Nokea
Physiologic anemia often occurs during pregnancy as a result of:
- A. inadequate intake of iron.
- B. dilution of hemoglobin concentration.
- C. the fetus establishing iron stores.
- D. decreased production of erythrocytes.
Correct Answer: B
Rationale: Physiologic anemia during pregnancy occurs due to the expansion of plasma volume, causing a dilution of hemoglobin concentration. Increased blood volume is necessary to support the growing fetus, leading to a relative decrease in hemoglobin levels. Inadequate iron intake (Choice A) can cause iron-deficiency anemia but is not the primary reason for physiologic anemia in pregnancy. The fetus establishing iron stores (Choice C) is unrelated to the maternal anemia. Decreased production of erythrocytes (Choice D) is not the main cause of anemia in pregnancy; rather, it is the dilution effect from increased plasma volume.
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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.
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.
While providing education to a primiparous patient regarding the normal changes of pregnancy, what is an important information for the nurse to share regarding Braxton Hicks contractions?
- A. These contractions may indicate preterm labor.
- B. These are contractions that never cause any discomfort.
- C. Braxton Hicks contractions only start during the third trimester.
- D. These occur throughout pregnancy, but you may not feel them until the third trimester.
Correct Answer: D
Rationale: The correct answer is D because Braxton Hicks contractions can occur throughout pregnancy but may not be felt until the third trimester. This is important to inform the patient because it helps differentiate them from true labor contractions. Braxton Hicks contractions are usually irregular, mild, and do not lead to cervical changes. Choice A is incorrect because Braxton Hicks contractions are not a definitive sign of preterm labor. Choice B is incorrect as Braxton Hicks contractions can cause discomfort for some women. Choice C is incorrect because Braxton Hicks contractions can start as early as the second trimester.
During a patient's physical examination the nurse notes that the lower uterine segment is soft on palpation. The nurse would document this finding as:
- A. Hegar's sign.
- B. McDonald's sign.
- C. Chadwick's sign.
- D. Goodell's sign.
Correct Answer: C
Rationale: The correct answer is C: Chadwick's sign. This sign refers to the bluish discoloration of the cervix and vagina due to increased vascularity in early pregnancy. The lower uterine segment being soft on palpation is consistent with Chadwick's sign, indicating early signs of pregnancy.
A: Hegar's sign refers to softening of the lower uterine segment, not the cervix or vagina.
B: McDonald's sign is the softening of the uterus at the isthmus, not specifically at the lower uterine segment.
D: Goodell's sign pertains to softening of the cervix, not the lower uterine segment.
The vagina is:
- A. Used to fertilise an ovum before moving onto the fallopian tubes
- B. A mass of glandular tissue situated over the pectoral muscles
- C. An elastic muscular tube, connecting the cervix to the uterus
- D. Used to stop the menstrual flow from leaving the body
Correct Answer: C
Rationale: The vagina is a muscular tube that connects the cervix to the external genitalia, serving as a passage for menstrual flow and childbirth.