Nokea
The nurse includes which topic in the prenatal education plan for a first-time mother?
- A. Breastfeeding techniques
- B. Advanced labor pain management
- C. Neonatal surgical procedures
- D. Postpartum weight loss strategies
Correct Answer: A
Rationale: Breastfeeding techniques are essential for a first-time mother to ensure successful feeding and bonding with the newborn.
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Which cultural consideration should the nurse include in prenatal education?
- A. Respect client's dietary preferences and beliefs
- B. Ignore cultural practices
- C. Standardize all education materials
- D. Avoid discussing family roles
Correct Answer: A
Rationale: Respecting the client's dietary preferences and cultural beliefs ensures culturally sensitive and effective prenatal education.
The nurse is counseling the client who is pregnant. The nurse should teach that which assessment finding requires follow-up with the HCP?
- A. Dependent edema
- B. Edema in the hands
- C. Generalized edema
- D. Edema occurring every evening
Correct Answer: C
Rationale: The nurse needs to teach the client that generalized edema is a sign of preeclampsia and requires follow-up by an HCP for further evaluation. Dependent edema is typical during pregnancy, resulting from relaxation of the blood vessels in the legs and decreased venous blood return. Edema in the hands is typical during pregnancy, particularly when a high-sodium diet is consumed. Edema that occurs every evening is a normal finding associated with decreased venous return and pelvic congestion from daily activity.
Which of the following should the nurse plan to have available when providing nursing care to this client? Select all that apply.
- A. I.V. start kit
- B. An intake and output record
- C. Oxygen and face mask
- D. Cardiac monitor
- E. A consent for a blood transfusion
- F. A suction machine
Correct Answer: A,B,C,F
Rationale: Hyperemesis gravidarum with dehydration requires I.V. fluids, intake/output monitoring, oxygen if needed, and suction for vomiting.
Multiple women are being seen in a clinic for various conditions. From which clients should the nurse prepare to obtain a group beta streptococcus (GBS) culture? Select all that apply.
- A. The client who is having symptoms of preterm labor
- B. The women who had a neonatal death 1 year ago
- C. All pregnant women coming to the clinic for care
- D. The women who had a spontaneous abortion 1 week ago
- E. The women who had an abortion for an unwanted pregnancy
Correct Answer: A,C
Rationale: The client in preterm labor should be screened for GBS infection. Between 10% and 30% of all women are colonized for GBS. All pregnant women, regardless of risk status, should be screened for GBS infection. Between 10% and 30% of all women are colonized for GBS. There is no indication that the client with a previous neonatal death is pregnant. The client would not be screened for GBS solely because of a history of spontaneous abortion. The client would not be screened for GBS solely because of an elective abortion.
Which laboratory test should the nurse monitor for a client with preeclampsia?
- A. Platelet count
- B. Blood glucose
- C. Cholesterol levels
- D. Thyroid function
Correct Answer: A
Rationale: Monitoring platelet count is critical in preeclampsia, as low platelets may indicate severe disease or HELLP syndrome.