Nokea
A newly pregnant patient tells the nurse that she has irregular periods and is unsure of when she got pregnant. When is the best time for the nurse to schedule the patient’s ultrasound?
- A. Immediately
- B. In 2 weeks
- C. In 4 weeks
- D. In 6 weeks
Correct Answer: A
Rationale: An ultrasound at around 5-6 weeks after the last menstrual period is the most accurate time to determine gestational age.
You may also like to solve these questions
A nurse is caring for a pregnant patient who is at 24 weeks gestation and reports difficulty breathing, especially when lying flat. Which action should the nurse take first?
- A. Assess the patient's respiratory rate and oxygen saturation.
- B. Encourage the patient to rest and limit physical activity.
- C. Administer oxygen and prepare the patient for delivery.
- D. Ask the patient to lie on her left side and monitor for improvement.
Correct Answer: A
Rationale: Step 1: Assessing the patient's respiratory rate and oxygen saturation is essential to determine the severity of the breathing difficulty.
Step 2: It helps in identifying potential respiratory issues or complications that may require immediate intervention.
Step 3: This data will guide the nurse in making informed decisions regarding further management and treatment.
Step 4: Encouraging rest (B) may be appropriate after assessment. Administering oxygen and preparing for delivery (C) is premature without assessment. Asking the patient to lie on her left side (D) without initial assessment may delay necessary interventions.
A pregnant patient at 30 weeks gestation is complaining of severe heartburn. What should the nurse recommend?
- A. Lie down after meals to improve digestion.
- B. Drink a large amount of water after eating.
- C. Eat smaller meals more frequently and avoid lying down after meals.
- D. Take antacids regularly to relieve heartburn.
Correct Answer: C
Rationale: The correct answer is C: Eat smaller meals more frequently and avoid lying down after meals. This is the best recommendation for the pregnant patient experiencing severe heartburn at 30 weeks gestation. Eating smaller meals more frequently can help reduce the amount of stomach acid produced, thus decreasing the likelihood of heartburn. Avoiding lying down after meals can prevent stomach acid from flowing back into the esophagus, further reducing heartburn symptoms.
Rationale for why other choices are incorrect:
A: Lying down after meals can worsen heartburn by allowing stomach acid to flow back into the esophagus.
B: Drinking a large amount of water after eating may worsen heartburn by increasing stomach pressure and pushing stomach acid back up.
D: Taking antacids regularly may provide temporary relief but is not addressing the root cause of the heartburn and may not be safe for long-term use during pregnancy.
The nurse is caring for a pregnant patient who is 36 weeks gestation and is concerned about preterm labor. Which of the following is a key sign of preterm labor?
- A. Regular contractions every 10 minutes or less
- B. Decreased fetal movement
- C. Mild cramping and back pain
- D. Increased energy levels and appetite
Correct Answer: A
Rationale: The correct answer is A: Regular contractions every 10 minutes or less. This is a key sign of preterm labor because regular contractions at this frequency could indicate the onset of labor before the full term. Contractions help to thin and dilate the cervix, leading to the birth of the baby. Decreased fetal movement (B) is a concerning sign but not a definitive indicator of preterm labor. Mild cramping and back pain (C) can be common in pregnancy and may not necessarily indicate preterm labor. Increased energy levels and appetite (D) are not typical signs of preterm labor, as the body usually shows signs of preparing for labor rather than increased energy levels.
A nurse is caring for a postpartum person who is experiencing excessive bleeding. What is the first step in managing postpartum hemorrhage?
- A. administer uterotonics
- B. administer IV fluids
- C. perform a manual removal of the placenta
- D. monitor vital signs every 15 minutes
Correct Answer: A
Rationale: The correct answer is A: administer uterotonics. Uterotonics help to contract the uterus, which can help stop the bleeding in postpartum hemorrhage. This is the initial step in managing postpartum hemorrhage to address the primary cause of excessive bleeding. Administering IV fluids (B) can support circulation but does not address the underlying issue. Performing manual removal of the placenta (C) is invasive and not the first-line treatment for postpartum hemorrhage. Monitoring vital signs (D) is important but should not delay the immediate intervention of administering uterotonics.
Which is equivalent to a 2 oz protein serving?
- A. 4 tbsp peanut butter
- B. 2 eggs
- C. 1 cup cooked lima beans
- D. 2 ounces mixed nuts
Correct Answer: B
Rationale: Two eggs are equivalent to a 2 oz protein serving, providing approximately 12 grams of protein.