Question 1 of 5.

Extract:The nurse in the antepartum clinic is caring for a 32-year-old female at 30 weeks' gestation. Item 3 of 6 Nurses' Note 1128: Client reports that she is ‘looking forward to her delivery.' She reports occasional foot and ankle swelling while on her legs for prolonged periods. This has become bothersome because her shoes feel tight at the end of the day. She has occasional backache, which is relieved by her doing shoulder circles. She reports that she has been constipated on occasion, and straining causes her to notice little spots of bright red blood after she wipes. She denies any trouble with sleep, but about two weeks ago, her legs became restless at night. Over the past two weeks, she noticed that she had become more tired than usual and that someone mentioned that she looked unusually pale. She also began noticing daily headaches that lasted for a few hours. She also had to stop going to the gym because of what she describes as intense fatigue. Upon assessment, the client appeared pale and had dry skin. She is alert and fully oriented. Clear lung fields bilaterally. S1/S2/S3 heart tones auscultated. Peripheral pulses 2+. Fundal height is 30 cm. Fetal heart rate via Doppler was 134 bpm. She reports that the fetus moves about 10 times per hour. Denies having any vaginal discharge or burning with urination. Vital Signs 1129: • 97.8° F (36.6° C) • P 93 • RR 19 • BP 133/79 • Pulse oximetry reading 98% on room air

Select the two (2) complications the client is at risk for developing.

Question 2 of 5.

The nurse is reviewing antepartum tests for a client newly admitted to the labor and delivery unit. Which diagnostic test requires follow-up? See the exhibit.

Question 3 of 5.

You are seeing patients in an outpatient obstetrical clinic for their regularly scheduled prenatal appointments. Your patient is a G2P1 32-year-old woman who is 32 weeks pregnant. She says to you that she is concerned because she thinks she is developing striae gravidarum. When you assess the patient, what would you expect to see if she does present with this condition? Select the correct image.

Question 4 of 5.

The nurse working on the labor and delivery floor is aware that which of the following maternal infections may increase the risk of developing congenital heart defects in the fetus?

Question 5 of 5.

The nurse is supervising a nursing student to teach a pregnant client about a scheduled chorionic villus sampling (CVS) test. Which statement, if made by the nursing student, would require follow-up?