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The nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider.
Which signs and symptoms would the nurse include? Select all that apply.

Nausea with vomiting during the first trimester.

Sudden leakage of fluid during the second trimester.

Urinary frequency in the third trimester.

Backache during the second trimester.

Lower abdominal pain with shoulder pain in the first trimester.

Headache with visual changes in the third trimester.

Answer and Explanation

Correct Answer : A,E,F

The correct answers are choices B, E, and F.

Choice A rationale:

Nausea with vomiting during the first trimester is a common symptom of pregnancy and does not need to be reported immediately to the health care provider.

Choice B rationale:

Sudden leakage of fluid during the second trimester could indicate premature rupture of membranes, which can lead to infection and preterm labor. This should be reported immediately.

Choice C rationale:

Urinary frequency in the third trimester is a common symptom of pregnancy due to the growing uterus putting pressure on the bladder.

Choice D rationale:

Backache during the second trimester is a common symptom of pregnancy as the body adjusts to the growing uterus.

Choice E rationale:

Lower abdominal pain with shoulder pain in the first trimester could indicate an ectopic pregnancy, which is a medical emergency and should be reported immediately.

Choice F rationale:

Headache with visual changes in the third trimester could indicate preeclampsia, a serious condition that can lead to seizures, stroke, and other complications. This should be reported immediately.

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Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

Sitz baths cause perineal vasodilation, not vasoconstriction, and this does not directly affect bleeding.

Choice B rationale:

The duration of a sitz bath does not necessarily correlate with its therapeutic effect.

Choice C rationale:

Sitz baths increase the blood supply to the perineal area, promoting healing and providing relief from discomfort.

Choice D rationale:

Sitz baths do not increase the risk of postpartum infection when done properly.

A. The cervix is effaced 1 cm. B. The presenting part is 1 cm above the ischial spines. C. The cervix is 1 cm dilated. D. The presenting part is 1 cm below the ischial spines.

Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

The term “-1” in a vaginal examination does not refer to the effacement of the cervix. Effacement is usually expressed as a percentage.

Choice B rationale:

In a vaginal examination, “-1” refers to the station of the fetus. A “-1” station means that the presenting part of the fetus (usually the head) is 1 cm above the ischial spines.

Choice C rationale:

The term “-1” in a vaginal examination does not refer to the dilation of the cervix. Dilation is usually measured in centimeters, from 0 (no dilation) to 10 (fully dilated).

Choice D rationale:

A “-1” station does not mean that the presenting part is below the ischial spines. It means that it is above the ischial spines.

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The nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider.Which signs and symptoms would the nurse include? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which information would the nurse emphasize in the teaching plan for a postpartum woman who is reluctant to begin taking warm sitz baths?

Correct Answer is C

Explanation

A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1. Which of the following interpretations of this finding should the nurse make?

Correct Answer is B

Explanation

In an effort to decrease complications for the infant right after birth, the nurse would expect to administer which medication for prophylaxis of potential eye conditions?.

A nurse is caring for a client who experienced a vaginal birth 12 hr ago.The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.Which of the following findings should the nurse expect during this phase?.

A nurse determines that a newborn has a 1-minute Apgar score of 5 points.What conclusion would the nurse make from this finding?.

A nurse has been assigned to assess a pregnant client for abruptio placenta.For which classic manifestation of this condition should the nurse assess?.

A client presents to the health care clinic for her first prenatal checkup.What nutritional supplement should the nurse discuss with the client to prevent neural tube defects in the developing fetus?

A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn.The client reports feeling "down" and sad, having no energy, and wanting to cry.Which of the following is a priority action by the nurse?.

A client in the third stage of labor has experienced placental separation and expulsion.Why is it necessary for a nurse to massage the woman's uterus briefly until it is firm?.

At what time is the laboring client encouraged to push?

The nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider.
Which signs and symptoms would the nurse include? Select all that apply.