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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The partner of a gravida accompanies her to her prenatal appointment. The nurse notes that the father of the baby has gained weight since she last saw him. Which of the following comments is most appropriate for the nurse to make to the father?
- A. I see that you are gaining weight right along with your partner.
- B. You and your partner will be able to go on a diet together after the baby is born.
- C. I can see that you are a bad influence on your partner’s eating habits.
- D. I am so glad to see that you are taking so much interest in your partner’s pregnancy.
Correct Answer: D
Rationale: This comment acknowledges the father's involvement positively without judgment. Commenting on weight gain or suggesting future diets could come across as insensitive or inappropriate.
Which client consumed the most dairy servings in one day?
- A. Client 1
- B. Client 2
- C. Client 3
- D. Client 4
Correct Answer: B
Rationale: Client 2 consumed the highest number of dairy servings based on the provided quantities of yogurt, milk, cottage cheese, and hard cheese.
What is the term for a nonstress test in which there are two or more fetal heart rate accelerations of 15 or more beats per minute (BPM) with fetal movement in a 20-minute period?
- A. Positive
- B. Negative
- C. Reactive
- D. Nonreactive
Correct Answer: C
Rationale: A nonstress test is considered reactive when there are at least two accelerations of 15 BPM or more in a 20-minute period, indicating fetal well-being.
Which food is the best source of iron?
- A. Raisins
- B. Hamburger
- C. Broccoli
- D. Molasses
Correct Answer: B
Rationale: Hamburger is rich in heme iron, which is more easily absorbed by the body compared to non-heme sources like raisins or molasses.
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.