Advanced Maternal Age Monitoring

Advanced Maternal Age Monitoring Related

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A nurse is educating a pregnant patient about the importance of folic acid supplementation. Which of the following statements by the patient indicates the need for further teaching?

  • A. Folic acid helps prevent birth defects in the baby's brain and spine.
  • B. I should start taking folic acid before I become pregnant to ensure its benefits.
  • C. I can stop taking folic acid after the first trimester because the baby's development is complete.
  • D. Folic acid should be taken daily throughout the pregnancy to reduce the risk of birth defects.
Correct Answer: C

Rationale: Rationale:

C is the correct answer because stopping folic acid after the first trimester is incorrect. Folic acid is crucial for the baby's neural tube development, which occurs in the early stages of pregnancy. Therefore, discontinuing supplementation after the first trimester could increase the risk of neural tube defects. Choices A, B, and D are incorrect because they emphasize the importance of folic acid in preventing birth defects and highlight the necessity of consistent supplementation throughout pregnancy for optimal benefits.

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A 38-week pregnant patient in active labor is experiencing frequent and painful contractions. What is the most appropriate action for the nurse?

  • A. Administer narcotic analgesics for pain relief
  • B. Provide emotional support and reassurance
  • C. Assess the fetal heart rate and contraction patterns
  • D. Prepare for delivery
Correct Answer: D

Rationale: The correct answer is D: Prepare for delivery. At 38 weeks of gestation and in active labor, the most appropriate action is to prepare for delivery as the patient is likely to be close to giving birth. This involves ensuring that all necessary equipment and supplies are ready, notifying the healthcare team, and positioning the patient for delivery. Administering narcotic analgesics (choice A) may not be ideal at this stage as the priority is the imminent delivery. While emotional support and reassurance (choice B) are important, they should be provided alongside preparing for delivery. Assessing the fetal heart rate and contraction patterns (choice C) is crucial but should be done concurrently with preparing for delivery to ensure the safety of both the mother and baby.

What is the embryonic membrane that contains fingerlike projections on its surface, which attach to the uterine wall?

  • A. Amnion
  • B. Yolk sac
  • C. Chorion
  • D. Decidua basalis
Correct Answer: C

Rationale: The chorion is a thick membrane with fingerlike projections (villi) on its outermost surface.

A client who was seen in the prenatal clinic at 20 weeks’ gestation weighed 128 lb at that time. Approximately how many pounds would the nurse expect the client to weigh at her next visit at 24 weeks’ gestation?

  • A. 129 to 130 lb.
  • B. 131 to 132 lb.
  • C. 133 to 134 lb.
  • D. 135 to 136 lb.
Correct Answer: C

Rationale: A weight gain of 1 lb per week is expected during the second and third trimesters. Therefore, the client should gain approximately 4 lb between 20 and 24 weeks.

The nurse is reviewing the procedure for alpha-fetoprotein (AFP) screening with a patient at 16 weeks’ gestation. What sample will be collected for the initial screening process?

  • A. Urine
  • B. Blood
  • C. Saliva
  • D. Amniotic fluid
Correct Answer: B

Rationale: AFP screening is done using a blood sample, which is less invasive than an amniocentesis.

What is the embryonic membrane that contains fingerlike projections on its surface, which attach to the uterine wall?

  • A. Amnion
  • B. Yolk sac
  • C. Chorion
  • D. Decidua basalis
Correct Answer: C

Rationale: The chorion is a thick membrane with fingerlike projections (villi) on its outermost surface.

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