1. A nurse working in the prenatal clinic is evaluating the nutritional status of four adolescents.

Which adolescents have nutrition-related risk factors? Select all that apply. a. The adolescent of normal height and weight b. The adolescent who is diabetic c. The adolescent who smokes d. The adolescent who is 10 pounds underweight 2. A nurse is evaluating client teaching about nutrition. The nurse knows the teaching is effective when the client states: a. "I should take my iron right after a meal." b. "Iron is best absorbed when taken with milk." c. "I should take my iron half an hour before breakfast." d. "I should take my iron and vitamin whenever I remember them." 3. A prenatal client asks the nurse, "How much weight should I gain, and when?" What is the best response by the nurse regarding the pattern of weight gain? a. "Gain 5 pounds in the first trimester, 10 pounds in the second trimester and 15 pounds in the third trimester." b. "Gain 3-4.5 pounds in the first trimester and 1 pound per week in the last two trimesters." c. "Gain 10 pounds in the first trimester, 10 pounds in the second trimester, and 10 pounds in the third trimester." d. "Gain 2-4 pounds in the first trimester and half a pound per week in the last two trimesters." 4. An adolescent at 18 weeks' gestation complains to the nurse in the prenatal clinic about her 15pound weight gain. What is the best response by the nurse? a. "You have not gained enough weight at this time in your pregnancy." b. "You should not gain any more weight until the third trimester." c. "You have gained an appropriate amount of weight." d. "You should continue to gain weight, but at a slower rate." 5. A nurse is teaching a prenatal nutrition class. Which meal is highest in protein? a. Peanut butter sandwich, pea soup, and lemonade b. Toasted cheese sandwich, tomato soup, and iced tea c. Sausage, eggs with cheese, toast, and coffee d. Fortified cereal, toast, and orange juice 6. A prenatal client's lab report reveals a low folic acid level. The nurse explains that a low folic acid level is associated with a higher incidence of: a. Prematurity b. Spina bifida c. Respiratory problems d. Cardiac problems

7. A prenatal client tells the nurse about her craving for laundry starch. How should the nurse respond? a. "You have a condition called anorexia. This disorder will compromise fetal weight gain." b. "This craving is called pica. Try nonfat powdered milk to see if it satisfies your craving." c. "You have a condition called bulimia. You must stop the ingestion of laundry starch immediately." d. "Since you are a vegan, the ingestion of laundry starch is considered normal." 8. The nurse is caring for a laboring client with Type I diabetes. What are the signs and symptoms of hypoglycemia for which the nurse should assess? a. Frequent urination and headache b. Headache and anorexia c. Dry skin and blurred vision d. Diaphoresis and disorientation 9. The nurse is counseling a prenatal client regarding the need to take folic acid supplements during pregnancy. The nurse also encourages the client to eat foods high in folic acid, such as: a. Fruits and fruit juice. b. Rice and pasta. c. Fresh green, leafy vegetables and legumes. d. Eggs and yogurt. 10. The nurse is caring for a laboring client with sickle-cell anemia. Which therapy should the nurse anticipate the physician ordering? a. Magnesium sulfate b. Diuretics c. Bronchodilators d. Oxygen 11. The nurse is reviewing the lab tests of four prenatal clients. Which lab finding would support the diagnosis of hyperemesis gravidarum? a. Hypercalcemia b. Hypokalemia c. Hypocalcemia d. Hyperkalemia 12. A client at 30 weeks' gestation is admitted to the maternity unit with vaginal bleeding. What should be the nurse's initial nursing action? a. Start an intravenous infusion drip. b. Observe for pallor, clammy skin, and perspiration. c. Count and weigh peripads. d. Assess blood pressure and pulse. 13. A client at 15 weeks' gestation presents to the prenatal clinic with "prune juice"-like vaginal bleeding. Other assessment data include a hematocrit of 10 and complaints of severe nausea and vomiting. What diagnosis should the nurse suspect? a. Hydatidiform mole b. Abruptio placentae

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c. Prolapsed cord d. Placenta previa A client is being maintained at home with a diagnosis of mild preeclampsia. Which of the following complaints require further evaluation? Select all that apply. a. Headache b. Blurred vision c. Anxiety d. Heartburn A prenatal client in her second trimester is admitted to the maternity unit with painless, bright red vaginal bleeding. What test might the physician order? a. Contraction stress test (CST) b. Ultrasound c. Amniocentesis d. Alpha-fetoprotein (AFP) A prenatal client at 30 weeks' gestation is scheduled for a nonstress test (NST), and asks the nurse, "What is this test for?" The nurse correctly responds that the test is used to determine which of the following? Select all that apply. a. Adequate fetal oxygenation b. Fetal lung maturity c. Accelerations of fetal heart rate d. Fetal well-being Which of the following are functions of estrogen? Select all that apply. a. love hormone b. Stimulates uterine development c. Develops ductal system of breasts to prepare for lactation d. Initially produced by corpus luteum, then by the placenta e. Considered most crucial hormone in maintaining pregnancy Which of the following are functions of progesterone? Select all that apply. a. Initially produced by corpus luteum, then by the placenta b. Smooth muscle relaxation c. love hormone d. Considered most crucial hormone in maintaining pregnancy e. Inhibits spontaneous uterine contractility By maintaining endometrium f. Develops breasts for lactation

19. Match the following: ___ Hegars sign ___ Quickening ___ Couvade ___ Goodells sign ___ Cholasma ___ Ballotment ___ Striae ___ Braxton-Hicks contractions ___ Pyrosis ___ Spider Nevi ___ Chadwicks sign

A. Purple/blue coloration of cervix, mucus membranes and vagina B. Heartburn C. Softening of the isthmus of the cervix D. Softening of the cervix E. Passive fetal movement elicited by pushing up against the cervix with 2 fingers F. Mothers perception of fetal movement G. Describes unintentional development of physical symptoms similar to pregnancy in the male H. Intermittent, irregular contractions that do not cause dilatation of the cervix I. Stretch marks J. Bright red elevations of the skin on chest, neck, face, arms and legs K. Mask of pregnancy

20. Describe Supine Hypotension. 21. Describe Physiologic Anemia. 22. Discuss teaching points for the following pregnancy discomforts: a. Nausea/vomiting b. Fatigue c. Urinary frequency d. Heartburn e. Constipation