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With regard to weight gain during pregnancy, the nurse should be aware of which important information?

Women with inadequate weight gain have an increased risk of delivering an infant with intrauterine growth restriction (IUGR).

Greater than expected weight gain during pregnancy is almost always attributable to old-fashioned overeating.

In pregnancy, the woman’s height is not a factor in determining her target weight.

Obese women may have health concerns, but the risk of delivering a child with major congenital defects is the same as with women of normal weight.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Inadequate weight gain during pregnancy can lead to intrauterine growth restriction (IUGR), where the fetus does not grow as expected.
Choice B rationale
Excess weight gain is not solely due to overeating; it can result from edema, gestational diabetes, or other metabolic factors.
Choice C rationale
Height is a factor in determining a pregnant woman’s target weight range, influencing the overall recommended weight gain.
Choice D rationale
Obese women have higher risks of complications, including gestational diabetes and hypertensive disorders, differing from normal weight women.

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Correct Answer is B

Explanation

Choice A rationale
Rubella vaccination is contraindicated during pregnancy due to the live virus, which poses a risk to the fetus. Administration should occur postpartum to avoid congenital rubella syndrome in the infant.
Choice B rationale
This statement is correct as rubella vaccination should be deferred until after delivery. It avoids exposure to the live virus during pregnancy, protecting fetal health.
Choice C rationale
The Tdap vaccine is recommended during each pregnancy, typically between 27 and 36 weeks gestation, to boost maternal antibodies and provide passive immunity to the newborn.
Choice D rationale
The flu vaccine is recommended during pregnancy to protect both the mother and the baby from influenza. It reduces the risk of severe illness and complications from the flu.

A. The bacteria cause perineal sepsis. B. The client is at risk for chorioamnionitis. C. The bacteria are sexually transmitted. D. The baby is at high risk for neonatal sepsis.

Correct Answer is D

Explanation

Choice A rationale
Group B Streptococcus (GBS) is not typically associated with perineal sepsis; rather, it is a bacterium that colonizes the gastrointestinal and genitourinary tracts.
Choice B rationale
While GBS colonization can pose risks, chorioamnionitis is a different infection involving the membranes and amniotic fluid, often caused by a variety of microorganisms, not solely GBS.
Choice C rationale
GBS is not primarily sexually transmitted; it is a bacterium naturally present in the genital and digestive tracts, and colonization can occur without sexual contact.
Choice D rationale
Neonatal sepsis is a serious risk for babies born to mothers colonized with GBS, necessitating antibiotic prophylaxis to prevent transmission and subsequent infection in the newborn.

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With regard to weight gain during pregnancy, the nurse should be aware of which important information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is discussing a patient’s vaccination history at her 32-week gestation appointment. The nurse knows that her teaching has been effective when the patient states:

Correct Answer is B

Explanation

A physician writes the following order: administer ampicillin 1 g IV every 4 hours until delivery for a newly admitted client with ruptured membranes. The client had positive vaginal and rectal cultures for GBS+ at 36 weeks gestation. Which of the following is a rationale for this order?

Correct Answer is D

Explanation

Which occurrence is related to cervical dilation and effacement?

With regard to weight gain during pregnancy, the nurse should be aware of which important information?

The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse’s instructions if she states that a positive sign of pregnancy is:

After the nurse completes nutritional counseling for a pregnant woman, she asks the client to repeat the instructions to assess the client’s understanding. Which statement indicates that the client understands the role of protein in her pregnancy?

Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy. These include (select all that apply)

The maternity nurse understands that as the uterus contracts during labor, maternal-fetal exchange of oxygen and waste products:

A pregnant client at 22 weeks’ gestation has a hematocrit of 35%. Pre-pregnancy hematocrit was 40%. Which of the following statements by the nurse best explains this change?

This procedure allows us to identify fetal lie, presentation, and engagement: