Nokea
A gravida, G1 P0000, is having her first prenatal physical examination. Which of the following assessments should the nurse inform the client that she will have that day? Select all that apply.
- A. Pap smear.
- B. Mammogram.
- C. Glucose challenge test.
- D. Biophysical profile.
Correct Answer: A
Rationale: A Pap smear and complete blood count are standard assessments during the first prenatal visit. A mammogram, glucose challenge test, and biophysical profile are not typically performed at this stage.
You may also like to solve these questions
What is the purpose of administering Rh immunoglobulin (RhIg) to a postpartum person?
- A. to prevent Rh sensitization in future pregnancies
- B. to promote lactation in the birthing person
- C. to reduce the risk of bleeding in Rh-negative pregnancies
- D. to prevent infection and promote early bonding
Correct Answer: D
Rationale: The correct answer is D: to prevent infection and promote early bonding. Rh immunoglobulin (RhIg) is given to prevent Rh sensitization in Rh-negative individuals who have given birth to an Rh-positive baby. This prevents the mother from developing antibodies that could harm future pregnancies. The other choices are incorrect because RhIg does not promote lactation (B), reduce the risk of bleeding in Rh-negative pregnancies (C), or prevent Rh sensitization in future pregnancies (A). By preventing infection, RhIg helps protect the mother's health and promotes early bonding with the newborn.
A nurse is caring for a pregnant patient who is at 16 weeks gestation and is concerned about varicose veins. Which of the following interventions should the nurse recommend?
- A. Wear tight compression stockings to reduce swelling.
- B. Elevate the legs and avoid prolonged periods of standing.
- C. Massage the affected area to improve circulation.
- D. Apply ice packs to the legs for 15 minutes every hour.
Correct Answer: B
Rationale: The correct answer is B: Elevate the legs and avoid prolonged periods of standing. Elevating the legs helps improve circulation and reduces pressure on the veins, which can help alleviate varicose veins. Prolonged standing can worsen varicose veins by increasing pressure on the lower extremities.
A: Wearing tight compression stockings can further constrict blood flow and should be avoided.
C: Massaging the affected area may not be recommended as it can potentially increase the risk of blood clots in pregnant women.
D: Applying ice packs is not recommended for varicose veins as it may not effectively address the underlying issue of poor circulation.
What is the primary benefit of delayed cord clamping in a term newborn?
- A. increased hemoglobin levels
- B. improved thermoregulation
- C. decreased risk of bleeding
- D. increased risk of infection
Correct Answer: B
Rationale: The primary benefit of delayed cord clamping in a term newborn is improved thermoregulation. When the cord is clamped later, it allows more blood to flow from the placenta to the baby, aiding in temperature stabilization. This helps prevent hypothermia, a common issue in newborns. Increased hemoglobin levels (choice A) are not the primary benefit of delayed cord clamping. Decreased risk of bleeding (choice C) is not directly related to delayed cord clamping. Increased risk of infection (choice D) is incorrect as delayed cord clamping does not increase the risk of infection.
The nurse is caring for a pregnant patient who is at 25 weeks gestation and is concerned about gestational diabetes. Which of the following symptoms should the nurse educate the patient to watch for?
- A. Increased thirst and frequent urination
- B. Severe leg cramps and dizziness
- C. Constant fatigue and swollen feet
- D. Shortness of breath and dizziness upon standing
Correct Answer: A
Rationale: The correct answer is A: Increased thirst and frequent urination. These symptoms are indicative of gestational diabetes due to elevated blood sugar levels. Increased thirst is a result of the body trying to dilute the excess glucose through increased fluid intake, leading to frequent urination. This occurs because the kidneys work to eliminate the excess glucose from the blood by excreting it in the urine. Therefore, educating the patient to watch for these symptoms is crucial for early detection and management of gestational diabetes.
Choices B, C, and D are incorrect as they do not directly correlate with the symptoms of gestational diabetes. Severe leg cramps and dizziness (Choice B) may be related to other factors such as dehydration or electrolyte imbalance. Constant fatigue and swollen feet (Choice C) could be common symptoms during pregnancy but are not specific to gestational diabetes. Shortness of breath and dizziness upon standing (Choice D) are more likely to be related to issues such as anemia or changes
The results of a contraction stress test (CST) are positive. Which intervention is necessary based on this test result?
- A. Repeat the test in 1 week so that results can be trended based on this baseline result.
- B. Contact the health care provider to discuss birth options for the patient.
- C. Send the patient out for a meal and repeat the test to confirm that the results are valid.
- D. Ask the patient to perform a fetal kick count assessment for the next 30 minutes and then reassess the patient.
Correct Answer: B
Rationale: A positive CST is an abnormal finding that may indicate fetal compromise, requiring immediate discussion of birth options.