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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The nurse is caring for a 32-year-old pregnant patient who is 20 weeks gestation and has a BMI of 40. Which of the following conditions should the nurse monitor for more closely?
- A. Gestational diabetes and preeclampsia
- B. Hyperemesis gravidarum
- C. Iron-deficiency anemia
- D. Intrauterine growth restriction (IUGR)
Correct Answer: A
Rationale: The correct answer is A: Gestational diabetes and preeclampsia. A BMI of 40 indicates obesity, which increases the risk of developing gestational diabetes and preeclampsia. Obesity is a significant risk factor for these conditions due to the increased strain on the body during pregnancy. Gestational diabetes can lead to complications for both the mother and the baby, while preeclampsia can be life-threatening if not managed properly. Monitoring for these conditions closely is crucial in this high-risk patient.
Incorrect Choices:
B: Hyperemesis gravidarum - This condition is characterized by severe nausea and vomiting during pregnancy and is not directly related to the patient's BMI.
C: Iron-deficiency anemia - While obesity can impact iron levels, it is not the primary concern in this scenario.
D: Intrauterine growth restriction (IUGR) - While obesity can increase the risk of certain pregnancy complications, IUGR is not directly linked to the patient's
A nurse is providing prenatal care to a 24-week pregnant patient. Which of the following findings should be reported immediately?
- A. Mild leg swelling and varicosities
- B. Slight back pain and cramping
- C. Severe headaches and visual disturbances
- D. Increased appetite and weight gain
Correct Answer: C
Rationale: The correct answer is C: Severe headaches and visual disturbances. These symptoms can indicate a serious condition such as preeclampsia, which requires immediate medical attention to prevent complications for both the mother and the baby. Severe headaches and visual disturbances are signs of increased blood pressure, protein in the urine, and potential organ damage. Reporting these findings promptly allows for timely intervention.
Incorrect choices:
A: Mild leg swelling and varicosities are common in pregnancy and typically not urgent unless accompanied by other concerning symptoms.
B: Slight back pain and cramping are common discomforts in pregnancy and may not indicate a serious issue unless they are severe or persistent.
D: Increased appetite and weight gain are expected during pregnancy and may not require immediate reporting unless there are other concerning symptoms present.
Which spice is safe for nausea and vomiting during pregnancy?
- A. Ginger
- B. Sage
- C. Cloves
- D. Nutmeg
Correct Answer: A
Rationale: Ginger is widely recognized as a safe and effective complementary therapy for managing nausea and vomiting during pregnancy.
What is the most important nursing intervention for a laboring person with an epidural who has a low blood pressure?
- A. increase the IV fluid rate
- B. administer an epidural bolus
- C. administer an analgesic
- D. increase the frequency of monitoring
Correct Answer: A
Rationale: The correct answer is A: increase the IV fluid rate. This intervention helps to increase blood volume and improve blood pressure, addressing hypotension commonly caused by epidural anesthesia. Administering an epidural bolus (B) can worsen hypotension. Administering an analgesic (C) is not the priority in this situation. Increasing monitoring frequency (D) is important but addressing the underlying cause of low blood pressure is crucial.
When preparing to teach a class about prenatal development, the nurse would include information about folic acid supplementation. What is folic acid known to prevent?
- A. Congenital heart defects
- B. Neural tube defects
- C. Mental retardation
- D. Premature birth
Correct Answer: B
Rationale: It is now known that folic acid supplements can prevent neural tube defects such as spina bifida.