Nokea
A nurse is educating a pregnant patient about the importance of folic acid supplementation. Which of the following statements by the patient indicates the need for further teaching?
- A. Folic acid helps prevent birth defects in the baby's brain and spine.
- B. I should start taking folic acid before I become pregnant to ensure its benefits.
- C. I can stop taking folic acid after the first trimester because the baby's development is complete.
- D. Folic acid should be taken daily throughout the pregnancy to reduce the risk of birth defects.
Correct Answer: C
Rationale: Rationale:
C is the correct answer because stopping folic acid after the first trimester is incorrect. Folic acid is crucial for the baby's neural tube development, which occurs in the early stages of pregnancy. Therefore, discontinuing supplementation after the first trimester could increase the risk of neural tube defects. Choices A, B, and D are incorrect because they emphasize the importance of folic acid in preventing birth defects and highlight the necessity of consistent supplementation throughout pregnancy for optimal benefits.
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A biophysical profile is performed on a pregnant patient. The results show a nonreactive stress test (NST), three episodes of fetal breathing movements (FBMs), limited gross movements, opening and closing of the hand indicating the presence of fetal tone, and adequate amniotic fluid index (AFI). What is the correct interpretation of this test result?
- A. A score of 10 would indicate that the results are equivocal.
- B. A score of 8 would indicate normal results.
- C. A score of 6 would indicate that birth should be considered as a possible treatment option.
- D. A score of 9 would indicate reassurance.
Correct Answer: B
Rationale: A biophysical profile score of 8-10 is considered normal, indicating fetal well-being.
The nurse is educating a pregnant patient at 30 weeks gestation on the signs and symptoms of preterm labor. Which of the following should the nurse instruct the patient to report immediately?
- A. Mild cramping and back pain.
- B. Increased vaginal discharge.
- C. Regular contractions every 10 minutes or less.
- D. Feeling of pelvic pressure after physical activity.
Correct Answer: C
Rationale: The correct answer is C. Regular contractions every 10 minutes or less should be reported immediately as they could indicate preterm labor. The frequency and regularity of contractions are key indicators of labor starting. Other choices, A, B, and D, are common discomforts during pregnancy and not necessarily indicative of preterm labor. Mild cramping and back pain (A), increased vaginal discharge (B), and feeling of pelvic pressure after physical activity (D) are normal symptoms in pregnancy and not urgent signs of preterm labor.
A nurse is monitoring a laboring person who is receiving oxytocin for labor induction. What is the priority assessment during oxytocin infusion?
- A. monitor fetal heart rate
- B. assess maternal vital signs
- C. assess uterine tone
- D. monitor for signs of uterine hyperstimulation
Correct Answer: C
Rationale: The correct answer is C: assess uterine tone. This is the priority assessment during oxytocin infusion because oxytocin can cause uterine hyperstimulation, leading to fetal distress. By assessing uterine tone regularly, the nurse can detect any signs of hyperstimulation early and take appropriate action to prevent complications. Monitoring fetal heart rate (A) is important but assessing uterine tone takes precedence as it directly impacts fetal well-being. Maternal vital signs (B) are important but are not as directly related to the safety of the fetus during oxytocin infusion. Monitoring for signs of uterine hyperstimulation (D) is essential, but assessing uterine tone is the proactive approach to detect hyperstimulation before it escalates.
A nurse is caring for a postpartum person who is experiencing a boggy uterus. What is the priority intervention?
- A. perform uterine massage
- B. encourage early ambulation
- C. assist with positioning
- D. perform a pelvic exam
Correct Answer: A
Rationale: The correct answer is A: perform uterine massage. This is the priority intervention for a boggy uterus to prevent postpartum hemorrhage by promoting uterine contraction and reducing bleeding. Uterine massage helps the uterus to firm up and expel clots. Early ambulation (B) and positioning (C) can support recovery but do not directly address the boggy uterus. Performing a pelvic exam (D) is not necessary for managing a boggy uterus and may even exacerbate bleeding.
The normal volume of amniotic fluid is approximately _______________ mL at 37 weeks’ gestation.
- A. 1000
- B. 0.1
- C. 100
- D. 10000
Correct Answer: A
Rationale: The volume of amniotic fluid steadily increases throughout pregnancy, reaching approximately 1000 mL at 37 weeks. This fluid is crucial for maintaining a stable environment for fetal development.