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A nurse is educating a pregnant patient about the importance of iron supplementation during pregnancy. Which statement by the patient indicates effective teaching?
- A. I will take iron supplements daily, even if I feel fine.
- B. I will only take iron supplements if my hemoglobin levels drop.
- C. I will stop taking iron supplements after the second trimester.
- D. I will take iron supplements only when I experience symptoms of anemia.
Correct Answer: A
Rationale: Rationale: Choice A is correct because taking iron supplements daily, even if feeling fine, ensures the patient maintains adequate iron levels throughout pregnancy. Iron is crucial for the mother and baby's health, preventing anemia and complications. Choice B is incorrect as waiting for hemoglobin levels to drop may lead to deficiency. Choice C is incorrect as iron needs remain high throughout pregnancy. Choice D is incorrect as symptoms of anemia indicate an existing deficiency rather than prevention.
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When assessing the psychological adjustment of an 8-week gravida, which of the following would the nurse expect to see signs of?
- A. Ambivalence.
- B. Depression.
- C. Anxiety.
- D. Ecstasy.
Correct Answer: A
Rationale: Ambivalence is a common psychological response in early pregnancy as the client adjusts to the idea of being pregnant. Depression, anxiety, and ecstasy are less common at this stage.
The nurse is assessing a 38-week pregnant woman who is experiencing severe abdominal pain and has not felt her baby move for several hours. What is the most appropriate action for the nurse to take?
- A. Encourage the patient to drink water and rest.
- B. Notify the healthcare provider immediately.
- C. Ask the patient to lie on her left side and monitor fetal movements.
- D. Reassure the patient that this is common at the end of pregnancy.
Correct Answer: B
Rationale: The correct answer is B: Notify the healthcare provider immediately. This is the most appropriate action because the pregnant woman is experiencing severe abdominal pain and has not felt her baby move for several hours, which could indicate a potential emergency situation such as placental abruption or fetal distress. Prompt notification of the healthcare provider is crucial for timely evaluation and management to ensure the well-being of both the mother and the baby.
Choice A is incorrect because simply encouraging the patient to drink water and rest may delay necessary medical intervention. Choice C is incorrect as monitoring fetal movements without immediate healthcare provider notification may lead to a critical delay in assessment and treatment. Choice D is incorrect as reassuring the patient without further evaluation could overlook a serious issue.
A nurse is providing discharge instructions to a postpartum person who had a cesarean birth. What is the most important instruction to include?
- A. avoid heavy lifting
- B. encourage deep breathing exercises
- C. encourage early ambulation
- D. avoid sexual activity
Correct Answer: B
Rationale: The correct answer is B: encourage deep breathing exercises. Deep breathing helps prevent complications like pneumonia after surgery, aids in lung expansion, and promotes overall respiratory health. Choice A is important but not the most crucial post-cesarean. Choice C promotes mobility but doesn't address immediate respiratory needs. Choice D is important but not the most vital in the early postpartum period.
The nurse has made it a goal to increase the rate at which women begin prenatal care in the first trimester. The nurse relates this decision to national goals for better maternal and infant outcomes. What guidelines will the nurse use to guide her maternal health goals?
- A. WHO Maternal care guidelines
- B. State Practice Acts
- C. AWHONN white papers
- D. Healthy People 2020
Correct Answer: D
Rationale: The correct answer is D: Healthy People 2020. The nurse will use Healthy People 2020 guidelines because they are evidence-based, nationally recognized objectives that focus on improving the health and well-being of individuals, families, and communities. These guidelines specifically address maternal and infant health outcomes, making them the most relevant choice for the nurse's goal.
Incorrect Choices:
A: WHO Maternal care guidelines - While WHO guidelines are important, they are not specific to the national goals and objectives the nurse is trying to align with.
B: State Practice Acts - State Practice Acts govern the scope of practice for nurses and do not provide specific guidelines for maternal health goals.
C: AWHONN white papers - AWHONN provides valuable resources, but they may not be as comprehensive or nationally recognized as Healthy People 2020 for setting maternal health goals.
The nurse is caring for a pregnant patient who is at 28 weeks gestation and has been diagnosed with a urinary tract infection (UTI). Which of the following interventions should the nurse prioritize?
- A. Administer antibiotics to treat the UTI.
- B. Encourage the patient to drink cranberry juice.
- C. Teach the patient to practice good hand hygiene.
- D. Perform a bladder scan to check for residual urine.
Correct Answer: A
Rationale: The correct answer is A because administering antibiotics is crucial in treating a urinary tract infection (UTI) during pregnancy to prevent complications such as preterm labor or kidney infection. Antibiotics are necessary to eradicate the infection and ensure the health of both the mother and the baby.
Encouraging the patient to drink cranberry juice (B) may help prevent UTIs but is not sufficient treatment for an existing infection. Teaching the patient to practice good hand hygiene (C) is important for general infection prevention but does not directly address the UTI. Performing a bladder scan (D) to check for residual urine is not a priority in this case as the focus should be on treating the infection first.