Learning system 3.0 Maternal Newborn 1

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Learning system 3.0 Maternal Newborn 1 A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks the nurse how the provider will confirm her pregnancy. The nurse should inform the client that which of the following labs tests will be used to confirm her pregnancy? 1. A blood test for the presence of estrogen 2. A blood test for the amount of circulating progesterone 3. A urine test for the presence of human chorionic somatomammotropin 4. A urine test for the presence of human chorionic gonadotropin Human chorionic gonadotropin is excreted by the placenta and promotes the excretion of progesterone and estrogen. This hormone is the basis for pregnancy testing. a nurse is teaching a client who is 8w gestation and has a uterine fibroid about potential effects of the fibroid during pregnancy. Which of the following information should the nurse include in the teaching? 1. "The fibroid will shrink during the pregnancy." 2. "The fibroid can increase the risk for postpartum hemorrhage." 3. "You will receive an injection of medroxyprogesterone acetate to shrink the fibroid." 4. "You will have to undergo a cesarean birth because of the fibroid." Uterine fibroids can increase the risk for postpartum hemorrhage due to the increase in blood supply to the uterus, which supports the fibroid. a nurse is assessing a client who is 12w gestation and has a hydatidiform mole. Which of the following findings should the nurse expect 1. hypothermia 2. dark brown vaginal discharge 3. decreased urinary output 4. fetal heart tones A hydatidiform mole, or a molar pregnancy, is a benign proliferative growth of the chorionic villi, which gives rise to multiple cysts. The products of conception transform into a large number of edematous, fluid-filled vesicles. As cells slough off the uterine wall, vaginal discharge is usually dark brown and can contain grapelike clusters. a nurse is caring for a client who is in the latent phase of labor and is experiencing low back pain. Which of the following actions should the nurse take? 1. instruct the client to pant during contractions 2. position the client supine with legs elevated 3. encourage the client to soak in a warm bath 4. apply pressure to the clients sacral area during contractions The nurse should provide counter pressure to the sacral area with a palm or a firm object, such as a tennis ball, during contractions. Counterpressure lifts the fetal head away from the sacral nerves, which decreases pain. a nurse is caring for a client who is 32 weeks of gest

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