Which of the following characteristics of contractions would the nurse expect to find in a client experiencing true labor?
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Solution
Increasing intensity with walking
With true labor, contractions increase in intensity with walking. In addition, true labor contractions occur at regular intervals, usually starting in the back and sweeping around to the abdomen. The interval of true labor contractions gradually shortens.
Which of the following prenatal laboratory test values would the nurse consider as significant?
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Solution
Rubella titer less than 1:8
A rubella titer should be 1:8 or greater. Thurs, a finding of a titer less than 1:8 is significant, indicating that the client may not possess immunity to rubella.
Options A and D: A hematocrit of 33.5% a white blood cell count of 8,000/mm3, and a 1-hour glucose challenge test of 110 g/dl are with normal parameters.
Which of the following danger signs should be reported promptly during the antepartum period?
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Solution
Leaking amniotic fluid
Danger signs that require prompt reporting leaking of amniotic fluid, vaginal bleeding, blurred vision, rapid weight gain, and elevated blood pressure.
Options A, B, and C: Constipation, breast tenderness, and nasal stuffiness are common discomforts associated with pregnancy.
Which of the following fundal heights indicates less than 12 weeks’ gestation when the date of the LMP is unknown?
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Solution
Uterus in the pelvis
When the LMP is unknown, the gestational age of the fetus is estimated by uterine size or position (fundal height). The presence of the uterus in the pelvis indicates less than 12 weeks’ gestation. At approximately 12 to 14 weeks, the fundus is out of the pelvis above the symphysis pubis. The fundus is at the level of the umbilicus at approximately 20 weeks’ gestation and reaches the xiphoid at term or 40 weeks.
A client LMP began July 5. Her EDD should be which of the following?
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Solution
April 12
The FHR can be auscultated with a fetoscope at about 20 week’s gestation. FHR usually is auscultated at the midline suprapubic region with Doppler ultrasound transducer at 10 to 12 week’s gestation. FHR, cannot be heard any earlier than 10 weeks’ gestation.
FHR can be auscultated with a fetoscope as early as which of the following?
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Solution
20 weeks gestation
The FHR can be auscultated with a fetoscope at about 20 week’s gestation. FHR usually is auscultated at the midline suprapubic region with Doppler ultrasound transducer at 10 to 12 week’s gestation. FHR, cannot be heard any earlier than 10 weeks’ gestation.
Which of the following would cause a false-positive result on a pregnancy test?
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Solution
The test was performed less than 10 days after an abortion
A false-positive reaction can occur if the pregnancy test is performed less than 10 days after an abortion.
Options B, C, and D: Performing the tests too early or too late in the pregnancy, storing the urine sample too long at room temperature, or having a spontaneous or missed abortion impending can all produce false-negative results.
Which of the following would be a disadvantage of breastfeeding?
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Solution
The father may resent the infant’s demands on the mother’s body
With breastfeeding, the father’s body is not capable of providing the milk for the newborn, which may interfere with feeding the newborn, providing fewer chances for bonding, or he may be jealous of the infant’s demands on his wife’s time and body.
Option A: Breastfeeding is advantageous because uterine involution occurs more rapidly, thus minimizing blood loss.
Option B: The presence of maternal antibodies in breast milk helps decrease the incidence of allergies in the newborn.
Option D: A greater chance for error is associated with bottle feeding. No preparation is required for breastfeeding.
During which of the following would the focus of classes be mainly on physiologic changes, fetal development, sexuality, during pregnancy, and nutrition?
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Solution
First trimester
First-trimester classes commonly focus on such issues as early physiologic changes, fetal development, sexuality during pregnancy, and nutrition. Some early classes may include pregnant couples.
Options C and D: Second and third-trimester classes may focus on preparation for birth, parenting, and newborn care.
Which of the following common emotional reactions to pregnancy would the nurse expect to occur during the first trimester?
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Solution
Ambivalence, fear, fantasies
During the first trimester, common emotional reactions include ambivalence, fear, fantasies, or anxiety.
Option A: The second trimester is a period of well-being accompanied by the increased need to learn about fetal growth and development. Common emotional reactions during this trimester include narcissism, passivity, or introversion. At times the woman may seem egocentric and self-centered.
Option B: During the third trimester, the woman typically feels awkward, clumsy, and unattractive, often becoming more introverted or reflective of her own childhood.