A 38-year-old primigravida returns to the clinic at 16 weeks gestation for an alpha-fetoprotein test.She asks a nurse, "Why do lI need this test?".Which response would be most appropriate for the nurse to make?

A patient has decided to bottle-feed her twins.The nurse should give this patient which instruction to help alleviate breast engorgement?

When assessing a newborn, which is the best method for the nurse to use to elicit the Moro reflex?

A 23-year-old primigravida who appears to be in her third trimester of pregnancy comes to the labor and delivery unit reporting acute abdominal pain.  She has had no prenatal care. Which assessment should the nurse do first?  

During the first postpartum day, a new mother is breastfeeding her infant.The client asks, “Since I don’t have any milk yet, why am I breastfeeding?” Which response by the nurse is most appropriate?

During a class for women in the second trimester of pregnancy, the nurse discusses methods to alleviate back pain.
Which statement by a class member would indicate the need for additional instruction?

A client who had pregnancy-induced hypertension (PIH) is now postpartum. A nurse should closely monitor this client for which complication?

A woman gives birth to twin girls, one of whom is stillborn.
Which nursing action would be least helpful in supporting the woman as she copes with her loss?

A newborn develops hyperbilirubinemia when 24 hours old and is prescribed phototherapy.
Which measure is an important part of this newborn’s care plan?

A patient who is at 34 weeks gestation reports having discomfort from hemorrhoids.
The nurse discusses with the patient strategies for pregnant women who have hemorrhoids.The patient returns to the clinic in 2 weeks.Which patient statement indicates a need for further teaching regarding hemorrhoid management?

On her first visit, a patient had a baseline hemoglobin of 13.0 gm and a hematocrit of 42.9%.She has been taking ferrous sulfate tablets and eating an iron-rich diet.She returned to the clinic at 30 weeks gestation and has a hemoglobin of 11.0 gm and a hematocrit of 36.3%.She is concerned and confused about why these lab values have gone down.
In responding, which physiological change during pregnancy should the nurse describe to the patient?