Nokea
What is the rationale for a woman in her first trimester of pregnancy to expect to visit her health care provider every 4 weeks?
- A. Problems can be eliminated.
- B. She develops trust in the health care team.
- C. Her questions about labor can be answered.
- D. The conditions of the expectant mother and fetus can be monitored.
Correct Answer: D
Rationale: The correct answer is D because in the first trimester, regular monitoring is crucial to ensure the health and well-being of both the mother and fetus. Visiting every 4 weeks allows the healthcare provider to monitor the progress of the pregnancy, detect any potential issues early on, and provide appropriate interventions if needed. This frequency enables timely adjustments to care plans, such as dietary recommendations or medication changes, to optimize outcomes. Choices A, B, and C are incorrect as they do not directly relate to the primary reason for the regular visits during the first trimester, which is to monitor the conditions of the expectant mother and fetus.
You may also like to solve these questions
The nurse is teaching a patient at 28 weeks of gestation how to perform fetal movement counts. What statement by the patient indicates the patient understands teaching?
- A. I need to count the baby's movements for 1 hour every day.
- B. I should wait to count the baby's movements after work.
- C. If the baby moves less than 10 times in 2 hours, I need to call the midwife.
- D. Once the baby moves 5 times, I can stop counting the movements.
Correct Answer: C
Rationale: The correct answer is C because it accurately reflects the recommended protocol for fetal movement counts. By counting fetal movements over a 2-hour period and contacting the midwife if fewer than 10 movements are felt, the patient demonstrates understanding of the importance of monitoring fetal well-being. This approach aligns with the standard practice of assessing fetal activity as a crucial indicator of fetal health.
Choice A is incorrect because counting for 1 hour may not provide a comprehensive assessment. Choice B is incorrect as it suggests delaying monitoring, which could be dangerous if there are concerns about fetal movement. Choice D is incorrect as it implies stopping the count prematurely, potentially missing crucial information about the baby's activity level.
The health care provider reports that the primigravida's fundus can be palpated at the umbilicus. Which priority question will the nurse include in the patient's assessment?
- A. Have you noticed that it is easier for you to breathe now?'
- B. Would you like to hear the baby's heartbeat for the first time?'
- C. Have you felt a fluttering sensation in your lower pelvic area yet?'
- D. Have you recently developed any unusual cravings, such as for chalk or dirt?'
Correct Answer: C
Rationale: The correct answer is C: "Have you felt a fluttering sensation in your lower pelvic area yet?" This is the correct question to ask because feeling a fluttering sensation in the lower pelvic area is indicative of quickening, which typically occurs around 18-20 weeks of pregnancy. Quickening is an important milestone in pregnancy that signifies fetal movement. Palpating the fundus at the umbilicus suggests the pregnancy is around 20 weeks, so asking about quickening confirms fetal viability and normal development.
Choice A is incorrect because fundal height does not correlate with ease of breathing. Choice B is incorrect as hearing the baby's heartbeat for the first time is not directly related to fundal height. Choice D is incorrect as unusual cravings are not typically associated with fundal height assessment.
A nurse hears a co-worker state that anybody could be a nurse since it is so automated with infusion devices and electronic monitoring; technology is doing the work. What is the nurse’s best response?
- A. Technology use has to be combined with nursing judgment.
- B. The focus of effective nursing care is technology.
- C. If it’s so easy, why don’t you do it?
- D. That is true in the 20th century.
Correct Answer: A
Rationale: In many ways, technology makes work easier, but it does not replace nursing judgment. Technology does not replace your critical eye and clinical judgment. Most importantly, it is essential to remember that the focus of nursing care is not the machine or the technology; it is the patient.
A fetus, descending through the birth canal, is going through the cardinal moves of labor. Please place the following moves in chronological order.
- A. External rotation.
- B. Flexion.
- C. Extension.
- D. Internal rotation.
Correct Answer: D
Rationale: The cardinal movements of labor occur in the following order: flexion, internal rotation, extension, external rotation, and expulsion.
The nurse is teaching a woman how to do the pelvic tilt exercise. In the teaching session, which of the following should the nurse tell the woman to do?
- A. Stand with the back of her heels and shoulders touching a wall.
- B. Bend laterally back and forth from one side to the other.
- C. Move so that her back alternately is concave and convex.
- D. Lie flat on her back and move her hips from side to side.
Correct Answer: C
Rationale: Pelvic tilt exercises involve alternating the back between concave and convex positions to strengthen the lower back and abdominal muscles.