Nokea
A client is 8 weeks pregnant and has been eating more times during the day but ingesting smaller amounts of food at each meal or snack. What is her most likely goal?
- A. Weight loss
- B. Managing waves of nausea
- C. Preventing gastric reflux
- D. Managing daytime fatigue
Correct Answer: B
Rationale: The correct answer is B: Managing waves of nausea. During early pregnancy, many women experience nausea, and eating small, frequent meals can help manage this symptom. Eating smaller amounts of food at each meal or snack can help prevent overwhelming the stomach and minimize nausea. Weight loss is unlikely in early pregnancy, preventing gastric reflux is not typically a goal at 8 weeks, and managing daytime fatigue is not typically addressed by eating smaller, more frequent meals.
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The vagina is:
- A. Used to fertilise an ovum before moving onto the fallopian tubes
- B. A mass of glandular tissue situated over the pectoral muscles
- C. An elastic muscular tube, connecting the cervix to the uterus
- D. Used to stop the menstrual flow from leaving the body
Correct Answer: C
Rationale: The vagina is a muscular tube that connects the cervix to the external genitalia, serving as a passage for menstrual flow and childbirth.
The nurse is assessing a patient in her 37th week of pregnancy for the psychological responses commonly experienced as birth nears. Which psychological responses should the nurse expect to evaluate? (Select all that apply.)
- A. The patient is excited to see her baby.
- B. The patient has not started to prepare the nursery for the new baby.
- C. The patient expresses concern about how to know if labor has started
- D. The patient and her spouse are concerned about getting to the birth center in time
Correct Answer: A
Rationale: Rationale for Answer A (Correct): The patient being excited to see her baby is a common psychological response as birth nears. This anticipation and eagerness are typical emotions experienced by expectant mothers as they approach the end of their pregnancy journey. It reflects positive emotional preparation for the upcoming birth.
Summary of Incorrect Choices:
B: Not preparing the nursery may indicate lack of readiness or emotional readiness for the baby's arrival, but it does not directly relate to the psychological responses commonly experienced as birth nears.
C: Expressing concern about recognizing labor signs is a common worry but does not directly point to the psychological responses commonly experienced as birth nears.
D: Being concerned about reaching the birth center in time is more related to logistical or practical considerations rather than the psychological responses typically associated with impending childbirth.
A 36-year-old divorcee with a successful modeling career finds out that her 18-year-old
daughter is expecting her first child. Which is a major factor in determining how this woman
will respond to becoming a grandmother?
- A. Her age
- B. Her career
- C. Being divorced
- D. Age of the daughter
Correct Answer: D
Rationale: The correct answer is D, the age of the daughter. The major factor in how the woman will respond as a grandmother is the age of her daughter because it directly impacts the circumstances and challenges the daughter may face as a young mother. The woman's age (choice A) and career (choice B) may influence her perspective and ability to support her daughter, but the daughter's age is the primary determinant. Being divorced (choice C) may also play a role in the woman's response, but it is not as significant as the daughter's age in this scenario.
While providing education to a primiparous patient regarding the normal changes of pregnancy, what is an important information for the nurse to share regarding Braxton Hicks contractions?
- A. These contractions may indicate preterm labor.
- B. These are contractions that never cause any discomfort.
- C. Braxton Hicks contractions only start during the third trimester.
- D. These occur throughout pregnancy, but you may not feel them until the third trimester.
Correct Answer: D
Rationale: The correct answer is D because Braxton Hicks contractions can occur throughout pregnancy but may not be felt until the third trimester. This is important to inform the patient because it helps differentiate them from true labor contractions. Braxton Hicks contractions are usually irregular, mild, and do not lead to cervical changes. Choice A is incorrect because Braxton Hicks contractions are not a definitive sign of preterm labor. Choice B is incorrect as Braxton Hicks contractions can cause discomfort for some women. Choice C is incorrect because Braxton Hicks contractions can start as early as the second trimester.
To reassure and educate pregnant patients about the functioning of their kidneys in eliminating waste products, maternity nurses should be aware that:
- A. increased urinary output makes pregnant women less susceptible to urinary infection
- B. increased bladder sensitivity and then compression of the bladder by the enlarging uterus results in the urge to urinate even if the bladder is almost empty
- C. renal (kidney) function is more efficient when the woman assumes a supine position
- D. using diuretics during pregnancy can help keep kidney function regular
Correct Answer: B
Rationale: Bladder sensitivity and compression by the uterus cause frequent urination. Pregnant women are more susceptible to urinary tract infections, and lateral positions improve renal efficiency.