Nokea
A 16-year-old, G1 P0000, is being seen at her 10-week gestation visit. She tells the nurse that she felt the baby move that morning. Which of the following responses by the nurse is appropriate?
- A. That is very exciting. The baby must be very healthy.
- B. Would you please describe what you felt for me?
- C. That is impossible. The baby is not big enough yet.
- D. Would you please let me see if I can feel the baby?
Correct Answer: B
Rationale: At 10 weeks, fetal movement is unlikely to be felt. The nurse should ask the client to describe what she felt to determine if it was indeed fetal movement or another sensation.
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Which food is the best source of iron?
- A. Raisins
- B. Hamburger
- C. Broccoli
- D. Molasses
Correct Answer: B
Rationale: Hamburger is rich in heme iron, which is more easily absorbed by the body compared to non-heme sources like raisins or molasses.
The glucose challenge screening test is performed at or after 24 weeks’ gestation to assess for the maternal physiological response to which of the following pregnancy hormones?
- A. Estrogen.
- B. Progesterone.
- C. Human placental lactogen.
- D. Human chorionic gonadotropin.
Correct Answer: C
Rationale: Human placental lactogen (hPL) is the hormone that affects glucose metabolism during pregnancy, making it the focus of the glucose challenge test.
A pregnant patient is concerned about preeclampsia, as she has a family history of the condition. Which of the following should the nurse prioritize in monitoring this patient?
- A. Frequent assessment of blood pressure and urine for protein
- B. Monitoring for abdominal pain and nausea
- C. Increasing the patient's fluid intake to avoid dehydration
- D. Encouraging the patient to rest and avoid strenuous activity
Correct Answer: A
Rationale: The correct answer is A because preeclampsia is characterized by high blood pressure and proteinuria. Monitoring blood pressure and urine for protein is essential for early detection and intervention. Choice B is incorrect as abdominal pain and nausea are not specific symptoms of preeclampsia. Choice C is incorrect because excessive fluid intake can worsen preeclampsia. Choice D is incorrect as rest alone cannot prevent or manage preeclampsia. Prioritizing blood pressure and urine monitoring helps identify and manage preeclampsia efficiently.
A pregnant patient with a history of anemia is asking the nurse about managing iron deficiency. Which of the following statements by the nurse would be most appropriate?
- A. Iron supplements should be taken with milk for better absorption.
- B. Iron supplements should be taken with a source of vitamin C to enhance absorption.
- C. Iron supplements should be avoided during the second trimester.
- D. Iron supplements should be taken at night before bed.
Correct Answer: B
Rationale: The correct answer is B: Iron supplements should be taken with a source of vitamin C to enhance absorption. Iron absorption is increased in the presence of vitamin C. Vitamin C helps convert iron into a more absorbable form. This is crucial for managing iron deficiency anemia in pregnant patients.
Incorrect choices:
A: Iron supplements should not be taken with milk as calcium in milk can hinder iron absorption.
C: Iron supplements are safe to take throughout pregnancy, and avoiding them during the second trimester is not recommended.
D: There is no specific recommendation to take iron supplements at night before bed; it can be taken at any time of the day.
The component of development that programs the genetic code into the nucleus of the cell is ____________.
- A. DNA
- B. Plastoderm
- C. haploid
- D. Endoderm
Correct Answer: A
Rationale: DNA (deoxyribonucleic acid) contains the genetic instructions used in the development and functioning of all living organisms. It programs the genetic code into the nucleus of the cell for replication and expression.