Nokea
A nurse midwife has advised a 39-week gestation gravid to take evening primrose oil 2,500 mg daily as a complementary therapy. This suggestion was made because evening primrose has been shown to perform which of the following actions?
- A. Relieve back strain.
- B. Improve development of colostrum.
- C. Ripen the cervix.
- D. Reduce the incidence of hemorrhoids.
Correct Answer: C
Rationale: Evening primrose oil is believed to help ripen the cervix in preparation for labor. It is not typically used to relieve back strain, improve colostrum development, or reduce hemorrhoids.
You may also like to solve these questions
The nurse has taken a health history on four primigravid clients at their first prenatal visits. It is high priority that which of the clients receives nutrition counseling?
- A. The woman diagnosed with phenylketonuria.
- B. The woman who has Graves’ disease.
- C. The woman with Cushing’s syndrome.
- D. The woman diagnosed with myasthenia gravis.
Correct Answer: A
Rationale: Phenylketonuria (PKU) requires strict dietary management, especially during pregnancy, to prevent harm to the fetus. The other conditions do not have the same immediate dietary implications.
What is the primary goal of using an epidural for pain management during labor?
- A. to provide analgesia without sedation
- B. to allow for movement and positioning
- C. to relieve anxiety and promote relaxation
- D. to allow for continuous monitoring
Correct Answer: A
Rationale: The primary goal of using an epidural during labor is to provide analgesia without sedation. Epidurals block pain signals, allowing the laboring individual to feel relief while remaining fully conscious. This helps manage labor pain effectively without causing sedation, allowing the individual to actively participate in the birthing process. Choice B is incorrect because epidurals can limit movement and positioning due to numbness. Choice C is incorrect as the main purpose is pain relief, not anxiety relief. Choice D is incorrect as continuous monitoring can be achieved through other methods, and it is not the primary goal of using an epidural.
Can the baby's sex be determined at 8 weeks' gestation?
- A. Doctor knows the sex
- B. Organs are formed but too small
- C. Technician sees a penis
- D. It will take another month
Correct Answer: D
Rationale: At 8 weeks, organs are developing but too small to determine sex; this usually occurs around 18–20 weeks.
After nutrition counseling, a woman, G3 P1101, proclaims that she certainly can’t eat any strawberries during her pregnancy. Which of the following is the likely reason for this statement?
- A. The woman is allergic to strawberries.
- B. Strawberries have been shown to cause birth defects.
- C. The woman believes in old wives’ tales.
- D. The premature baby died because the woman ate strawberries.
Correct Answer: A
Rationale: Food allergies are a plausible reason for avoiding strawberries. There is no scientific evidence linking strawberries to birth defects or premature death. Old wives’ tales might exist but are less likely the primary reason here.
A pregnant patient at 30 weeks gestation reports lower back pain and difficulty sleeping. Which of the following is the most appropriate recommendation for the nurse to make?
- A. Rest in bed with your legs elevated to reduce back pain.
- B. Use a firm mattress and avoid sleeping on your back.
- C. Take over-the-counter pain medications as prescribed to alleviate pain.
- D. Perform light stretching exercises before bed to relieve discomfort.
Correct Answer: B
Rationale: The correct answer is B. Using a firm mattress and avoiding sleeping on the back is the most appropriate recommendation for a pregnant patient at 30 weeks gestation experiencing lower back pain. Here's why:
1. Firm mattress provides better support for the back and helps maintain proper spinal alignment during sleep.
2. Avoiding sleeping on the back reduces pressure on the major blood vessels, preventing potential complications like supine hypotensive syndrome.
3. Resting in bed with legs elevated (choice A) may not address the root cause of back pain and may not be recommended for extended periods during pregnancy.
4. Taking over-the-counter pain medications (choice C) should be avoided unless prescribed by a healthcare provider due to potential risks to the fetus.
5. Performing light stretching exercises (choice D) can be beneficial, but avoiding certain positions like lying on the back is more crucial for back pain relief during pregnancy.