Obstetric Nursing CEUS Practice Test (61-65)

Obstetric Nursing CEUS Practice Test

61. A pregnant client visits a clinic for a scheduled prenatal appointment. The client tells the nurse that she frequently has a backache, and the nurse provides instructions regarding measures that will assist in relieving the backache. Which statement by the client indicates a need for further instructions?

a) I should wear flat-heeled shoes
b) I should sleep on firm mattress
c) I should try to maintain good posture
d) I should do more exercises to strengthen my back muscles

62. A clinic nurse has instructed a pregnant client in measures to prevent varicose veins during pregnancy. Which statement by the client indicates a need for further instructions?

a) I should wear panty hose
b) I should wear support hose
c) I should be wearing flat nonslip shoes that have good support
d) I should wear knee-high hose as long as I don't leave them on longer than 8 hours

63. A clinic nurse is providing instructions to a pregnant client regarding measures that will assist in alleviating heartburn. Which statement by the client indicates an understanding of the instructions?

a) I should avoid between-meal snacks
b) I should lie down for an hour after eating
c) I should use spices for cooking rather than using salt
d) I should avoid eating foods that produce gas, such as beans, vegetables, and fatty foods like deep fried chicken

64. A nurse in a health care clinic is instructing a pregnant client about how to perform "kick counts." Which statement by the client indicates a need for further instructions?

a) I will record the number of movements or kicks
b) I need to lie flat on my back to perform the procedure
c) a count of fewer than 10 kicks in a 12-hour period indicates the need to contact the physician
d) I should place my hands on the largest part of my hands on the largest part of my abdomen and concentrate on the fetal movements to count the kicks

65. During a prenatal visit, the nurse is explaining dietary management to a client with diabetes mellitus. The nurse determines that the teaching has been effective if the client makes which statement?

a) diet and insulin needs change during pregnancy
b) I will plan my diet based on the results of urine glucose testing
c) I will need to eat 600 more calories every day since I am pregnant
d) I can continue with the same diet as before pregnancy, as long as it is well-balanced





Obstetric Nursing CEUS Practice Test:
ANSWERS AND RATIONALE

61) D

- some measures that will assist in relieving a backache include maintaining good posture and body mechanics, resting and avoiding fatigue, wearing flat-heeled shoes, and sleeping on a firm mattress. The back discomfort that occurs in pregnant client is often caused by the exaggerated lumbar and cervicorthoracic curves resulting from a change in the center of gravity because of the enlarged uterus. Performing more exercises to strengthen the back muscles could be harmful to a pregnant client.

62.  D

- varicose veins often develop in the lower extremities during pregnancy. Any constrictive clothing, such as knee-high hose, impedes venous return from the lower legs and places the client at risk for developing varicosities. The client should be encouraged to wear support hose or panty hose. Flat nonslip shoes with proper support are important to assist the pregnant woman to maintain proper posture and balance and minimize falls.

63) D

- lying down is likely to lead reflux of stomach contents, especially immediately following a meal. The client should be instructed to avoid spices, along with salt, because spices will trigger heartburn. Salt will produce edema. The client should be encouraged to eat between-meal snacks and should instructed that to control heartburn, eating smaller, more frequent portions is preferred over eating three large meals. The client also should limit or avoid gas-producing and fatty foods.

64) B

- the client should sit or lie quietly on her side to perform kick counts. Lying flat on the back is not necessary to perform this procedure, can cause discomfort, and presents a risk of vena cava (hypotensive) syndrome. The client is instructed to place her hands on the largest part of the abdomen and concentrate on the fetal movements. The client records the number of movements felt during a specified time period. The client needs to notify the physician or nurse-midwife if there are fewer than 10 kicks in a 12-hour period or as instructed by the physician or nurse-midwife.

65) A

- the diet for a pregnant client with diabetes mellitus is individualized to allow for increased fetal and metabolic requirements, with consideration of such factors as pre-pregnancy weight and dietary habits, overall health, ethnic background, lifestyle, stage of pregnancy, knowledge of nutrition, and insulin therapy. An increase of 600 additional calories a day is not required. Diet and insulin needs change during the pregnancy in direct correlation to hormonal changes and energy needs. In the third trimester, insulin needs increase. Dietary management during diabetic pregnancy must be based on blood, not urine, glucose changes.


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