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A nurse is caring for a laboring person who is receiving oxytocin for labor induction. What is the priority intervention when uterine hyperstimulation occurs?
- A. stop the oxytocin infusion
- B. increase the oxytocin infusion
- C. administer IV fluids
- D. administer an epidural
Correct Answer: D
Rationale: The correct answer is D: administer an epidural. Uterine hyperstimulation during labor can lead to fetal distress and complications. Administering an epidural can help manage pain and relax the uterus, reducing the risk of hyperstimulation. Stopping the oxytocin infusion (choice A) is also important, but managing the uterine contractions with an epidural takes priority. Increasing the oxytocin infusion (choice B) would exacerbate the hyperstimulation. Administering IV fluids (choice C) may be helpful, but it does not directly address the uterine hyperstimulation.
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The nurse is providing prenatal education to a pregnant patient at 24 weeks gestation. Which of the following topics should the nurse prioritize during this visit?
- A. Signs and symptoms of preterm labor and when to call the healthcare provider
- B. Breastfeeding techniques and infant care
- C. Postpartum care and family planning options
- D. Managing pregnancy-related fatigue and morning sickness
Correct Answer: A
Rationale: The correct answer is A: Signs and symptoms of preterm labor and when to call the healthcare provider. This is the most crucial topic to prioritize at 24 weeks gestation because preterm labor can have serious consequences for both the mother and the baby. By educating the patient on the signs and symptoms of preterm labor, such as abdominal cramping, backache, or vaginal bleeding, the nurse can empower the patient to recognize these warning signs early and seek prompt medical attention, potentially preventing preterm birth.
Choice B: Breastfeeding techniques and infant care, and Choice C: Postpartum care and family planning options are important topics but are more relevant for later stages of pregnancy or after delivery. Choice D: Managing pregnancy-related fatigue and morning sickness is also important but is generally not as urgent as being aware of signs of preterm labor.
The nurse is educating a pregnant patient about the importance of exercise during pregnancy. Which statement by the patient indicates that the teaching has been effective?
- A. I should avoid any exercise because it could harm my baby.
- B. Moderate exercise is safe and helps prepare my body for labor.
- C. I should only exercise during the second trimester to avoid complications.
- D. I can perform any type of exercise as long as I am comfortable.
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the importance of moderate exercise during pregnancy to prepare the body for labor. This shows understanding of the benefits of exercise for both the mother and baby. Choice A is incorrect as it promotes complete avoidance of exercise, which is not recommended. Choice C is incorrect because exercise is beneficial throughout pregnancy, not just in the second trimester. Choice D is incorrect because some exercises may not be safe during pregnancy, so comfort alone is not the only factor to consider.
A pregnant patient is concerned about the safety of using over-the-counter medications for her cold symptoms. Which of the following responses is most appropriate for the nurse?
- A. It is always safe to use OTC medications during pregnancy.
- B. You should avoid using any medications during pregnancy unless prescribed by your healthcare provider.
- C. OTC medications for cold symptoms are safe during any trimester of pregnancy.
- D. Use herbal remedies instead of OTC medications to avoid harm to the baby.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. During pregnancy, it is crucial to minimize medication use to prevent potential harm to the fetus.
2. Many OTC medications have not been extensively studied for safety in pregnancy.
3. Healthcare providers can recommend safe and effective treatment options tailored to the individual.
4. Avoiding unnecessary medication reduces the risk of adverse effects on the developing baby.
Summary:
A: Incorrect. Not all OTC medications are safe during pregnancy, and blanket statements can be harmful.
C: Incorrect. Safety of OTC medications can vary by trimester, so blanket statements are not appropriate.
D: Incorrect. Herbal remedies can also pose risks during pregnancy, and individualized guidance is necessary.
A woman whose prenatal weight was 105 lb weighs 109 lb at her 12-week visit. Which of the following comments by the nurse is appropriate at this time?
- A. We expect you to gain about 1 lb per week, so your weight is a little low at this time.
- B. Most women gain no weight during the first trimester, so I would suggest you eat fewer desserts for the next few weeks.
- C. You entered the pregnancy well underweight, so we should check your diet to make sure you are getting the nutrients you need.
- D. Your weight gain is exactly what we would expect it to be at this time.
Correct Answer: D
Rationale: A weight gain of 3 to 5 lb is expected during the first trimester. The client's weight gain is within the normal range.
A nurse is working in the prenatal clinic. Which of the following findings seen in third-trimester pregnant women would the nurse consider to be within normal limits?
- A. Leg cramps.
- B. Varicose veins.
- C. Hemorrhoids.
- D. Fainting spells.
Correct Answer: A
Rationale: Leg cramps, varicose veins, and hemorrhoids are common complaints during pregnancy due to increased blood volume and pressure on the lower extremities. Fainting spells are not considered normal and may indicate an underlying issue.