A nurse in an obstetrics office is reviewing a client's medical record.

Exhibits

Which of the following findings increase the client's risk for pregnancy complications? Select the 2 findings that increase the client's risk for pregnancy complications.

Surgical history

Medical history

Age

BMI

Psychosocial history

Answer and Explanation

Correct Answer : B,C

Choice A rationale: Surgical history does not necessarily increase pregnancy complications, especially with resolved conditions like cholecystectomy and appendectomy. However, each surgical procedure's impact varies, and this client's surgeries were neither recent nor directly related to reproductive health.

Choice B rationale: Asthma and hypertension both increase pregnancy risk. Uncontrolled asthma can lead to preeclampsia and low birth weight. Hypertension, particularly with losartan use, can affect placental function and fetal development, necessitating close monitoring and medication adjustment.

Choice C rationale: Advanced maternal age (over 35) heightens risks such as chromosomal abnormalities, gestational diabetes, and preeclampsia. Pregnancy complications increase with age, necessitating more frequent prenatal monitoring and potential interventions to ensure maternal and fetal health.

Choice D rationale: BMI information isn't provided, making it impossible to assess its impact. BMI outside the normal range can influence pregnancy outcomes, but without this data, we cannot definitively link it to increased risk in this scenario.

Choice E rationale: Psychosocial factors, like recent marriage and work stress, do influence pregnancy, but the primary clinical concerns here are medical history and age. Addressing psychosocial stress is still important but is secondary to physiological conditions.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

Ballottement refers to the movement of the fetus felt by the provider when pushing on the cervix, causing the fetus to rise and then return to its original position. This is a probable sign of pregnancy.

Choice B rationale

Goodell’s sign refers to the softening of the cervix, which occurs due to increased vascularization during pregnancy. It is not related to the movement of the fetus felt by the provider.

Choice C rationale

Lightening refers to the sensation of the fetus moving down into the pelvis, usually occurring in the later stages of pregnancy. It is not related to the specific movement of the fetus felt by the provider.

Choice D rationale

Chadwick’s sign is the bluish discoloration of the cervix, vagina, and labia due to increased blood flow during pregnancy. It is not associated with the movement of the fetus felt by the provider.

A. Enlarged uterus. B. Positive fetal cardiac activity on ultrasound. C. Auscultation of fetal heart tones. D. Amenorrhea.

Correct Answer is D

Explanation

Choice A rationale

Enlarged uterus is a probable sign of pregnancy, often caused by uterine growth. Probable signs are those observed by the examiner but not definite.

Choice B rationale

Positive fetal cardiac activity on ultrasound is a positive sign of pregnancy. Positive signs are definitive proof of pregnancy, observed via imaging or hearing fetal heart tones.

Choice C rationale

Auscultation of fetal heart tones is a positive sign of pregnancy, indicating fetal presence. Positive signs confirm pregnancy through direct observation or hearing the fetus.

Choice D rationale

Amenorrhea is a presumptive sign of pregnancy, commonly due to hormonal changes. Presumptive signs are subjective symptoms experienced by the woman, like nausea or breast tenderness.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse in an obstetrics office is reviewing a client's medical record. Exhibits Which of the following findings increase the client's risk for pregnancy complications? Select the 2 findings that increase the client's risk for pregnancy complications.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing probable signs of pregnancy with a newly licensed nurse. Which of the following terms should the nurse use to describe the movement of the fetus felt by the provider after placing upward pressure on the cervix?

Correct Answer is A

Explanation

A 28-year-old female presents to the obstetrics office, suspecting she may be pregnant. Which of the following would the nurse recognize as a presumptive sign of pregnancy?

Correct Answer is D

Explanation

Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits The nurse reviews the client's laboratory results. The nurse understands that the client is most likely experiencing which condition? Select all that apply.

A nurse in an obstetric clinic has received messages from four clients. Which of the following clients should the nurse call first?

The antepartum clinic nurse is triaging telephone messages from four clients. Which call should the nurse return first?

A nurse in an obstetrics office is reviewing a client's medical record. Exhibits Which of the following findings increase the client's risk for pregnancy complications? Select the 2 findings that increase the client's risk for pregnancy complications.

A nurse is caring for a client during an initial prenatal visit. The client’s last menstrual period was 18 weeks ago. Which of the following actions should the nurse plan to take?

Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?

A 16-year-old client at 18 weeks gestation with a normal BMI expresses concern about weight gain during pregnancy. The client wants to know how to avoid gaining too much weight. What is an appropriate response from the nurse?

The nurse is caring for a client who is experiencing nausea associated with her pregnancy. The nurse should recommend that the client:

A nurse in an obstetrics office is reviewing a client's medical record.

Exhibits

Which of the following findings increase the client's risk for pregnancy complications? Select the 2 findings that increase the client's risk for pregnancy complications.