Nokea
A 35-year-old woman is 34 weeks pregnant and is diagnosed with oligohydramnios. She asks the nurse to explain how this could affect the pregnancy. Which should the nurse explain to the client? Select all that apply.
- A. The baby’s lungs may be underdeveloped.
- B. The umbilical cord may become compressed.
- C. The mother has developed diabetes mellitus.
- D. It is associated with fetal gastrointestinal abnormalities.
Correct Answer: C
Rationale: Oligohydramnios can cause underdeveloped lungs, compressed umbilical cords, fetal limb abnormalities, and is associated with renal issues. Gastrointestinal abnormalities are less likely.
You may also like to solve these questions
At approximately ___ weeks of gestation, lecithin is forming on the alveolar surfaces, the eyelids open, and the fetus measures approximately 27 cm crown to rump and weighs approximately 1110 g.
- A. 20
- B. 24
- C. 28
- D. 30
Correct Answer: C
Rationale: These milestones of human development occur at approximately 28 weeks.
An expectant mother asks the nurse when her baby’s heart will begin to beat. The nurse explains that this will occur at which time?
- A. The 8th gestational week
- B. The 4th gestational week
- C. The 12th gestational week
- D. The 16th gestational week
Correct Answer: B
Rationale: The heart begins to beat by the 4th gestational week.
The nurse explains to the patient at 28 weeks’ gestation not to lie flat on their back during the remainder of the pregnancy. What does this precaution prevent?
- A. acid reflux
- B. headaches
- C. pregnancy-induced hypertension
- D. vena cava syndrome
Correct Answer: D
Rationale: Lying flat can compress the vena cava, leading to reduced blood flow. Other options are unrelated.
Where should a pregnant person at 34 weeks with preeclampsia deliver?
- A. Level I hospital
- B. Level II hospital
- C. home
- D. in-hospital birthing center
Correct Answer: B
Rationale: Level II hospitals are equipped to manage preeclampsia at 34 weeks. Home or Level I hospitals lack necessary resources.
What patient statement indicates the need for further education about amniocentesis?
- A. “It can be used to test for neural tube defects.”
- B. “It is performed between 15 and 20 weeks’ gestation.”
- C. “It is performed using a sterile needle to withdraw a sample of amniotic fluid.”
- D. “The sample can be obtained using a transcervical approach.”
Correct Answer: D
Rationale: Amniocentesis is performed transabdominally, not transcervically, to obtain amniotic fluid.