Prenatal Care

The nurse is caring for a 34-year-old G1P0 patient in her 30th week of gestation. The patient is having an episode of painless vaginal bleeding and is hemodynamically stable. Which assessment does the nurse anticipate for the physician to order?

The nurse is caring for a 38-year-old G2P1 patient diagnosed with iron-deficiency anemia. The nurse recommends which drink choice to improve absorption of the ordered iron supplements?

The nurse is caring for a pregnant 25-year-old female who is late in her second trimester. When coming in for a checkup, she has a blood pressure of 170/120 mm Hg and has a 2+ protein in her urine. Which is the most likely complication of this patient’s diagnosis?

The nurse is educating a pregnant woman on prenatal nutrition. Which food, if selected by the expectant mother, indicates teaching of sources of vitamin A was effective?

The nurse is putting together a prenatal nutrition plan for a pregnant patient. Which of the following food are important to include giving adequate vitamin B?

When does the nurse counsel the pregnant woman to schedule her first ultrasound?

Which prenatal test does the nurse administer at the pregnant patient’s 28-week appointment?

Which prenatal test is appropriate for a patient at 18 weeks gestation?

Which is the proper treatment for subclinical hyperthyroidism in a pregnant patient?

Which is the proper treatment for subclinical hypothyroidism in a pregnant patient?

The couple learns their struggle to conceive is related to impaired motility of the sperm. The nurse knows that this is caused by a defect in which cellular structure?

The nurse is providing genetic counselling to a couple of Ashkenazi Jewish descent, who wish to have a child. For which of the following conditions would the child be at an increased risk?

A 28-year-old female who is 12-weeks pregnant is concerned about her baby having a neural tube defect. Which of the following prenatal tests does the nurse anticipate?

A neonate is born at full term to a mother who did not receive prenatal care. The neonate required moderate resuscitation at birth. Upon assessment, the nurse notes poor muscle tone, a protruding tongue, low nasal bridge, and low-set ears. A loud continuous “machine-like” heart murmur is heard. The patient requires 85% FiO2 to maintain an oxygen saturation above 90%. Which of the following tests is the next best diagnostic step in the management of this patient?

The nurse is educating some prospective parents about Down syndrome. Which of the following characteristics is associated with the highest risk for Down syndrome?

The nurse is assisting with prenatal testing in a patient who is 15 weeks pregnant. Amniocentesis reveals the fetus to have fragile X syndrome. Which of the following statements by the nurse to the patient is most accurate?

The nurse is providing education to a woman of childbearing age about prenatal care. The nurse counsels the woman to increase dietary intake of which of the following substances that would help prevent neural tube defects in her future children?

A pregnant woman is diagnosed with an ischemic stroke and alteplase is discussed. The nurse is aware alteplase is in which pregnancy category?

A fetus is diagnosed in utero with autosomal recessive polycystic kidney disease. The mother is noted to have severe oligohydramnios. Which statement is most accurate for the prognosis of the fetus?

The nurse is attending the delivery of a full-term neonate whose mother received poor prenatal care. The neonate has cyanosis, increased work of breathing, a barrel chest, and a scaphoid abdomen. The nurse auscultates the patient’s lung fields and notes bowel sounds over the left side of the chest. The nurse suspects which condition in this neonate?

During preconception counseling, the nurse encourages a prospective mother to increase dietary intake of which vitamin in order to reduce her risk of having a baby with a neural tube defect?

A woman of childbearing age tells the nurse, “My mother lost a child to anencephaly. I’m so scared I will, too. How do I prevent that from happening to me?” The nurse recommends the woman increase ingestion of which food rich in vitamins that help prevent this condition?

The patient who is 21 weeks pregnant complains of musculoskeletal pain and headaches and asks the nurse, “Can I take ibuprofen to treat my pain?” Which response by the nurse is most appropriate?

The 24-year-old G1P0 female at 32 weeks estimated gestational age presents to the labor and delivery unit with recent onset of contractions and rupture of membranes. Which finding, if present in this patient, most definitively indicates the patient has entered the second stage of labor?

