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A patient who is 7 months pregnant states, "I'm worried that something will happen to my baby." Which is the nurse's best response?
- A. "Your baby is doing fin
- B. "Tell me about your concerns."
- C. "There is nothing to worry about."
- D. "The doctor is taking good care of you and your baby."
Correct Answer: C
Rationale: The correct response is C: "There is nothing to worry about." This answer acknowledges the patient's concerns while providing reassurance. By stating that there is nothing to worry about, the nurse addresses the patient's anxiety and helps alleviate her fears without dismissing them. Option A is too dismissive, B encourages the patient to share concerns but doesn't provide immediate reassurance, and D shifts the focus to the doctor instead of directly addressing the patient's worries.
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The cervix is:
- A. An elastic, muscular tube that connects the cervix to the uterus to the exterior of the body
- B. A collective name for the labia
- C. Connected to the testes
- D. The lower, narrow part of the uterus (womb), forming a canal that opens into the vagina, which leads to the outside of the body
Correct Answer: D
Rationale: The cervix is the lower portion of the uterus that connects to the vagina, serving as a passageway for sperm, menstrual flow, and childbirth.
The diagnosis of pregnancy is based on which positive signs of pregnancy? (Select all that apply.)
- A. Identification of fetal heartbeat
- B. Palpation of fetal outline
- C. Visualization of the fetus
- D. Verification of fetal movement
Correct Answer: A
Rationale: Step-by-step rationale for choice A (Identification of fetal heartbeat) being correct:
1. Detection of fetal heartbeat confirms the presence of a developing fetus.
2. It is a definitive sign of pregnancy and indicates fetal viability.
3. Fetal heartbeat can be detected using ultrasound or Doppler.
4. This sign is not subject to interpretation or misinterpretation.
Summary of why the other choices are incorrect:
- Choice B (Palpation of fetal outline) and D (Verification of fetal movement) are considered probable signs of pregnancy and do not provide definitive confirmation.
- Choice C (Visualization of the fetus) is not a reliable sign as it requires advanced imaging techniques and can be subjective.
Which time-based description of a stage of development in pregnancy is accurate?
- A. Viability-22 to 37 weeks since the last menstrual period (LMP) (assuming a fetal weight >500 g).
- B. Full Term-Pregnancy from the beginning of week 39 of gestation to the end of week 40
- C. Preterm-Pregnancy from 20 to 28 weeks.
- D. Postdate-Pregnancy that extends beyond 38 weeks.
Correct Answer: B
Rationale: The correct answer is B: Full Term-Pregnancy from the beginning of week 39 of gestation to the end of week 40. This is accurate because full-term pregnancy typically ranges from 39 to 40 weeks of gestation, which is considered the optimal time for a baby to be born in terms of development and health. Viability (Choice A) refers to the ability of a fetus to survive outside the womb and typically occurs between 22 to 37 weeks. Preterm (Choice C) describes a pregnancy that occurs before 37 weeks. Postdate (Choice D) refers to a pregnancy that extends beyond 40 weeks. Therefore, Choices A, C, and D are incorrect as they do not accurately describe the full-term stage of pregnancy.
A pregnant patient comes into the medical clinic stating that her family and friends are telling
her that she is always talking about the pregnancy and nothing else. She is concerned that
something is wrong with her. What psychological behavior is she exhibiting?
- A. Antepartum obsession
- B. Ambivalence
- C. Uncertainty
- D. Uncertainty
Correct Answer: D
Rationale: The correct answer is D: Uncertainty. The patient is exhibiting psychological behavior characterized by doubt and indecision regarding her pregnancy. This is evident by her concern and the feedback she is receiving from her family and friends.
A: Antepartum obsession is not the correct choice as the patient is not displaying an obsessive preoccupation with her pregnancy.
B: Ambivalence is not the correct choice as it refers to conflicting feelings or thoughts, which are not explicitly mentioned in the scenario.
C: Uncertainty is essentially the same as choice D, which is the correct answer.
In summary, the patient's behavior aligns with uncertainty as she is expressing doubt and worry about her excessive focus on her pregnancy.
Which is a diagnosis that the nurse is legally responsible to report?
- A. Bronchiolitis
- B. Sexually transmitted infections
- C. Acute otitis media
- D. Strep throat
Correct Answer: B
Rationale: Nurses are legally obligated to report certain communicable diseases, including sexually transmitted infections, to public health authorities to prevent further spread.