P.M. comes to the obstetric (OB) clinic because she has missed two menstrual periods and thinks she
might be pregnant. She states she is nauseated, especially in the morning, so she completed a home
pregnancy test and the result was positive.
As the intake nurse in the clinic, you are responsible for gath-
ering information before she sees the physician.
What are the two most important questions to ask to determine possible pregnancy?
• When was the first day of her last menstrual period?
• When was the date of her last intercourse?
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During the final weeks of pregnancy, urinary frequency may return due to the enlarged uterus, compressing the bladder against the pelvic bones. What does the nurse suggest to aid in relieving the urinary frequency?
a. Decrease fluid intake b. Use the knee-chest position c. Sleep on her side d. Avoid fluid intake in evening
The nurse is concerned that a pregnant patient is experiencing abruptio placentae. What did the nurse assess in this patient?
A) Increased blood pressure and oliguria B) Pain in a lower quadrant and increased pulse rate C) Painless vaginal bleeding and a fall in blood pressure D) Sharp fundal pain and discomfort between contractions
The letters E and F designate the freezing temperatures on the Fahrenheit and Celsius thermometers
Indicate whether the statement is true or false
The patient had a right mastectomy 2 years ago. She now complains of pain and swelling of her right arm. The nurse suspects:
A) Buerger's disease. B) Arterial insufficiency. C) Obstruction of lymph flow. D) Myasthenia gravis.