The nurse is educating a newly pregnant client about danger signs in pregnancy. As part of the education session, the nurse would include which of the following items as a reason to call the office immediately?

Heartburn

Vaginal bleeding

Fatigue

Once daily emesis upon awakening

Answer and Explanation

The Correct Answer is B

A. Heartburn: Heartburn is a common issue during pregnancy, especially as the pregnancy progresses, due to hormonal changes and pressure from the growing uterus. While uncomfortable, it is not a danger sign requiring immediate medical attention.

B. Vaginal bleeding: Vaginal bleeding is a serious concern during pregnancy, especially in the first and second trimesters. It can indicate complications such as a miscarriage, ectopic pregnancy, or placental abruption. It is important to call the healthcare provider immediately if any vaginal bleeding occurs.

C. Fatigue: Fatigue is a common symptom during pregnancy, particularly in the first and third trimesters, due to hormonal changes, increased blood volume, and the body's efforts to support fetal growth. It is generally not a reason to call the office immediately.

D. Once daily emesis upon awakening: Vomiting, especially in the early stages of pregnancy, is common and may be related to morning sickness. While it can be uncomfortable, occasional vomiting in the morning does not typically require immediate medical attention unless it becomes severe or persistent.

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Correct Answer is ["A","C","F"]

Explanation

A. Blood pressure: Monitoring blood pressure regularly during pregnancy is crucial to detect any signs of hypertension or preeclampsia, which can develop later in pregnancy, particularly after 20 weeks.

B. Blood glucose: A glucose challenge test is performed between 24 and 28 weeks of gestation to screen for gestational diabetes. While a client might have an indication for a repeat or individual blood glucose check at 32 weeks, it is not a routine assessment at this gestational age

C. Fetal heart rate: Checking the fetal heart rate helps assess the baby's well-being and ensures there are no signs of distress. It is a standard part of every prenatal visit to monitor fetal health.

D. Pap Smear: A Pap smear is typically performed early in pregnancy, not at 32 weeks, unless there is a specific concern. It is usually done during the first prenatal visit or in the early second trimester.

E. Pelvic ultrasound: While ultrasound can be used for specific concerns, such as assessing fetal growth or position, it is not routinely performed at 32 weeks unless there is a medical reason for it, like assessing for fetal anomalies. A routine comprehensive ultrasound (anatomy scan) is usually performed between 18 and 22 weeks gestation.

F. Fundal height: Measuring the fundal height is essential to track fetal growth. At 32 weeks, this measurement helps determine whether the baby is growing appropriately in relation to the gestational age.

A. Parents plan to have the child receive needed immunizations within a year B. Primary care physician changed the appointment for immunizations to another day in a month C. Child began to cry during an immunization, and the decision was made to try again later D. Child has all immunizations up-to-date

Correct Answer is D

Explanation

A. Parents plan to have the child receive needed immunizations within a year: Waiting a year to vaccinate is not ideal. Immunizations should be given according to the recommended schedule to ensure timely protection against preventable diseases.

B. Primary care physician changed the appointment for immunizations to another day in a month: Although rescheduling may happen, effective education would result in adherence to the schedule without unnecessary delays.

C. Child began to cry during an immunization, and the decision was made to try again later: The goal is for the child to receive the immunizations on time. Delaying immunizations due to crying reflects a potential lack of preparedness or understanding by the parents.

D. Child has all immunizations up-to-date: This outcome demonstrates that the parents understand the importance of following the immunization schedule and have followed through with it. Keeping the child’s immunizations up-to-date indicates that the nurse’s instructions were effective in ensuring timely protection.

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The nurse is educating a newly pregnant client about danger signs in pregnancy. As part of the education session, the nurse would include which of the following items as a reason to call the office immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client at 32 weeks gestation is being seen for routine prenatal care. Which of the following assessments will the nurse perform during the exam? Select all that apply

Correct Answer is ["A","C","F"]

Explanation

During a previous well-child visit, the nurse reviews the importance of immunizations with the parents. Which outcome indicates that the nurse's instruction to the parents has been effective?

Correct Answer is D

Explanation

The nurse is instructing new parents on caring for their infant if gastroenteritis symptoms should occur. Which parental statement indicates understanding of appropriate care?

A client who is 8 weeks pregnant tells the nurse, "I find that I'm always going to the bathroom to urinate." Which response by the nurse would be appropriate?

A nurse is completing a pain assessment of an infant. Which of the following pain scales should the nurse use?

According to Piaget, one basic concept that a child will learn during the first year is that:

A pregnant client tells the nurse they have not had any vaccines but wants to be vaccinated so their unborn child is protected against infections. Which vaccine may be administered to this patient?

What information would the nurse include when teaching the parents of an infant about colic?

A pregnant client enjoys exercising at a local health spa once a week. Which comment would lead the nurse to believe they need additional teaching?

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