Nokea
A client is 35 weeks’ gestation.
- A. Nausea and vomiting.
- B. Maternal ambivalence.
- C. Fundal height 10 cm above the umbilicus.
- D. Use of three pillows for sleep comfort.
Correct Answer: D
Rationale: Using multiple pillows for sleep comfort is common in late pregnancy due to discomfort from the growing uterus. Nausea and vomiting are more common in early pregnancy, and maternal ambivalence is not specific to this stage.
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A nurse midwife has advised a 39-week gestation gravid to take evening primrose oil 2,500 mg daily as a complementary therapy. This suggestion was made because evening primrose has been shown to perform which of the following actions?
- A. Relieve back strain.
- B. Improve development of colostrum.
- C. Ripen the cervix.
- D. Reduce the incidence of hemorrhoids.
Correct Answer: C
Rationale: Evening primrose oil is believed to help ripen the cervix in preparation for labor. It is not typically used to relieve back strain, improve colostrum development, or reduce hemorrhoids.
A pregnant patient at 24 weeks gestation is diagnosed with gestational diabetes. What should the nurse emphasize in the patient's care plan?
- A. Maintaining a balanced diet and monitoring blood glucose levels regularly.
- B. Limiting physical activity to prevent glucose spikes.
- C. Taking insulin injections throughout the day to manage blood sugar.
- D. Avoiding all carbohydrates to control blood sugar levels.
Correct Answer: A
Rationale: The correct answer is A because maintaining a balanced diet and monitoring blood glucose levels regularly are essential in managing gestational diabetes. A balanced diet helps regulate blood sugar levels, and monitoring glucose levels helps track responses to dietary choices. Choice B is incorrect as physical activity is beneficial for managing blood sugar. Choice C is unnecessary for gestational diabetes unless dietary and lifestyle modifications are insufficient. Choice D is incorrect as carbohydrates are still needed for energy but should be consumed in moderation with monitoring.
What point in the pregnancy is the most accurate time to determine gestational age through ultrasound?
- A. First trimester
- B. Second trimester
- C. Third trimester
- D. No difference in accuracy among the trimesters
Correct Answer: A
Rationale: Gestational age determination is most accurate in the first trimester, as accuracy decreases in later stages.
A nurse is assisting a laboring person who is in the first stage of labor. What is the most appropriate intervention to promote relaxation and comfort?
- A. encourage ambulation
- B. administer pain medication
- C. provide distraction and breathing techniques
- D. offer relaxation techniques
Correct Answer: A
Rationale: The correct answer is A: encourage ambulation. Walking during the first stage of labor can help facilitate the descent of the fetus, promote optimal positioning, and enhance comfort by utilizing gravity to aid in the progression of labor. Ambulation also encourages blood circulation and may provide a distraction from discomfort. Administering pain medication (B) is not the initial intervention in promoting relaxation and comfort during early labor. Providing distraction and breathing techniques (C) may be beneficial, but ambulation is more effective in promoting relaxation. Offering relaxation techniques (D) is helpful, but encouraging movement through ambulation is a more active approach in easing discomfort and promoting relaxation during the first stage of labor.
Which complication could occur as a result of percutaneous umbilical blood sampling (PUBS)?
- A. Postdates pregnancy
- B. Fetal bradycardia
- C. Placenta previa
- D. Uterine rupture
Correct Answer: B
Rationale: Fetal bradycardia is the most common complication of PUBS due to the invasive nature of the procedure.