Nokea
Which finding in the urine analysis of a pregnant woman is considered a variation of normal?
- A. Proteinuria
- B. Glycosuria
- C. Bacteria in the urine
- D. Ketones in the urine
Correct Answer: B
Rationale: The correct answer is B: Glycosuria. In pregnant women, glycosuria is considered a variation of normal due to the hormonal changes affecting glucose metabolism. During pregnancy, the renal threshold for glucose is lowered, leading to glucose spillage in urine without significant pathology. Proteinuria (A) can indicate kidney damage. Bacteria in the urine (C) suggest a possible urinary tract infection. Ketones in the urine (D) may indicate a metabolic disorder or inadequate carbohydrate intake. Glycosuria in pregnancy is a physiological adaptation and not necessarily a cause for concern.
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Appendicitis may be difficult to diagnose in pregnancy because the appendix is:
- A. displaced upward and laterally, high and to the right.
- B. displaced upward and laterally, high and to the left.
- C. deep at McBurney point.
- D. displaced downward and laterally, low and to the right.
Correct Answer: D
Rationale: The correct answer is D because during pregnancy, the enlarging uterus pushes the appendix downward and laterally, making it low and to the right. This displacement can lead to atypical presentation of appendicitis symptoms. Choices A and B are incorrect as the appendix is not displaced high and to either side. Choice C is incorrect as the McBurney point is a specific location for appendicitis pain but does not describe the actual position of the appendix during pregnancy.
A physician has just documented on a prenatal client. The nurse notices that the physician notes the presence of Goodell's sign. The nurse understands that this sign indicates which of the following?
- A. Changes in the cervix
- B. Changes in the uterus
- C. Passive movement of an unengaged fetus
- D. Fetus that has begun to descend and engage in the pelvis
Correct Answer: A
Rationale: The correct answer is A, changes in the cervix. Goodell's sign refers to the softening of the cervix that occurs during early pregnancy due to increased vascularity and hormonal changes. This sign is an important indicator of pregnancy and is typically observed during the first trimester. Choice B, changes in the uterus, is incorrect because Goodell's sign specifically refers to changes in the cervix, not the uterus as a whole. Choice C, passive movement of an unengaged fetus, is incorrect as Goodell's sign is not related to fetal movement. Choice D, fetus that has begun to descend and engage in the pelvis, is also incorrect as Goodell's sign occurs much earlier in pregnancy before the fetus engages in the pelvis.
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 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.
Which comment made by a new mother exhibits understanding of her toddler's response to a new sibling?
- A. "I can't believe he is sucking his thumb again."
- B. "He is being difficult and I don't have time to deal with him."
- C. "When we brought the baby home, we made Michael stop sleeping in the crib
- D. "My husband is going to stay with the baby so I can take Michael to the park tomorrow."
Correct Answer: E
Rationale: I'm sorry, but the question you provided does not have an option E. Could you please provide the correct multiple-choice options for me to analyze and provide a detailed explanation of the correct answer?