A nurse in a prenatal client is caring for a client who is at 38 weeks of gestation and has heavy. red vaginal bleeding, without contractions, that started spontaneously. She is in no distress and states that she can "feel the baby moving." The client should undergo an ultrasound to determine which of the following findings?

Location of the placenta

Rh incompatibility

Fetal lung maturity

Frequency and duration of contractions

Answer and Explanation

The Correct Answer is A

A. Location of the placenta: Heavy, painless vaginal bleeding without contractions is a classic sign of placenta previa, where the placenta is abnormally positioned near or over the cervix. An ultrasound is used to determine placental location.

B. Rh incompatibility: Rh incompatibility is not associated with heavy vaginal bleeding, and ultrasound is not used to diagnose it. A blood test is required to assess Rh status.

C. Fetal lung maturity: Fetal lung maturity may be assessed in certain situations, but this is not related to the client's bleeding. The immediate concern is placental location.

D. Frequency and duration of contractions: The client has no contractions, and contractions are not the cause of heavy bleeding in this case. The priority is identifying placental issues.

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Correct Answer is A

Explanation

A. Quickening: Quickening refers to the first movements of the fetus felt by the mother, which often feels like fluttering or light movements. It typically occurs between 16 and 20 weeks of gestation.

B. Chloasma: Chloasma refers to the darkened patches of skin that can appear on the face during pregnancy, also known as the "mask of pregnancy."

C. Lightening: Lightening refers to the descent of the fetus into the pelvis in preparation for birth, which usually occurs in the third trimester, not at 18 weeks of gestation.

D. Ballottement: Ballottement is a technique used during a pelvic examination where the examiner taps on the cervix and feels the fetus bounce back. It is a clinical sign rather than something the mother feels.

A. Replace the device once per year B. Replace the device every 3 years C. Replace the device after a 20% weight loss. D. Replace the device after a urinary tract infection.

Correct Answer is C

Explanation

A. Replace the device once per year. The diaphragm should be replaced every 2 years, not every year, unless it becomes damaged or the client's body changes significantly.

B. Replace the device every 3 years. The diaphragm is generally replaced every 2 years, not 3 years.

C. Replace the device after a 20% weight loss. Significant weight changes, such as a 20% weight loss or gain, may alter the fit of the diaphragm, making it less effective. It should be refitted or replaced after such changes.

D. Replace the device after a urinary tract infection. There is no need to replace a diaphragm after a UTI unless it is damaged or no longer fits properly. UTIs are a common side effect of diaphragm use due to its impact on the urethra.

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client who is being fitted for a contraceptive diaphragm. Which of the following information should the nurse include?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client about checking her basal temperature to identify when ovulation occurs. The nurse should instruct the client to check her temperature at which of the following times?

A nurse is caring for a client who is pregnant and undergoing a nonstress test. The nurse records the FHR as 130 to 150/min, with no fetal movement for 15 min. Which of the following actions should the nurse take?

A nurse is reinforcing teaching with a client who is at 30 weeks of gestation and scheduled for a nonstress test (NST). Which of the following statements by the client indicates a need for further teaching?

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?

A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?