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 B

Explanation

a. Suctioning the mouth during a seizure can increase the risk of injury and is not recommended.
b. The primary duty of the nurse during a seizure is to ensure the safety of the client by staying with them and calling for assistance.
c. Inserting an oral airway during a seizure is not appropriate and can increase the risk of injury.
d. Administering oxygen may be necessary after the seizure has ended, but the primary duty during the seizure is to ensure safety.

A. A 27-year-old G2P1 woman at 37 weeks' gestation who experienced spontaneous rupture of membranes 30 minutes ago but feels normal fetal movements and not contractions are noted. B. A 22-year-old. 9cm 100% +4. Who is requesting to go to the bathroom to have a bowel movement C. A 32-year-old G4P3 woman at 27 weeks' gestation who noted scan vaginal bleeding today, after of having a sexual intercourse in the morning. D. A 17-year-old. 2cm 80% -2. Who is crying and shows mild anxiety

Correct Answer is B

Explanation

a. A woman at 37 weeks' gestation who experienced spontaneous rupture of membranes 30 minutes ago with normal fetal movements is not a priority assessment as long as there are no signs of fetal distress.
b. A woman who is 9 cm dilated and fully effaced and is requesting to go to the bathroom to have a bowel movement is in the second stage of labor, which means that the cervix is fully dilated and the fetus is descending in the birth canal. The urge to have a bowel movement is a sign that the fetal head is pressing on the rectum and that delivery is imminent. This patient needs immediate attention and preparation for delivery.
c. A woman at 27 weeks' gestation who noted scant vaginal bleeding today after having sexual intercourse in the morning may be experiencing placenta previa or placental abruption but this is not a priority compared to the woman in option b who is yet to deliver.
d. A woman who is 2 cm dilated and 80% effaced and is crying and shows mild anxiety is not a priority assessment as long as there are no signs of fetal distress.

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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

A woman with preeclampsia has a seizure. The nurse's primary duty during the seizure is to: Select one:

Correct Answer is B

Explanation

You are working in the labor and delivery unit, you received several nursing reports. Which patient should you assess first? Select one:

Correct Answer is B

Explanation

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A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

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