A client comes in for a 12 week prenatal visit. Weight gain at 12 weeks is 5 Kg, are there any concerns with this gain, and if so what are they? Question 47 options: a)
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A client comes in for a 12 week prenatal visit. Weight gain at 12 weeks is 5 Kg, are there any concerns with this gain, and if so what are they?
Question 47 options:
a)
No, this is her third child, so you expect more weight to be gained in the first trimester
b)
No, the client had a normal pre-pregnancy BMI, so there is no issue
c)
Yes, you suspect she may be carrying twins
d)
Yes, this could signal gestational diabetes
Step by step
Solved in 2 steps
- a) A gravid woman is carrying monochorionic twins. For which of the following complications should this pregnancy be monitored? i. Oligohydramnios. ii. Placenta previa. iii. Cephalopelvic disproportion. iv. Twin-to-twin transfusion. b).On ultrasound, it is noted that the pregnancy of a hospitalized woman who is carrying monochorionic twins is complicated by twin-to-twin transfusion. The nurse should carefully monitor this client for which of the following? i. Rapid fundal growth. ii. Vaginal bleeding. iii. Projectile vomiting. iv. Congestive heart failure. c) Which of the following nonpharmacological interventions recommended by nurse midwives may help…A pregnant patient who is at 32 weeks’ gestation has a cold and calls the office to ask about taking an over-the-counter medication that is rated as pregnancy category A. Which answer by the nurse is correct?a) “This drug causes problems in the human fetus, so you should not take this medication.”b) “This drug may cause problems in the human fetus, but nothing has been proven in clinical trials. It is best not to take this medication.”c) “This drug has not caused problems in animals, but no testing has been done in humans. It is probably safe to take.”d) “Studies indicate that there is no risk to the human fetus, so it is okay to take this medication as directed if you need it.”The perinatal nurse describes for the woman/family who have experienced an 11-week miscarriage and desire information that the majority of miscarriages are caused by: A. Nausea and vomiting in early pregnancy B. Prenatal stress C. Chromosomal abnormalities D. Umbilical cord accidents
- Which of the following represents a common metabolic or physiological change that occurs in pregnancy? Question 21 options: a) An increase in urine production b) An increase in respiratory rate c) An increase in blood pressure d) A decrease in thyroid functionA pregnant woman is scheduled for a non-stress test (NST) to assess fetal well-being. The nurse educates the woman that during the NST, fetal heart rate accelerations indicate: a) Fetal hypoxia b) Fetal distress c) Fetal well-being d) Fetal immaturityA client at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication? Question 37 options: a) The client complains of an increase in vaginal discharge b) The client says she feels pressure against her diaphragm when the baby moves c) The client has 1 pedal edema in both feet at the end of the day d) The client’s urine test is positive for glucose and ketones
- The following clinical scenario contains (4) choose-between-two options: A 28-year-old mother arrives to your OB/GYN clinic to follow-up on her early trimester pregnancy. She has a history of one full term pregnancy, which resulted in the delivery of a boy born with a neural tube defect known as meningocele. Prior to her first pregnancy, the patient had a personal history of anorexia. Given this clinical picture, the patient’s first son likely had a condition known as (SCID / spina bifida). This condition likely resulted from a (folate / purine) deficiency in the patient’s diet. One clinical finding that can confirm your diagnosis is if the patient displays (megaloblastic anemia / Heinz bodies). To decrease the likelihood that her second child develops a similar condition, you should prescribe this patient a (pyrimidine replacement therapy / folate supplement).Pia, a nursing student is assisting the obstetric nurse in caring for a 25-year-old G1P0 who seek consult at the clinic for the first time at 20 weeks age of gestation. A priority goal for this patient is that she’ll be able to: a. Record the number of fetal movements four times daily b. Attend prenatal care appointment on a regular basis c. Maintain a steady weight gain d. Explain the process of fetal developmentWhich of the following reflects the risk of gaining more weight during pregnancy than recommended? Question 93 options: a) Developmental delays in the infant b) Failure to thrive in the infant c) Sudden infant death syndrome (SIDS) d) Longer labour and possible birth trauma
- The clinic nurse recognizes that a woman’s risk factors for an ectopic pregnancy include: A. The use of oral contraceptive pills B. A previous history of a dilatation and curettage C. An obstruction is present, such as an adhesion of the fallopian tube from a previous infection (chronic salpingitis or pelvic inflammatory disease) D. A history of rubellaA postpartum woman is breastfeeding her newborn and asks the nurse about techniques to promote successful breastfeeding. The nurse advises the woman to: a) Feed the newborn on a strict schedule, every 4 hours. b) Supplement breastfeeding with formula to ensure adequate nutrition. c) Ensure proper latch and positioning of the newborn at the breast. d) Limit breastfeeding sessions to 10 minutes per breast.A 25 year old primigravida client in her last trimester of pregnancy calls the physician's office and tells the nurse that she thinks she is in labor. She has several concerns regarding her upcoming labor. What would be the first sign of impending or approaching labor? Your correct response should be: she will have to experience EXCEPT: a. Weight gain and edema b. Decreased dyspnea, increased leg varicosities, frequency of voiding c. Lightening around two weeks before labor d. Increased maternal activity and abdominal muscle tightening
