Nokea
A 36-week gestation gravid client is complaining of dyspnea when lying flat.
- A. Maternal hypertension.
- B. Fundal height.
- C. Hydramnios.
- D. Congestive heart failure.
Correct Answer: B
Rationale: As the uterus grows, the fundal height increases, which can press on the diaphragm and lead to shortness of breath when lying flat.
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In preparing a pregnant patient for a nonstress test (NST), which of the following should be included in the plan of care?
- A. Have the patient void prior to being placed on the fetal monitor because a full bladder will interfere with results.
- B. Maintain NPO status prior to testing.
- C. Position the patient for comfort, adjusting the tocotransducer belt to locate fetal heart rate.
- D. Have an infusion pump prepared with oxytocin per protocol for evaluation.
Correct Answer: C
Rationale: The patient should be positioned comfortably, and the tocotransducer should be adjusted to obtain an accurate fetal heart rate reading.
The nurse is interviewing a 38-week gestation Muslim woman.
- A. Do you plan to breastfeed your baby?
- B. What do you plan to name the baby?
- C. Which pediatrician do you plan to use?
- D. How do you feel about having an episiotomy?
Correct Answer: D
Rationale: Questions about episiotomy might be culturally sensitive or inappropriate without prior discussion of preferences, especially in certain cultural contexts like Islam.
What is true about dizygotic twins?
- A. Fertilized egg divided rapidly
- B. Two ova were expelled
- C. Share one placenta
- D. Same sex and blood type
Correct Answer: B
Rationale: Dizygotic twins result from the fertilization of two separate ova, leading to genetically distinct siblings.
The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient?
- A. Uses of extracorporeal membrane oxygenation therapy (ECMO)
- B. Uses of exogenous pulmonary surfactant
- C. The Baby-Friendly Hospital Initiative
- D. The Safe to Sleep campaign
Correct Answer: D
Rationale: The correct answer is D: The Safe to Sleep campaign. The campaign educates parents on safe sleep practices to reduce the risk of SIDS. In this scenario, the patient's concerns regarding infant mortality and SIDS can be addressed by providing information on safe sleep practices. Choices A and B are not relevant to the patient's concerns as they pertain to advanced medical therapies. Choice C, Baby-Friendly Hospital Initiative, focuses on promoting breastfeeding support and practices, which is not directly related to addressing the patient's concerns about infant mortality and SIDS.
A pregnant woman must have a glucose challenge test (GCT). Which of the following should be included in the preprocedure teaching?
- A. Fast for 12 hours before the test.
- B. Bring a urine specimen to the laboratory on the day of the test.
- C. Be prepared to have 4 blood specimens taken on the day of the test.
- D. The test should take one hour to complete.
Correct Answer: D
Rationale: The glucose challenge test typically takes one hour to complete and does not require fasting or multiple blood specimens. A urine specimen is not required for this test.