Nursing 317: Maternal Adaptation During Pregnancy NCLEX Questions and

Nursing 317: Maternal Adaptation During Pregnancy (NCLEX Questions and

Review) ScienceMedicineObstetrics kyle_ruckert Save Maternity Nclex questions 68 terms crystalrose_rivera Preview Antepartum NCLEX questions 50 terms smbauer2Preview Prenatal Period NCLEX Questions 10 terms katherine_wilkins Preview Labor & 80 terms Previe The nurse is assessing a pregnant client at her 20-week visit. Which breast assessment should the nurse anticipate documenting?-Slack, soft breast tissue -Deeply fissured nipples -Enlarged lymph nodes -Darkened breast areolae -Darkened breast areolae A pregnant woman tells the nurse she often has allergic responses to drugs. She is concerned that she will be allergic to her fetus or her body will reject the pregnancy. The nurse's reply would be based on which statement?-Immunologic activity is decreased during pregnancy.-The level of aldosterone during pregnancy reduces production of IgG antibodies.-The decreased corticosteroid activity during pregnancy ensures this will not happen.-The kidneys release a hormone during pregnancy to prevent this from happening.-Immunologic activity is decreased during pregnancy.It is unproven why women do not reject fetal (foreign) tissue, but a substance secreted by the placenta is thought to decrease the usual immunologic response and prevent this from happening.

A new mother asks the postpartum nurse if her baby is getting enough nourishment from breast-feeding within the first 24 hours following birth.The nurse would provide her what information?-The mother needs to supplement breast-feedings with formula until her milk comes in. -Breast milk comes in within 12 hours after delivery and nourishment should not be a problem.-Most infants need minimal nourishment for the first 24 hours, so the mother should not be concerned.-Colostrum, which is the first milk produced, is rich in calories and protein that nourishes the infant well.-Colostrum, which is the first milk produced, is rich in calories and protein that nourishes the infant well.Colostrum is present prior to delivery and provides the infant with adequate nutrition for the first 3 days of life, at which time the mother's actual milk should come in. Formula is not recommended. Infants need nutrition shortly after birth to keep their blood glucose normal.Amanda's menstrual period is two weeks late. She has been feeling tired and has had bouts of nausea in the morning. What classification of pregnancy symptoms is Amanda experiencing?-Positive -Presumptive -Probable -No classification -Presumptive The most common presumptive sign of pregnancy is a missed menstrual period, or amenorrhea. Other presumptive signs include nausea, fatigue, swollen, tender breasts, and frequent urination.A woman in a prenatal clinic tells the nurse that her pregnancy was unplanned and unwanted. At what point in pregnancy does the average woman change her mind about an unwanted pregnancy?-Around the third month -When quickening occurs -After lightening happens -After the seventh month -When quickening occurs Quickening, or feeling the baby move inside the body, is such a dramatic event that it can cause a woman's perceptions about the pregnancy to change.What is Quickening?-Fetal movements felt by the mother Before becoming pregnant, a woman's heart rate averaged 72 beats per minute. The woman is now 15 weeks pregnant. The nurse would expect

this woman's heart rate to be approximately:

-85 beats per minute.-90 beats per minute.-95 beats per minute.-100 beats per minute.-85 beats per minute During pregnancy, heart rate increases by 10 to 15 beats per minute between 14 and 20 weeks of gestation, and this elevation persists to term.Therefore, a prepregnancy heart rate of 72 would increase by 10 to 15 beats per minute to a rate of 82 to 87 beats per minute.

