Here you have the best Test Prep NCLEX-RN practice exam questions
A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitioner to determine the status of her possible pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using Ngeles rule is:
To calculate the estimated date of confinement (EDC) using Naegele's rule, you start with the first day of the last menstrual period (LMP), subtract 3 months, and then add 7 days to that date, finally adjusting the year if necessary. In this case, the LMP began on May 20. Subtracting 3 months gives us February 20. Adding 7 days results in February 27. Therefore, the estimated date of confinement is February 27.
The nurse practitioner determines that a client is approximately 9 weeks gestation. During the visit, the practitioner informs the client about symptoms of physical changes that she will experience during her first trimester, such as:
Nausea and vomiting are common symptoms experienced by many pregnant women during the first trimester. These symptoms are due to elevated levels of human chorionic gonadotropin (hCG) and changes in carbohydrate metabolism.
A client is 6 weeks pregnant. During her first prenatal visit, she asks, "How much alcohol is safe to drink during pregnancy?" The nurse’s response is:
No amount of alcohol has been determined safe for pregnant women. Alcohol should be avoided due to the risk of fetal alcohol syndrome and other potential developmental issues. Therefore, the safest recommendation is to consume no alcohol during pregnancy.
A 38-year-old pregnant woman visits her nurse practitioner for her regular prenatal checkup. She is 30 weeks gestation. The nurse should be alert to which condition related to her age?
The nurse should be alert to pregnancy-induced hypertension (PIH) in a 38-year-old pregnant woman. Physical risks for the pregnant client older than 35 include an increased risk for PIH, cesarean delivery, fetal and neonatal mortality, and trisomy. PIH is particularly prevalent in older pregnancies due to age-related changes in vascular health and other physiological factors.
A client returns for her 6-month prenatal checkup and has gained 10 lb in 2 months. The results of her physical examination are normal. How does the nurse interpret the effectiveness of the instruction about diet and weight control?
She needs further instruction and reinforcement regarding her diet and weight control. The recommended weight gain during pregnancy should be gradual, with about 12 pounds during the entire second and third trimesters combined. Gaining 10 pounds in just 2 months indicates that she might not be following the dietary guidelines properly. Therefore, she should be re-evaluated, and her dietary habits should be reinforced to ensure healthy weight management during pregnancy. Restrictive diets are generally not recommended during pregnancy as they can potentially harm both the mother and the baby.