the life because they help strengthen the muscle needed for urinary continence and may inhance sexual intercourse.
Which instruction would the nurse provide to the client in early pregnancy scheduled for her first obstetric ultrasound quizlet?What should the nurse instruct her to do in preparation for the sonogram? Increase fluid intake for 1 hour before the procedure. In the first trimester when fluid fills the bladder, the uterus is pushed up toward the abdominal cavity for optimum ultrasound viewing.
Which is the best advice the nurse can provide to a pregnant woman in her first trimester?What is the best advice a nurse can provide to a pregnant woman in her first trimester? "Avoid drugs and don't smoke or drink alcohol."
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Which statement indicates that a pregnant client requires further teaching about fetal growth and development quizlet?
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