At her first prenatal visit, a woman and the nurse are discussing fetal development.The client asks, "When will we be able to hear the baby's heartbeat?" The nurse should reply, The fetal heartbeat can be heard with a Doppler at:

The fourth week of gestation.

The sixth week of gestation.

The seventh week of gestation.

The twelfth week of gestation.

Answer and Explanation

The Correct Answer is D

Choice A rationale

The fetal heartbeat can be heard with a Doppler at the fourth week of gestation is incorrect. At this early stage, the embryonic heart has only just begun to form, and its activity cannot be detected by Doppler.

Choice B rationale

The fetal heartbeat can be heard with a Doppler at the sixth week of gestation is incorrect. Although the heart begins to beat around this time, it is usually too faint to be detected by Doppler.

Choice C rationale

The fetal heartbeat can be heard with a Doppler at the seventh week of gestation is incorrect. It remains challenging to detect the fetal heartbeat this early with standard Doppler equipment.

Choice D rationale

The fetal heartbeat can be heard with a Doppler at the twelfth week of gestation is correct. By the end of the first trimester, the fetal heart is sufficiently developed and strong enough to be detected using Doppler ultrasound, allowing healthcare providers to monitor fetal well-being.

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Correct Answer is B

Explanation

Choice A rationale

Maintaining a folic acid intake of 4 mcg per day is not sufficient. The recommended dose for pregnant women is 400-800 mcg to help prevent neural tube defects, but it is not specifically related to reducing the risk of preterm labor.

Choice B rationale

Increasing fluid intake to 8-10 (8 oz) glasses per day is recommended as it helps to maintain hydration, which is crucial in preventing preterm labor. Dehydration can cause uterine contractions, which can lead to preterm labor.

Choice C rationale

Consuming the recommended daily allowance of vitamin C (85 mg) is important for immune function and overall health but does not directly affect the risk of preterm labor.

Choice D rationale

Increasing caloric intake by 500 calories per day is typically recommended for breastfeeding mothers, not for preventing preterm labor during pregnancy. Proper nutrition is important, but overconsumption can lead to excessive weight gain.

A. Psoriasis. B. Jaundice. C. Erythema toxicum. D. Linea negra.

Correct Answer is D

Explanation

Choice A rationale

Psoriasis is a chronic skin condition that is not specific to pregnancy. It is characterized by red, scaly patches and requires medical treatment.

Choice B rationale

Jaundice, indicated by yellowing of the skin and eyes, is a sign of liver dysfunction and is not related to normal pregnancy changes.

Choice C rationale

Erythema toxicum is a common, benign rash that occurs in newborns, not in pregnant women. It appears as red spots with small pustules and resolves on its own.

Choice D rationale

Linea negra is a dark line that appears on the abdomen during pregnancy due to hormonal changes. It is a common finding in the third trimester.

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At her first prenatal visit, a woman and the nurse are discussing fetal development.The client asks, "When will we be able to hear the baby's heartbeat?" The nurse should reply, The fetal heartbeat can be heard with a Doppler at:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client during her first prenatal visit.Which of the following should the nurse include in the teaching to decrease the risk of preterm labor?

Correct Answer is B

Explanation

A nurse in a prenatal clinic is completing a skin assessment of a client who is in the third trimester.Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

For each potential prescription from the provider, specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

A pregnant client tells the nurse that her LMP was 3 months ago and began on October 20. Using Naegele's rule, calculate the client's estimated date of delivery. Answer format: "October 20"

The nurse who is assessing a G2 P1 client palpates the fundal height at the location noted on the picture below (near the umbilicus). The nurse concludes that the fetus is equal to which of the following gestational ages?

At her first prenatal visit, a woman and the nurse are discussing fetal development.The client asks, "When will we be able to hear the baby's heartbeat?" The nurse should reply, The fetal heartbeat can be heard with a Doppler at:

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A client is 10 weeks pregnant and is experiencing nausea each day.Which strategy would the nurse NOT recommend to the client?

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