1. An antepartum client tells the nurse her last period was May 18.

The nurse uses Naegeles rule to compute the client's expected date of birth, and tells the client that the correct date of birth will be: a. February 11 (of the next year) b. February 28 (of the next year) c. February 18 (of the next year) d. February 25 (of the next year) 2. The nurse is assessing the fundal height of a client at 26 weeks' gestation. The nurse should expect the fundus to be: a. At 26 cm. b. Halfway between the symphysis and umbilicus c. Level with the symphysis. d. Level with the umbilicus. 3. A nurse is teaching a prenatal client about cardiovascular changes during pregnancy. The client asks the nurse why she becomes dizzy when getting out of a chair or out of bed. What rationale should the nurse provide as to the cause of this dizziness during pregnancy? a. Decreased production of estrogen and progesterone b. Increased production of fibrinogen and plasma c. Decreased absorption of hemoglobin in the blood d. Increased blood volume in the lower extremities 4. A nurse practitioner is taking an initial history of a prenatal client. Which of the following, if detected by the nurse practitioner, would indicate a positive, or diagnostic, sign of pregnancy? a. Uterine enlargement and amenorrhea b. Positive pregnancy test c. Goodell's sign d. Fetal heartbeat with a Doppler at 11 weeks' 5. The nurse in the prenatal clinic assesses a 26-year-old client at 13 weeks' gestation. Which presumptive (subjective) signs and symptoms of pregnancy should the nurse anticipate? a. Ballottement and positive pregnancy test b. Hegar's sign and quickening c. Excessive fatigue and urinary frequency d. Chadwick's sign and uterine souffl 6. The nurse is teaching a parenting class to prospective fathers. The nurse correctly teaches that couvade refers to the: a. Expectant father's fear of hurting the unborn baby during intercourse. b. Development of the physical symptoms of pregnancy in the father of the baby c. Expectant father's transition from nonparent to parent.

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Development of attachment and bonding behaviors in the father of the baby.

7. A nurse is completing an assessment on a first-trimester antepartum client. Which of the following statements would indicate a psychological risk factor and a need to evaluate further for possible intervention? a. "I can't think of any names I like." b. "My boyfriend said it better be a boy." c. "I might have to quit my job." d. "I'm not sure I'm happy about being pregnant right now." 8. A client who is 8 weeks pregnant gives the following pregnancy history to the nurse: This is her fourth pregnancy; she had one abortion at 12 weeks, she had a girl born at home at 35 weeks, and she gave birth to a stillborn at 38 weeks. Which of the following is the correct documentation for this client's obstetric history? a. G3 T0 P1 A1 L0 b. G4 T1 P1 A1 L1 c. G3 T1 P1 A1 L1 d. G4 T2 A1 P0 L2 9. An antepartal client at 29 weeks' gestation is assessed in the prenatal clinic. All assessment data are within normal limits. When should the nurse schedule the client's next appointment? a. In 1 week b. In 2 weeks c. In 3 weeks d. In 1 month 10. A client in the prenatal clinic complains of nausea and vomiting. Which intervention should the nurse suggest? a. Eat foods high in fiber. b. Consume liquids with meals. c. Brush teeth right after eating. d. Eat dry crackers or toast before arising in the morning. 11. A second-trimester client in the prenatal clinic complains of ankle edema. Which intervention should the nurse suggest? a. Practice plantar flexion when standing. b. Wear ankle socks daily. c. Stretching exercises before bedtime d. Elevate legs when sitting. 12. A prenatal client at 10 weeks' gestation is complaining of urinary frequency. Which self-care strategy should the nurse teach? a. Empty bladder every 4 hours.

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b. Decrease the amount of fluid intake. c. Empty bladder every hour. d. Empty the bladder when the urge is felt A prenatal client in the third trimester of pregnancy is diagnosed with varicosities in the vulva and perineum. Which self-care strategy should the nurse teach? a. Elevate legs and feet while sitting or lying down. b. Elevate legs level with hips while sitting or lying down. c. Change shoes several times throughout the day. d. Use supportive hose in the afternoon and evening. A pregnant client complains of severe heartburn. The nurse suggests which of the following relief measures for heartburn? a. Lie down for half an hour after eating. b. Take a teaspoon of sodium bicarbonate in water after meals. c. Avoid fried and highly spiced foods d. Eat three well-spaced meals each day. A client at 38 weeks' gestation tells the nurse, "I had white liquid leaking out of my nipples while warm water was running over my breasts in the shower last night." The nurse explains that: a. "The liquid was colostrum, just removed with warm water." b. "You have a galactoma, and will require a brain scan." c. "I will need to culture the liquid because it might indicate mastitis." d. "You will need to pump your breasts because your milk has come in early." A nurse is teaching a group of prenatal clients about the importance of exercise during pregnancy. Which client would be the best candidate to continue with her exercise regime? a. A client with a diagnosis of diabetes b. A client with an incompetent cervix and cerclage c. A client with a diagnosis of pre-eclampsia d. A client with placenta previa A nursing instructor is reviewing the menstrual cycle with a nursing student. The instructor asks the student to describe FSH and LH. The student accurately responds by stating that FSH and LH: a. Are secreted by the adrenal glands. b. Are released from the anterior pituitary gland c. Are secreted by the corpus luteum of the ovary d. Stimulate the formation of milk during pregnancy