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A biophysical profile is performed on a pregnant patient. The results show a nonreactive stress test (NST), three episodes of fetal breathing movements (FBMs), limited gross movements, opening and closing of the hand indicating the presence of fetal tone, and adequate amniotic fluid index (AFI). What is the correct interpretation of this test result?
- A. A score of 10 would indicate that the results are equivocal.
- B. A score of 8 would indicate normal results.
- C. A score of 6 would indicate that birth should be considered as a possible treatment option.
- D. A score of 9 would indicate reassurance.
Correct Answer: B
Rationale: A biophysical profile score of 8-10 is considered normal, indicating fetal well-being.
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A couple is preparing to interview obstetric primary care providers to determine who they will go to for care during their pregnancy and delivery.
- A. Take a tour of hospital delivery areas.
- B. Develop a preliminary birth plan.
- C. Make appointments with three or four obstetric care providers.
- D. Search the Internet for the malpractice histories of the providers.
Correct Answer: B
Rationale: Developing a preliminary birth plan helps couples clarify their preferences and priorities, facilitating better communication with potential providers.
A nurse is educating a pregnant patient about the importance of folic acid supplementation. Which of the following statements by the patient indicates the need for further teaching?
- A. Folic acid helps prevent birth defects in the baby's brain and spine.
- B. I should start taking folic acid before I become pregnant to ensure its benefits.
- C. I can stop taking folic acid after the first trimester because the baby's development is complete.
- D. Folic acid should be taken daily throughout the pregnancy to reduce the risk of birth defects.
Correct Answer: C
Rationale: Rationale:
C is the correct answer because stopping folic acid after the first trimester is incorrect. Folic acid is crucial for the baby's neural tube development, which occurs in the early stages of pregnancy. Therefore, discontinuing supplementation after the first trimester could increase the risk of neural tube defects. Choices A, B, and D are incorrect because they emphasize the importance of folic acid in preventing birth defects and highlight the necessity of consistent supplementation throughout pregnancy for optimal benefits.
A nurse is educating a pregnant patient on the importance of folic acid. Which of the following statements by the patient indicates that the teaching has been effective?
- A. I will take folic acid throughout my entire pregnancy to support fetal development.
- B. I will start taking folic acid after the first trimester to help prevent birth defects.
- C. I should only take folic acid if I have a family history of birth defects.
- D. Folic acid will help reduce the risk of gestational diabetes and hypertension.
Correct Answer: A
Rationale: The correct answer is A because taking folic acid throughout the entire pregnancy is crucial for supporting fetal development, especially in the early stages when the neural tube is forming. This statement reflects the patient's understanding of the importance of consistent folic acid intake during pregnancy.
Choice B is incorrect because waiting until after the first trimester misses the critical period when the neural tube develops. Choice C is incorrect as folic acid is recommended for all pregnant women regardless of family history. Choice D is incorrect because while folic acid is beneficial for fetal development, it is not specifically linked to reducing the risk of gestational diabetes or hypertension.
The nurse is caring for a pregnant patient who has a history of gestational hypertension. Which intervention is most important to reduce the risk of complications?
- A. Monitor blood pressure regularly during pregnancy.
- B. Encourage the patient to exercise vigorously.
- C. Instruct the patient to eat a high-sodium diet.
- D. Advise the patient to reduce her fluid intake to avoid edema.
Correct Answer: A
Rationale: The correct answer is A: Monitor blood pressure regularly during pregnancy. Regular monitoring is crucial to detect any changes in blood pressure early and intervene promptly to prevent complications like preeclampsia.
Choice B is incorrect because vigorous exercise can increase blood pressure. Choice C is incorrect as a high-sodium diet can worsen hypertension. Choice D is incorrect as reducing fluid intake can lead to dehydration and potentially exacerbate hypertension. Regular blood pressure monitoring is key in managing gestational hypertension and ensuring the best outcomes for both the mother and the baby.
A nurse is caring for a postpartum person with a diagnosis of uterine atony. What is the most appropriate first action to take?
- A. perform fundal massage
- B. administer a uterotonic medication
- C. perform a vaginal exam
- D. monitor vital signs
Correct Answer: A
Rationale: The correct first action is to perform fundal massage. This helps stimulate uterine contractions, which can help control bleeding due to uterine atony. The massage should be done gently but firmly to prevent further complications. Administering uterotonic medication (choice B) can be done after fundal massage. Performing a vaginal exam (choice C) can increase the risk of infection and should be avoided initially. Monitoring vital signs (choice D) is important but addressing the uterine atony should be the priority to prevent further complications.