Chapter 13 Antepartum Nursing Assessment

Chapter 13   Antepartum Nursing Assessment

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1) While completing the medical and surgical history during the initial prenatal visit, the 16-year-old primigravida interrupts with “Why are you asking me all these questions? What difference does it make?” Which statement would best answer the client’s questions?”

1. “We ask these questions to detect anything that happened in your past that might affect the pregnancy.”
2. “We ask these questions to see whether you can have prenatal visits less often than most clients do.”
3. “We ask these questions to make sure that our paperwork and records are complete and up to date.”
4. “We ask these questions to look for any health problems in the past that might affect your parenting.”

Answer:  1

Explanation:  1. The course of a pregnancy depends on a number of factors, including the past pregnancy history (if this is not a first pregnancy), prepregnancy health of the woman, presence of disease/illness states, family history, emotional status, and past health care.

Page Ref: 243

Cognitive Level:  Applying

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. B. 1. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan, and evaluation of care. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Appreciate the patient as a whole person, with his or her own life story and ideas about the meaning of health or illness. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:  1 Summarize the essential components of a prenatal history.

MNL LO:  2.2.1 Perform a comprehensive prenatal assessment.

 

2) During a client’s initial prenatal visit, the nurse must assess and document the client’s current medical history, including which information?

Note: Credit will be given only if all correct and no incorrect choices are selected.

Select all that apply.

1. Body mass index
2. Infections before the last menstrual period
3. Homeopathic or herbal medication use
4. Blood type and Rh factor
5. History of previous pregnancies

Answer:  1, 3, 4

Explanation:  1. The body mass index is an important part of the current medical history to be assessed and documented.

3. Homeopathic and herbal medication use is important for the nurse to assess and document in the current medical history.
4. The blood type must be assessed and documented in the current medical history, as must the Rh factor.

Page Ref: 245

Cognitive Level:  Understanding

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. B. 1. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan, and evaluation of care. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Appreciate the patient as a whole person, with his or her own life story and ideas about the meaning of health or illness. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  1 Summarize the essential components of a prenatal history.

MNL LO:  2.2.1 Perform a comprehensive prenatal assessment.

 

3) During the initial prenatal visit, the nurse obtains a weight of 42 kg (92.4 lb). The nurse must further assess the client for information about which of the following?

Note: Credit will be given only if all correct and no incorrect choices are selected.

Select all that apply.

1. Eating habits
2. Foods regularly eaten
3. Income limitations
4. Blood pressure and pulse rate
5. Weight loss during pregnancy

Answer:  1, 2, 3

Explanation:  1. For a client whose weight is less than 100 lb, the nurse would obtain information on eating habits.

2. For a client whose weight is less than 100 lb, the nurse would obtain information on foods regularly eaten.
3. For a client whose weight is less than 100 lb, the nurse would obtain information on income limitations.

Page Ref: 250

Cognitive Level:  Analyzing

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. B. 1. Elicit patient values, preferences, and expressed needs as part of clinical interview, implementation of care plan, and evaluation of care. | AACN Essentials Competencies: IX. 1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients using developmentally and culturally appropriate approaches. | NLN Competencies: Relationship-Centered Care: Appreciate the patient as a whole person, with his or her own life story and ideas about the meaning of health or illness. | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome:  1 Summarize the essential components of a prenatal history.

MNL LO:  2.2.1 Perform a comprehensive prenatal assessment.

 

 

4) A woman gave birth last week to a fetus at 18 weeks’ gestation after her first pregnancy. She is in the clinic for follow-up, and notices that her chart states she has had one abortion. The client is upset over the use of this word. How can the nurse best explain this terminology to the client?

1. “Abortion is the obstetric term for all pregnancies that end before 20 weeks.”
2. “Abortion is the word we use when someone has miscarried.”
3. “Abortion is how we label babies born in the second trimester.”
4. “Abortion is what we call all babies who are born dead.”

Answer:  1

Explanation:  1. The term abortion means a birth that occurs before 20 weeks’ gestation or the birth of a fetus-newborn who weighs less than 500 g. An abortion may occur spontaneously or it may be induced by medical or surgical means.

Page Ref: 244

Cognitive Level:  Understanding

Client Need/Sub:  Health Promotion and Maintenance: Ante/Intra/Postpartum and Newborn Care

Standards:  QSEN Competencies: I. C. 1. Value seeing health care situations “through patients’ eyes.” | AACN Essentials Competencies: IX. 5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences. | NLN Competencies: Relationship-Centered Care: Respect the patient’s dignity, uniqueness, integrity, and self-determination and his or her own power and self-healing processes. | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome:  2 Define common obstetric terminology found in the history of maternity patients.