A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 19. When she was seen in the clinic at 33 weeks of gestation, she had gained 4 lbs in the first trimester. What should be the expected weight gain at this pregnancy time?

Answer and Explanation

The Correct Answer is D

a.   The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
b.   The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
c.   The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
d.   The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.

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Correct Answer is A

Explanation

a. This would help determine the location of the placenta and whether placenta previa is present, which can cause painless vaginal bleeding.
b. This is not typically done for diagnosis of painless vaginal bleeding.
c. While an abdominal ultrasound can also determine the location of the placenta, a vaginal ultrasound is more accurate for this purpose.
d. This is not typically done for diagnosis of painless vaginal bleeding.

A. Assess the odor of the amniotic fluid B. Prepare the client for emergency cesarean section. C. Recheck the client's temperature in 8 hr. D. Administer glucocorticoids intramuscularly.

Correct Answer is A

Explanation

a. An abnormal odor of the amniotic fluid, such as a foul or fishy smell, may indicate infection and is a concern with ruptured membranes and an elevated temperature.
b. This may be necessary if the client has an infection or other complications, but it is not the first action to take.
c. This is not an appropriate action when the client has an elevated temperature and ruptured membranes.
d. Glucocorticoids may be administered to promote fetal lung maturity in preterm labor, but they are not appropriate in this situation.

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A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 19. When she was seen in the clinic at 33 weeks of gestation, she had gained 4 lbs in the first trimester. What should be the expected weight gain at this pregnancy time?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse admits a woman who is at 38 weeks of gestation and in early labor with ruptured membranes. The nurse determines that the client's oral temperature is 38.9° C (102° F). Besides notifying the provider, which of the following is an appropriate nursing action?

Correct Answer is A

Explanation

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