Nokea
A nurse is preparing a postpartum person for discharge after a vaginal birth. What is the most important aspect of discharge teaching?
- A. offer emotional support
- B. assist with breastfeeding immediately
- C. assist with positioning the person
- D. provide non-pharmacological pain relief
Correct Answer: A
Rationale: The correct answer is A: offer emotional support. This is crucial as postpartum can be a challenging time emotionally. Providing emotional support helps the person cope with any feelings of anxiety, sadness, or overwhelm. Breastfeeding (B) and positioning assistance (C) are important but not the most critical aspect of discharge teaching. Non-pharmacological pain relief (D) is important but not as crucial as emotional support for overall well-being.
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What are the functions of amniotic fluid? (Select all that apply.)
- A. Maintaining an even temperature
- B. Impeding excessive fetal movement
- C. Lubricating fetal skin
- D. Acting as a reservoir for nutrients
Correct Answer: A
Rationale: The amniotic fluid provides maintenance of even temperature; prevents amnion from adhering to fetal skin; allows buoyancy, symmetrical growth, and fetal movement; and acts as a cushion for the fetus. Although the fetus does swallow amniotic fluid, it has no nutritional value. Impeding excessive fetal movement and lubricating fetal skin are not primary functions of amniotic fluid.
The nurse plans to provide anticipatory guidance to a 10-week gravid client who is being seen in the prenatal clinic. Which of the following information should be a priority for the nurse to provide?
- A. Pain management during labor.
- B. Methods to relieve backaches.
- C. Breastfeeding positions.
- D. Characteristics of the newborn.
Correct Answer: B
Rationale: Backaches are a common complaint during pregnancy, and providing guidance on how to relieve them is a priority at this stage. Pain management during labor, breastfeeding positions, and newborn characteristics are typically addressed later in pregnancy.
A 34-week gestation woman calls the obstetric office stating, 'Since last night I have had three nosebleeds.'
- A. You should see the doctor to make sure you are not becoming severely anemic.
- B. Do you have a temperature?
- C. One of the hormones of pregnancy makes the nasal passages prone to bleeds.
- D. Do you use any inhaled drugs?
Correct Answer: C
Rationale: Pregnancy hormones increase blood supply to mucous membranes, making them more prone to bleeding. Nosebleeds are generally harmless unless associated with other symptoms.
A pregnant patient at 28 weeks gestation reports dizziness and faintness when standing. What is the nurse's most appropriate recommendation?
- A. Rise quickly from a seated position to avoid dizziness.
- B. Instruct the patient to increase fluid intake and stand slowly.
- C. Encourage the patient to rest in bed to prevent fainting.
- D. Advise the patient to avoid standing for long periods.
Correct Answer: B
Rationale: The correct answer is B: Instruct the patient to increase fluid intake and stand slowly. This recommendation is appropriate because the patient is likely experiencing orthostatic hypotension due to the expanding uterus compressing blood vessels, leading to decreased blood flow to the brain when standing. Increasing fluid intake helps maintain blood volume, while standing slowly helps prevent sudden drops in blood pressure.
A: Rising quickly can worsen dizziness by further decreasing blood flow to the brain.
C: Resting in bed may not address the underlying issue of orthostatic hypotension and may lead to deconditioning.
D: Avoiding standing for long periods may be impractical and may not address the need to maintain adequate blood volume and prevent sudden drops in blood pressure.
Which factors should be considered a contraindication for transcervical chorionic villus sampling?
- A. Rh-negative mother
- B. Gestation less than 15 weeks
- C. Maternal age younger than 35 years
- D. Positive for group B Streptococcus
Correct Answer: D
Rationale: Maternal infection, such as group B Streptococcus, is a contraindication for the procedure due to the risk of infection.