The nurse is caring for a G3P0 female at 40 weeks estimated gestational age in the second stage of labor. The patient does not have an epidural in place. After how many hours does the nurse contact the provider to report a prolonged second stage of labor?

Place the cardinal movements the fetus makes during labor in the correct order from start to finish.

A 31-year-old G2P1 female at 37 weeks estimated gestational age presents reporting contractions. Which question by the nurse would best determine if the patient is in labor?

The 25-year-old G1P0 female at 31 weeks estimated gestational age presents to the labor and delivery unit. The nurse assesses the patient and palpates the head of the fetus to be 2 inches above the maternal ischial spines. Which term does the nurse use to document this finding?

The woman who is 32-weeks-pregnant presents to a prenatal appointment reporting irregular contractions that occur a few times per day. Upon assessment, the patient's cervix is noted to be closed, long, and high. Which action by the nurse is most appropriate? 

Which statement by the patient with placenta accreta indicates they understand the nurse’s teaching?

Which patient is at highest risk for thyroid disease?

At a routine ultrasound screening, the pregnant mother is diagnosed with polyhydramnios. This patient’s fetus may have which condition?

The premature neonate with severe intrauterine growth restriction is being evaluated for possible in utero TORCH organism exposure. The nurse obtains lab specimens to test for which organisms? Select all that apply.

The pregnant patient has experienced preterm premature rupture of membranes (PPROM) at 32 weeks. The patient is not in active labor. The nurse is aware this patient is most at risk for which complication?

The nursing student is reviewing the pregnant patient’s chart and notes the patient is gravida 4 para 2. Which interpretation of the patient’s obstetric history by the nursing student most likely requires correction by the nurse?

A cesarean section is the only safe method of delivery for the fetus when the pregnant woman has which condition? 

The G2P1 patient who is 33 weeks pregnant is brought via ambulance to the emergency department due to significant vaginal bleeding and abdominal pain. Which action does the nurse take first?

The 38-year-old gravida 1 para 1 patient presents to the clinic in the 8th week of gestation.The patient’s fasting blood sugar test result is 130 mg/dL. The nurse anticipates which diagnosis? 

Maternal infection with which organism(s) during pregnancy may lead to neonatal seizures? Select all that apply.

The 17-year-old pregnant female patient presents for her first prenatal visit. The nurse plans care based on which understanding of recommended screening?

The 28-year-old female patient presents to the clinic after missing her usual monthly menstrual cycle. A urine hCG level confirms that she is pregnant; further questioning estimates a gestational age of 11 weeks. The patient asks about the possibility of getting an abortion in the next few weeks. Which response by the nurse is appropriate? 

The nurse is assigned to a 32-year-old G1P0 female at 30 weeks estimated gestational age who presents with pre-eclampsia. On physical assessment, the patient’s blood pressure is 180/125 mm Hg. The patient is prescribed magnesium sulfate by the provider. Which of the following is the most indicative that magnesium sulfate has been effective?

The nurse receives report on a 24-year-old G1P0 female at 32 weeks estimated gestational age who presents with pre-eclampsia with severe features. The nurse expects the patient to exhibit which symptom? 

The 23-year-old G1P0 patient who is 14 weeks pregnant presents to the emergency department with weakness and lethargy due to intractable nausea and vomiting. The patient has lost approximately 7% of pre-pregnancy weight. The nurse is aware the patient's symptoms are due to excess production of which hormone(s)? Select all that apply.

A 23-year-old pregnant woman presents to the clinic stating, “I am a teacher and have heard there is a measles outbreak in my community. I want to get the measles vaccine to protect my baby and myself. Which response by the nurse is most appropriate?

A nurse is discussing abortion with a distraught pregnant woman. The nurse understands that the patient is most likely struggling with which pair of ethical principles?

Which patient is the nurse’s first priority?

Which statement by a patient in the obstetrician's clinic is most concerning?

Which information does the nurse provide to the woman who is 8 weeks pregnant about a transvaginal ultrasound?

The nurse is helping a woman who is 12 weeks pregnant develop a diet plan. Which initial action by the nurse is appropriate?