31. During a client’s prenatal visit at 35 weeks’ gestation, she reports that she feels she is unable to breathe comfortably. The nurse bases the response on the fact that the client probably:*1 pointA. has a fetus in the breech presentation, which is decreasing the intrathoracic spaceB. has an elevated diaphragm, which is causing her to feel as though she is having difficulty breathingC. is experiencing shortness of breath associated with pregnancy and there are no appropriate nursing interventionD. is experiencing metabolic demands that are exceeding her oxygen consumption thus causing shortness of breath

A client in her 39th week of gestation arrives at the maternity clinic stating that earlier in her pregnancy, she experienced shortness of breath. However, for the past few days, she has been able to breathe easily, but she has also begun to experience increased urinary frequency. A nurse is assigned to perform the physical examination of the client. Which observation is most likely

The nurse is aware that a client at 40 weeks’ gestation is experiencing true labor if:*1 pointA. cervical dilatation has occurredB. the pains become more noticeableC. her membranes have rupturedD. the fetal heart rate baseline decreases

A nurse is assessing a pregnant client during the third trimester. What clinical finding is an expected response to the pregnancy?*1 pointa. Tachycardiab. Dyspnea at restc. Progressive dependent edemad. Shortness of breath on exertion

51. In order to prevent adverse effects of hyperventilation, you assist Mrs. Richard in correcting her breathing problem. Which of the following actions will help her?*1 pointA. have her take quick, shallow breathsB. have her breathe into a paper bagC. give her oxygen by face maskD. turn her onto her side52. Which of the following indicates that the patient is in the transitional phase of labor?*1 pointA. contractions every 15 to 20 minutes, 10 to 30 seconds duration, mild intensity, cervix 3 cm dilatedB. contractions every 3 to 5 minutes, 30 to 45 seconds duration, moderate intensity, cervix 6 cm dilatedC. contractions every 1 to 2 minutes, 60 to 90 seconds duration, strong intensity, cervix 8cm dilated.D. irregular contractions, discomfort in abdomen and groin, no change in cervix, relief with walking53. A nurse is checking the fundus in a postpartum woman and notes that the uterus is soft and spongy. Which nursing action is appropriate initially?*1 pointA. Massage the fundus gently until firmB. Document fundal position and consistency and heightC. Encourage the mother to ambulateD. Notify the physician54. Crowning refers to the phase in the second stage of labor when a large segment of the fetal scalp is visible at the vaginal orifice. How can the nurse help a client resist the urge to push during crowning?*1 pointA. Ask the client to squeeze your handB. Remove the client’s legs from the stirrupsC. Encourage the client to take panting breathsD. Tell the client to take slow, deep breaths55. When is the third stage of labor considered to be terminated?*1 pointA. when the baby is deliveredB. when the placenta is deliveredC. after the uterus has remained firm for one hourD. when the placenta separates56. Which of the following signs would signify that the time of delivery is near?*1 pointA. increased in the amount of vaginal dischargesB. increase in frequency, duration and intensityC. bulging of the perineumD. cervix is dilated57. The period of immediate recovery after the birth of a neonate during homeostasis is reestablished is called?*1 pointA. third stage of laborB. fourth stage of laborC. second stage of laborD. first stage of labor58. Shortly after delivery, the nurse assesses the client’s uterus. It is firm and slightly above the umbilicus and is displaced to the right of the abdomen. The nurse’s first priority is to:*1 pointA. encourage the patient to voidB. administer an oxytocic drugsC. vigorously massage the uterusD. cold compress to the uterus59. Immediately after delivery, the nurse should be able to feel the top of the uterus:*1 pointA. firm, to the right of the midline, above the umbilicusB. soft, in the midline, at the umbilicusC. firm, in the midline, at the umbilicusD. soft, to the right of the midline, above the umbilicus60.When examining a postpartal woman, the nurse should immediately report:*1 pointA. soft, spongy uterine fundus noted during the first hour postpartumB. a fundus that is palpated 2 cm below umbilicus on the second postpartum dayC. a fundus that cannot be located by palpation on the ninth postpartal dayD. red, bloody vaginal discharge on the perineal pad on the first day postpartum

The nurse is assessing a pregnant client in her third trimester who is reporting a first-time occurrence of constipation. When asked why this is happening, what is the best response from the nurse?