Nokea
A 26-year-old multigravida patient is 14 weeks pregnant and is scheduled for a maternal serum alpha-fetoprotein test. She asks the nurse, 'What does this test indicate?' The nurse explains that this test can detect which of the following?
- A. Leg defects
- B. Gastrointestinal defects
- C. Neural tube defects
- D. Renal defects
Correct Answer: C
Rationale: Quickening is the term used when a woman feels the first fetal movements. It typically happens around the second trimester and is a sign of fetal development and activity.
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The nurse recognizes that fetal scalp stimulation may be prescribed to evaluate the response of the fetus to tactile stimulation. Which conditions contraindicate the use of fetal scalp stimulation? (Select all that apply.)
- A. Post-term fetus
- B. Maternal fever
- C. Placenta previa
- D. Induction of labor
Correct Answer: A
Rationale: A. Post-term fetus: Fetal scalp stimulation can be contraindicated in post-term fetuses due to the potential risks associated with uterine hyperstimulation and decreased fetal reserve in these pregnancies.
A pregnant woman is being seen at her first prenatal visit. The RN should correct which action of a student nurse who is preparing the client for a pelvic examination?
- A. Asking the client if she needs something to drink
- B. Assembling the necessary equipment for the pelvic examination
- C. Positioning the client in the lithotomy position
- D. Explaining the procedure prior to the pelvic examination
Correct Answer: A
Rationale: Multipara is a term used for a woman who has given birth more than once, which is consistent with the birth history provided. Primigravida refers to a woman who is pregnant for the first time, and primipara refers to a woman who has had one pregnancy outcome.
At what point is the second stage considered prolonged for a nulliparous laboring person?
- A. 1 hour
- B. 2 hours
- C. 3 hours
- D. 4 hours
Correct Answer: B
Rationale: The second stage is considered prolonged after 2 hours in a nulliparous laboring person.
If the position of a fetus in a cephalic presentation is right occiput anterior, the nurse should assess the fetal heart rate in which quadrant of the maternal abdomen?
- A. Right upper
- B. Left upper
- C. Right lower
- D. Left lower
Correct Answer: C
Rationale: When the fetus is in a right occiput anterior position, the back of the fetus is on the mother's right side, and the fetal heart is also located on the right side of the mother's abdomen. It is typically heard in the lower right quadrant due to the location of the fetal back and heart. The nurse should assess the fetal heart rate in the right lower quadrant of the maternal abdomen to accurately assess the well-being of the fetus in this position.
The nurse is caring for a pregnant person who was in a motor vehicle accident when she was younger and broke a bone in her pelvis. For what complication should the nurse be prepared?
- A. fetal dystocia
- B. pelvic dystocia
- C. uterine dystocia
- D. age dystocia
Correct Answer: B
Rationale: Pelvic dystocia can result from previous pelvic fractures.