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A nurse is educating a birthing person about the benefits of skin-to-skin contact with their newborn immediately after birth. The nurse explains that this practice has numerous advantages. Which of the following benefits is NOT typically associated with skin-to-skin contact?
- A. improved bonding between parent and baby
- B. enhanced thermoregulation for the newborn
- C. decreased risk of neonatal infections
- D. accelerated uterine involution for the birthing person
Correct Answer: D
Rationale: The correct answer is D: accelerated uterine involution for the birthing person. Skin-to-skin contact does not directly impact the process of uterine involution. The benefits of skin-to-skin contact include improved bonding (A), enhanced thermoregulation (B), and decreased risk of neonatal infections (C). These benefits are well-documented and supported by research. In contrast, uterine involution is a physiological process that occurs naturally postpartum and is not influenced by skin-to-skin contact. Therefore, choice D is the correct answer in this scenario.
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The nurse is caring for a 14-year-old patient who is 32 weeks pregnant. After complaining of genital sores and discomfort, the patient tests positive for syphilis. The fetus is at increased risk of which condition?
- A. Diabetes
- B. Blindness
- C. Pneumonia
- D. Hypertension
Correct Answer: B
Rationale: The correct answer is B: Blindness. Syphilis infection during pregnancy can lead to congenital syphilis, which can cause a range of complications for the fetus, including blindness. The spirochete that causes syphilis can cross the placenta and affect the developing fetus, leading to various abnormalities. Blindness is a common manifestation of congenital syphilis due to damage to the eyes and optic nerve. The other options are not directly associated with syphilis infection during pregnancy. Diabetes, pneumonia, and hypertension are not typically linked to congenital syphilis and its effects on the fetus. Therefore, the correct answer is B: Blindness.
A pregnant patient at 28 weeks gestation reports feeling nauseated and vomiting after meals. What is the most appropriate action for the nurse to take?
- A. Encourage the patient to eat large meals less frequently.
- B. Recommend the patient eat smaller, more frequent meals and avoid greasy foods.
- C. Instruct the patient to rest after meals to reduce nausea.
- D. Advise the patient to avoid all foods until the nausea resolves.
Correct Answer: B
Rationale: The correct answer is B: Recommend the patient eat smaller, more frequent meals and avoid greasy foods. This is because smaller, more frequent meals can help alleviate nausea and vomiting during pregnancy by preventing the stomach from becoming too full. Greasy foods can exacerbate nausea, so avoiding them is beneficial.
A: Encouraging large meals less frequently can worsen symptoms by overwhelming the digestive system.
C: Resting after meals may not directly address the underlying cause of nausea and vomiting.
D: Avoiding all foods can lead to inadequate nutrition for both the patient and the developing fetus.
In summary, choice B is the most appropriate as it addresses the symptoms effectively and promotes better nutrition during pregnancy.
A nurse is educating a pregnant patient at 32 weeks gestation about safe physical activity. Which of the following recommendations should the nurse prioritize?
- A. Perform strenuous exercise to strengthen muscles and improve endurance.
- B. Engage in moderate exercise, such as walking or swimming, to maintain health.
- C. Avoid all physical activity during pregnancy to reduce the risk of complications.
- D. Engage in high-impact exercises to strengthen bones and joints.
Correct Answer: B
Rationale: The correct answer is B because engaging in moderate exercise like walking or swimming is recommended for pregnant patients at 32 weeks gestation. This type of activity helps maintain health without putting excessive strain on the body. Strenuous exercises (Choice A) may increase the risk of injury or complications during pregnancy. Avoiding all physical activity (Choice C) can lead to decreased muscle tone and potential complications. High-impact exercises (Choice D) can be too harsh on the joints and bones during pregnancy. Therefore, moderate exercise is the safest and most beneficial option for pregnant patients at this stage.
A pregnant woman in her second trimester asks the nurse about taking herbal supplements to alleviate nausea. Which of the following is the nurse's best response?
- A. It is safe to take any herbal supplement during pregnancy.
- B. Some herbal supplements may cause harm to your pregnancy, and it's best to consult your doctor.
- C. Only certain over-the-counter medications are safe, not herbal supplements.
- D. Herbal supplements are more effective than prescription medications for nausea.
Correct Answer: B
Rationale: The correct answer is B because herbal supplements can vary in safety during pregnancy. It is always recommended to consult a healthcare provider before taking any supplements, as some herbs may potentially harm the pregnancy or interact with other medications. Answer A is incorrect as not all herbal supplements are safe during pregnancy. Answer C is incorrect as some herbal supplements may be safe if recommended by a healthcare provider. Answer D is incorrect as prescription medications are often more rigorously tested and regulated for safety during pregnancy compared to herbal supplements.
A nurse is preparing a laboring person for an emergency cesarean birth. What is the most important nursing intervention prior to the procedure?
- A. administer a preoperative medication
- B. administer pain relief
- C. administer an epidural block
- D. administer IV fluids
Correct Answer: A
Rationale: The correct answer is A: administer a preoperative medication. This is crucial prior to an emergency cesarean birth to ensure the person is adequately prepared for the procedure. Preoperative medications can help reduce anxiety, prevent complications such as aspiration during anesthesia induction, and promote smooth recovery post-surgery. Administering pain relief (B) and epidural block (C) may be important for comfort but are not the priority in this urgent situation. Administering IV fluids (D) is generally important in preparation for surgery, but administering preoperative medication takes precedence in this scenario to ensure the person's safety and well-being during the emergency cesarean birth.