Nokea
A client at 20 weeks' gestation asks about the purpose of an anatomy ultrasound. What is the nurse's best response?
- A. To confirm the baby’s sex.
- B. To assess the baby’s growth and development.
- C. To detect early signs of labor.
- D. To evaluate amniotic fluid levels.
Correct Answer: B
Rationale: The anatomy ultrasound assesses fetal growth, development, and structural abnormalities.
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What is the purpose of a Pap smear during preconception screening?
- A. to check for anemia or other blood disorders
- B. to evaluate thyroid hormone levels
- C. to screen for cervical cancer or detect abnormal cervical cells
- D. to assess cholesterol levels and cardiovascular health
Correct Answer: C
Rationale:
What is the primary purpose of administering vitamin K to a newborn?
- A. Prevent anemia
- B. Enhance immune function
- C. Prevent bleeding disorders
- D. Promote growth and development
Correct Answer: C
Rationale: Newborns are born with low levels of vitamin K, essential for blood clotting.
A nurse teaches newly pregnant clients that if an ovum is fertilized and implants in the endometrium, the hormone the fertilized egg begins to secrete is which of the following?
- A. Estrogen
- B. Human chorionic gonadotropin (hCG)
- C. Progesterone
- D. Luteinizing hormone
Correct Answer: B
Rationale: hCG is a hormone secreted by the fertilized egg shortly after implantation. It signals the body to maintain the corpus luteum, which produces progesterone essential for sustaining the early stages of pregnancy.
The nurse is educating a client about preterm labor. What symptom should the client report immediately?
- A. Frequent urination.
- B. Lower back pain and cramping.
- C. Increased appetite.
- D. Braxton Hicks contractions.
Correct Answer: B
Rationale: Lower back pain and cramping may indicate preterm labor and should be reported promptly.
A client at 36 weeks' gestation reports decreased fetal movement. What is the nurse's priority action?
- A. Perform a nonstress test.
- B. Encourage the client to drink orange juice.
- C. Schedule an ultrasound.
- D. Notify the healthcare provider.
Correct Answer: A
Rationale: A nonstress test evaluates fetal well-being and is the first step in assessing decreased fetal movement.