The following five questions come from Lincoln Blumell’s lesson, “Lesson 23: The Second Coming of Christ.”

A nurse is teaching a pregnant client about fetal development during the embryonic period. The client asks when the fetal heart first begins to beat. Which response by the nurse is most accurate?

A nurse is teaching a client in the first trimester about nonpharmacologic management of morning sickness. Which nursing interventions should the nurse recommend or not recommend? 

Which skin finding during pregnancy requires further evaluation?

During the first prenatal assessment, the client reports the last normal menstrual period starting on March 1 and ending on March 5, but also slight spotting on March 23.  The client had unprotected intercourse on March 15.  Using Naegele’s rule, what is the estimated date of birth?

A pregnant client who is Rh-negative asks why she needs Rho(D) immune globulin at 28 weeks’ gestation. Which explanation by the nurse is most accurate?

A client at 18 weeks’ gestation undergoes amniocentesis for genetic testing. Two hours after the procedure, the nurse performs a follow-up assessment. Which finding requires immediate intervention?

The initial prenatal laboratory screening results of a client at 12 weeks gestation indicate a rubella titer status of nonimmune.  What will the nurse anticipate as the plan of care for this client?

A pregnant client provides the following obstetric history to the nurse at the first prenatal visit:  Elective abortion at age 17; a 5-year-old daughter born at 40 weeks gestation; and 3-year-old twin boys born at 34 weeks gestation.  Using the GTPAL system, which option is correct?

A pregnant client at 17 weeks’ gestation is scheduled for an amniocentesis due to abnormal genetic screening results. Which nursing action is the priority after the procedure?