A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive

10 Questions | Total Attempts: 2629

• A nursing instructor is conducting a lecture and is reviewing the functions of the female reproductive system. She asks Mark to describe the follicle-stimulating hormone (FSH) and the luteinizing hormone (LH). Mark accurately responds by stating that:

  • FSH and LH are released from the anterior pituitary gland.

  • FSH and LH are secreted by the corpus luteum of the ovary

  • FSH and LH are secreted by the adrenal glands

  • FSH and LH stimulate the formation of milk during pregnancy.

• A nurse is describing the process of fetal circulation to a client during a prenatal visit. The nurse accurately tells the client that fetal circulation consists of:

  • Two umbilical veins and one umbilical artery

  • Two umbilical arteries and one umbilical vein

  • Arteries carrying oxygenated blood to the fetus

  • Veins carrying deoxygenated blood to the fetus

• During a prenatal visit at 38 weeks. a nurse assesses the fetal heart rate. The nurse determines that the fetal heart rate is normal if which of the following is noted?

• A client arrives at a prenatal clinic for the first prenatal assessment. The client tells a nurse that the first day of her last menstrual period was September 19th. 2013. Using Naegele’s rule. the nurse determines the estimated date of confinement as:

• A nurse is collecting data during an admission assessment of a client who is pregnant with twins. The client has a healthy 5 year old child that was delivered at 37 weeks and tells the nurse that she doesn’t have any history of abortion or fetal demise. The nurse would document the GTPAL for this client as:

  • G = 3. T = 2. P = 0. A = 0. L =1

  • G = 2. T = 0. P = 1. A = 0. L =1

  • G = 1. T = 1. P = 1. A = 0. L = 1

  • G = 2. T = 0. P = 0. A = 0. L = 1

• A nurse is performing an assessment of a primipara who is being evaluated in a clinic during her second trimester of pregnancy. Which of the following indicates an abnormal physical finding necessitating further testing?

  • Consistent increase in fundal height

  • Fetal heart rate of 180 BPM

  • Braxton Hicks contractions

• A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The physician has documented the presence of a Goodell’s sign. The nurse determines this sign indicates:

  • A softening of the cervix

  • A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus.

  • The presence of hCG in the urine

  • The presence of fetal movement

• A nursing instructor asks a nursing student who is preparing to assist with the assessment of a pregnant client to describe the process of quickening. Which of the following statements if made by the student indicates an understanding of this term?

  • “It is the irregular. painless contractions that occur throughout pregnancy.”

  • “It is the soft blowing sound that can be heard when the uterus is auscultated.”

  • “It is the fetal movement that is felt by the mother.”

  • “It is the thinning of the lower uterine segment.”

• A nurse midwife is performing an assessment of a pregnant client and is assessing the client for the presence of ballottement. Which of the following would the nurse implement to test for the presence of ballottement?

  • Auscultating for fetal heart sounds

  • Palpating the abdomen for fetal movement

  • Assessing the cervix for thinning

  • Initiating a gentle upward tap on the cervix

• A nurse is assisting in performing an assessment on a client who suspects that she is pregnant and is checking the client for probable signs of pregnancy. Select all probable signs of pregnancy.

  • Fetal heart rate detected by nonelectric device

  • Outline of the fetus via radiography or ultrasound

  • Braxton Hicks contractions

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• Fundamentals Of Nursing NCLEX