NR-327 Maternal-Child Nursing - Set 1 - Part 3

Correct Answer: Every four weeks until twenty-eight weeks

Low risk prenatal care runs on a monthly rhythm until the twenty-eighth week, then every two weeks until thirty-six weeks, then weekly until birth. Early pregnancy carries the lowest surveillance need, so visits stay spaced. Option b is incorrect because two week intervals belong to the stretch between twenty-eight and thirty-six weeks rather than the whole pregnancy. Applying that spacing early doubles appointments without adding useful information for a healthy client. Option c is incorrect because weekly attendance starts at thirty-six weeks, when labor and preeclampsia become likely enough to justify it. Bringing a first trimester client in every week burdens her without improving detection of anything. Option d is incorrect because no standard interval stretches that far apart in the first half of pregnancy. Gaps of six weeks would let a rising blood pressure or a dating problem go unnoticed for too long.

Correct Answer: The pain suggests liver involvement from preeclampsia

Right upper quadrant or epigastric pain that antacids do not relieve, especially alongside a rising blood pressure, points to liver capsule distension in preeclampsia. It is reported at once as a severe feature. Option a is incorrect because pyrosis burns behind the sternum, follows meals, and responds to calcium carbonate. Pain that ignores an antacid and sits under the ribs with a climbing pressure is a different story. Option b is incorrect because biliary pain typically comes in colicky waves after fatty food and carries no relationship to blood pressure. Gallbladder disease would not explain the malaise she describes today. Option d is incorrect because ligament pain is sharp, brief, and low in the abdomen or groin, provoked by movement. A steady ache high on the right side does not fit that description at all.

Correct Answer: Turn the client onto her side

The heavy uterus is compressing the inferior vena cava and cutting venous return. Rolling her to either side lifts that weight off the vessel, restoring cardiac output and uteroplacental blood flow at once. Option a is incorrect because repeating the measurement documents the problem without fixing it, and the client stays hypotensive while the cuff cycles. Correcting the cause outranks gathering another number. Option c is incorrect because oxygen does not help when the failure lies in venous return rather than in gas exchange. Blood must reach the heart before added oxygen can reach the fetus. Option d is incorrect because a nurse can reverse this event independently in seconds by repositioning. Calling first delays relief and leaves the fetus underperfused while the phone is answered.

Correct Answer: Escort the client alone for a urine specimen

Screening only counts when the client is alone, so the nurse creates an ordinary reason to separate them and asks the questions privately. Confronting the partner raises the danger waiting for her at home. Option b is incorrect because challenging him escalates a situation the client will still be living in tonight. His controlling behavior is charted as an observation, and the conversation happens with her instead. Option c is incorrect because answers given in front of a partner cannot be trusted and may put her at risk once they leave. A denial obtained that way tells the team nothing useful. Option d is incorrect because charting alone leaves the assessment unfinished and misses the chance this visit offers. Pregnancy is when violence tends to escalate, so the screening question still needs to be asked.

Correct Answer: Progesterone from the corpus luteum and placenta

Progesterone maintains the endometrium and inhibits myometrial contractility, so the implanted embryo is not expelled. The corpus luteum supplies it first, and the placenta takes over the job later. Option a is incorrect because estrogen drives growth of the uterus and breasts and increases uterine sensitivity to contraction. Its action opposes uterine quiet rather than producing it during early pregnancy. Option b is incorrect because prolactin prepares breast tissue for milk production and has no myometrial action. Placental progesterone actually holds prolactin in check until the placenta is delivered. Option c is incorrect because oxytocin stimulates the myometrium, which is why a synthetic form is infused to start or strengthen labor. Uterine receptors for it multiply only as term approaches.

Correct Answer: Blurred vision with a headache that acetaminophen has not eased

A headache unrelieved by acetaminophen together with visual blurring signals preeclampsia with severe features and possible impending eclampsia. Cerebral irritability of this kind outranks the ordinary discomforts the other clients describe. Option a is incorrect because dependent swelling that appears after a day on her feet is an expected venous change. Swelling becomes worrying when it reaches the face and hands or arrives with rapid weight gain. Option b is incorrect because pyrosis after a heavy meal reflects a relaxed esophageal sphincter and upward pressure from the uterus. Self care measures handle it, and no urgent visit is required. Option d is incorrect because irregular painless tightening that fades with rest and hydration describes Braxton Hicks contractions. Regular contractions before thirty seven weeks would change that picture and would need reporting.

Correct Answer: The visit dates the pregnancy and finds early risk

That first appointment establishes dating, takes a full medical, obstetric, family and social history, performs a physical with a pelvic examination, draws the baseline laboratory panel, and starts teaching. Doing all of it early leaves time to act. Option a is incorrect because home tests are reliable enough that confirmation is a small part of the visit. Most of the appointment goes to history, examination and the panel of blood work drawn that day. Option b is incorrect because birth planning belongs to the last weeks, once presentation and readiness are known. Bringing it up now would displace the risk assessment that early care exists to accomplish. Option c is incorrect because coverage rules are not the reason for early care. Clients who start late have higher rates of low birth weight and preterm birth, and that outcome gap drives the recommendation.

Correct Answer: Dorsiflex the foot with the knee straight

Pulling the toes toward the knee while the leg stays extended stretches the shortened calf muscle and breaks the spasm. Stretching before bed and staying well hydrated help prevent the next one. Option a is incorrect because plantar flexion shortens the calf further and deepens the cramp. That movement is what many clients do instinctively, which is why the teaching has to be explicit. Option b is incorrect because rubbing may feel soothing yet does nothing to lengthen the contracted muscle. Vigorous massage of the calf is also avoided in pregnancy when a clot has not been excluded. Option d is incorrect because drawing the knees up relieves round ligament pain, a different problem in the lower abdomen. Bending the knee actually slackens the calf and leaves the spasm untouched.

Correct Answer: Progesterone relaxing smooth muscle in the gut

Progesterone slackens smooth muscle everywhere, so the lower esophageal sphincter leaks acid upward and the bowel moves its contents more slowly. One hormone accounts for both the burning and the hard stools. Option b is incorrect because estrogen driven vascularity shows up as swollen nasal membranes and gums that bleed with brushing. Increased blood flow does not slow transit through the intestine. Option c is incorrect because that hormone is tied to early nausea and vomiting, which peak near the tenth week and settle by the second trimester. Neither reflux nor constipation follows from it. Option d is incorrect because relaxin works on cartilage and ligaments, softening the pelvic joints rather than the gut wall. Separation of the rectus muscles comes from stretch, not from bowel slowing.

Correct Answer: Protein of one plus with a headache

Protein in the urine paired with a headache after the twentieth week points toward preeclampsia and needs evaluation the same day. The other three findings sit within what routine prenatal assessment expects. Option a is incorrect because a faint sugar reading reflects the higher filtration rate of pregnancy and turns up in many well clients. It is watched over successive visits, not treated as an urgent call. Option c is incorrect because gravity pulls fluid into the lower legs through the day, and overnight rest clears it. Swelling that behaves this way is the ordinary kind, unlike puffiness of the face or fingers. Option d is incorrect because agreement that close is exactly what the measurement should show between the middle of pregnancy and the thirty-sixth week. Reporting it would send the provider a normal result.