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A nurse is caring for a client during an initial prenatal visit. The client’s last menstrual period was 18 weeks ago. Which of the following actions should the nurse plan to take?

Calculate the estimated date of birth.

Obtain the client’s personal and family medical history.

Obtain information about prior pregnancies.

Check the client’s urine with a reagent strip.

Schedule the client for prenatal laboratory testing.

Discuss chorionic villus sampling with the client.

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A rationale

Calculating the estimated date of birth involves determining the gestational age. Gestational age is crucial for monitoring fetal development and timing prenatal care.

Choice B rationale

Obtaining the client’s personal and family medical history helps identify genetic risks, potential complications, and health conditions that may affect pregnancy and delivery.

Choice C rationale

Obtaining information about prior pregnancies provides insight into potential risks and outcomes. Previous pregnancy complications can indicate risks for the current pregnancy.

Choice D rationale

Checking the client’s urine with a reagent strip screens for urinary tract infections, protein, and glucose levels. UTIs can cause complications, while protein and glucose levels help monitor maternal health.

Choice E rationale

Scheduling the client for prenatal laboratory testing, such as blood work and ultrasounds, helps assess maternal and fetal health. Tests like blood type, Rh factor, and infectious diseases are essential for prenatal care.

Choice F rationale

Discussing chorionic villus sampling is not necessary at 18 weeks of gestation. CVS is typically performed between 10-13 weeks for early genetic testing.

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Correct Answer is ["0503"]

Explanation

The correct answer is 0503.

A. Two or more fetal heart rate accelerations within a 20-minute period. B. No late decelerations of the fetal heart rate. C. Late decelerations are present with a minimum of 50% of the contractions. D. Fetal heart rate accelerations less than 15 beats per minute or lasting less than 15 seconds.

Correct Answer is A

Explanation

Choice A rationale

A reactive nonstress test is defined as having two or more fetal heart rate accelerations of at least 15 beats per minute lasting 15 seconds or more within a 20-minute period.

Choice B rationale

No late decelerations of the fetal heart rate do not define a reactive nonstress test, which focuses on fetal heart rate accelerations as indicators of fetal well-being.

Choice C rationale

The presence of late decelerations in more than 50% of contractions indicates uteroplacental insufficiency and fetal distress, not a reactive nonstress test which requires accelerations.

Choice D rationale

Fetal heart rate accelerations less than 15 beats per minute or lasting less than 15 seconds do not meet the criteria for a reactive nonstress test, which requires accelerations of 15 beats per minute lasting 15 seconds or more.

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A nurse is caring for a client during an initial prenatal visit. The client’s last menstrual period was 18 weeks ago. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client’s last menstrual period began on July 27. What is the client’s EDB? (State the date in MMDD. For example, July 27 is 0727) .

Correct Answer is ["0503"]

Explanation

The nurse reviews a client’s antepartum nonstress test results as reactive. The nurse interprets this finding as:

Correct Answer is A

Explanation

A nurse is caring for a client during an initial prenatal visit. The client’s last menstrual period was 18 weeks ago. Which of the following actions should the nurse plan to take?

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Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?

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The nurse is scheduling a hysterosalpingogram test for a patient. When planning the test, which of the following information from the patient’s history will be needed?

At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a clean catch urine specimen to look for all of the following, except:

A 16-year-old client at 18 weeks gestation with a normal BMI expresses concern about weight gain during pregnancy. The client wants to know how to avoid gaining too much weight. What is an appropriate response from the nurse?

The antepartum clinic nurse is triaging telephone messages from four clients. Which call should the nurse return first?