Which assessment finding in the pregnant woman at 12 weeks' gestation should the nurse find most concerning? The inability to: -Detect fetal heart sounds with a Doppler.-Feel fetal movements.-Hear the fetal heartbeat with a stethoscope. -Palpate the fetal outline.-Detect fetal heart sounds with a Doppler.Fetal heart sounds are audible with a Doppler at 10 to 12 weeks of gestation but cannot be heard through a stethoscope until 18 to 20 weeks of gestation. Fetal movements can be felt by a woman as early as 16 weeks of pregnancy and felt by the examiner around 20 weeks' gestation. The fetal outline is also palpable around 20 weeks of gestation.A nurse who has been caring for a pregnant client understands that the client has pica and has been regularly consuming soil. For which condition should the nurse monitor the client?-Iron-deficiency anemia -Constipation -Tooth fracture -Inefficient protein metabolism -Iron-deficiency anemia Pica is characterized by a craving for substances that have no nutritional value. Consumption of these substances can be dangerous to the client and her developing fetus. The nurse should monitor the client for iron-deficiency anemia as a manifestation of the client's compulsion to consume soil. Consumption of ice due to pica is likely to lead to tooth fractures. The nurse should monitor for inefficient protein metabolism if the client has been consuming laundry starch as a result of pica. The nurse should monitor for constipation in the client if she has been consuming clay.A mother comes in with her 17-year-old daughter to find out why she has not had a menstrual cycle for a few months. Examination confirms the daughter is pregnant with a fundal height of approximately 24 cm. The nurse interprets this finding as indicating that the daughter is approximately how many weeks pregnant?-24 -22 -20 -18 -24 By 20 weeks' gestation, the fundus of the uterus is at the level of the umbilicus and measures 20 cm. A monthly measurement of the height of the top of the uterus in centimeters, which corresponds to the number of gestational weeks, is commonly used to date the pregnancy.A nurse is assessing a pregnant client. The nurse understands that hormonal changes occur during pregnancy. Which hormones would the nurse most likely identify as being inhibited during the pregnancy?-FSH and LH -FSH and T4 -T4 and GH -LH and MSH -FSH and LH

During a routine antepartal visit, a pregnant woman reports a white, thick, vaginal discharge. She denies any itching or irritation. Which action would the nurse do next?-Notify the healthcare provider of a possible infection.-Tell the woman that this is entirely normal. -Advise the woman about the need to culture the discharge.-Check the discharge for evidence of ruptured membranes.-Tell the woman that this is entirely normal.Vaginal secretions increase during pregnancy and this is considered normal leukorrhea based on the woman's report that she is not experiencing any itching or irritation. There is no evidence indicating the need to notify the healthcare provider, check for rupture of membranes, or advise her about the need for a culture.The nurse is assessing a pregnant client at her 12 weeks' gestation and the client reports some new bumps on the dark part of her nipples. What is the best response from the nurse when questioned by the client as to what they are?-Normal bumps of pregnancy; they do nothing -Might be sign of cancer; need to speak with provider -Montgomery tubercles; secrete lubricant for the nipples -Striae, stretching of the breast tissue -Montgomery tubercles; secrete lubricant for the nipples All women have Montgomery tubercles; they become more prominent during pregnancy and help to prepare the nipples for breastfeeding. The bumps are not specific to pregnancy and are not a sign of cancer. They are not the result of stretching.A 33-week pregnant client is in the office for a routine visit. She lies down on her back and while the nurse is listening for fetal heart tones, the client tells the nurse that she is lightheaded and her blood pressure is 82/58. What is the most likely explanation for this problem?-She is experiencing supine hypotension syndrome -She did not drink enough fluids prior to coming to the office.-Her hematocrit is low and she needs additional iron supplements.-The baby is kicking her spinal column, causing a pinched nerve.-She is experiencing supine hypotension syndrome As the uterus gets larger toward the end of the pregnancy, it presses the aorta and vena cava against the spine, causing decreased blood return to the heart. This reduces cardiac output and the woman may feel lightheaded and dizzy and her blood pressure will drop.The mother the two hormones that control lactation and letdown are...-Prolactin and oxytocin.During pregnancy a woman has many psychological adaptations that must be made. The nurse must remember that the baby's father is also experiencing the pregnancy and has adaptations that must be made. Some fathers actually have symptoms of the pregnancy along with the mothers. What is this called?-Pseudo pregnancy -Pregnancy syndrome -Couvade syndrome -Cretinism -Couvade syndrome Some fathers actually experience some of the physical symptoms of pregnancy, such as nausea and vomiting, along with their partner. This phenomenon is called couvade syndrome.