Nokea
A patient asks the nurse when her infant’s heart will begin to pump blood. What will the nurse reply?
- A. By the end of week 3
- B. Beginning in week 8
- C. At the end of week 16
- D. Beginning in week 24
Correct Answer: A
Rationale: The fetal heart begins to pump by week 3 of gestation.
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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.
Which is an opioid medication administered by the intrathecal or epidural route that can provide prolonged pain relief but does not interfere with movement or sensation?
- A. Meperidine
- B. Preservative-free morphine (Duramorph)
- C. Fentanyl
- D. Remifentanil
Correct Answer: B
Rationale: The correct answer is B: Preservative-free morphine (Duramorph). When administered intrathecally or epidurally, preservative-free morphine can provide prolonged pain relief by acting on opioid receptors in the spinal cord without affecting movement or sensation due to its selective action at the spinal level. Meperidine (A) is not commonly used for epidural or intrathecal administration. Fentanyl (C) and remifentanil (D) are potent opioids that may affect movement and sensation when administered via these routes.
The nurse is reading an article that states that the maternal mortality rate in the United States in the year 2000 was 17. Which of the following statements would be an accurate interpretation of the statement?
- A. There were 17 maternal deaths in the United States in 2,000 per 100,000 live births.
- B. There were 17 maternal deaths in the United States in 2,000 per 100,000 women of childbearing age.
- C. There were 17 maternal deaths in the United States in 2,000 per 100,000 pregnancies.
- D. There were 17 maternal deaths in the United States in 2,000 per 100,000 women in the country
Correct Answer: A
Rationale: Maternal mortality rates are typically expressed as the number of maternal deaths per 100,000 live births. This metric focuses specifically on deaths related to pregnancy or childbirth complications among women who have given birth, making option A the correct choice. Options B, C, and D refer to broader populations or less relevant denominators, which do not align with standard definitions of maternal mortality rates.
What change occurs at the same time as quickening?
- A. Fetal heart begins to beat
- B. Lanugo covers the body
- C. Kidneys secrete urine
- D. Fingernails begin to form
Correct Answer: C
Rationale: Quickening typically coincides with the onset of fetal kidney function and urine secretion.
A nurse is caring for a laboring person who is experiencing irregular contractions. What is the priority intervention to address this issue?
- A. Administer tocolytics
- B. Administer analgesics
- C. Monitor fetal heart rate
- D. Increase oxytocin infusion
Correct Answer: A
Rationale: The correct answer is A: Administer tocolytics. Tocolytics help to inhibit uterine contractions and can be used to address irregular contractions during labor. This intervention helps to prevent preterm labor and promote fetal well-being. Administering analgesics (choice B) may help with pain management but does not address the underlying issue of irregular contractions. Monitoring fetal heart rate (choice C) is important but does not directly address the irregular contractions. Increasing oxytocin infusion (choice D) would worsen the situation by further stimulating contractions. Therefore, administering tocolytics is the priority intervention to address irregular contractions during labor.