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A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse expect? - ANSWERA large amount of bright red vaginal bleeding without pain A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation. Which of the following findings should the nurse expect? - ANSWERPelvic pain
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A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse expect? - ANSWERA large amount of bright red vaginal bleeding without pain A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation. Which of the following findings should the nurse expect? - ANSWERPelvic pain A nurse is reinforcing teaching with a client who is at 6 weeks of gestation. The client tells the nurse that she smokes one pack of cigarettes per day. The nurse should instruct the client that her newborn is at increased risk for which clinical manifestations? - ANSWERLow birth weight A nurse is preparing to palpate the uterine fundus of a client who is at 22 weeks of gestation to measure fundal height. At which of the following locations should the nurse expect to find the fundus? - ANSWERAt the umbilicus A nurse is reinforcing teaching with a client who is pregnant about expected changes related to pregnancy. Which of the following statements by the client indicates an understanding of the teaching - ANSWER"It is normal to have a white vaginal discharge" A nurse is reinforcing teaching about a biophysical profile with a client who is at 40 weeks of gestation. The nurse should explain that this profile focus on which of the following parameters [Select all that apply] - ANSWER- Fetal breathing
When preparing to teach a class about prenatal development, the nurse would include information about folic acid supplementation. What is folic acid known to prevent? - ANSWERNeural tube defects A couple just learned they are expecting their first child and are curious if they are having a boy or a girl. At what point of development can the couple first expect to see the sex of their child on ultrasound? - ANSWER10 weeks gestational age The vessels comprising the umbilical cord are cushioned and protected by a substance called - ANSWERWhartons jelly [Q] The normal volume of amniotic fluid is approximately ____ at 37 weeks gestation - ANSWER1000 mL Fetal development - ANSWER- Each body cell contains 46 chromosomes, 22 autosomes, and 1 pair of sex chromosomes
Age of viability - ANSWER20 weeks of gestation Placenta - ANSWERA temporary organ for fetal respiration, nutrition, excretion and functions as a endocrine gland Placental hormones - ANSWERProgesterone, estrogen, hCG, and hPL Progesterone - ANSWER- Maintains uterine lining for implantation of zygote
Postpartum care - ANSWEREncourage breast feeding, skin to skin contact, and bonding while reducing separations and interruptions Folic acid intake before conception can - ANSWERReduce the incidence of congenital anomalies Prenatal care should begin when? - ANSWERBefore conception or as soon as suspicion is held Prenatal testing - ANSWER- Conception-28 weeks = every 4 weeks
Chadwicks sign - ANSWERPurple or blue discoloration of the cervix, vagina, vulva Ovaries - ANSWERDo not produce ova during pregnancy Vagina - ANSWER- Blood supply increases