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.
You may also like to solve these questions
A woman states that she frequently awakens with 'painful leg cramps' during the night. Which of the following assessments should the nurse make?
- A. Dietary evaluation.
- B. Goodell’s sign.
- C. Hegar’s sign.
- D. Posture evaluation.
Correct Answer: A
Rationale: Leg cramps during pregnancy are often related to dietary deficiencies, particularly calcium and magnesium. A dietary evaluation is the most appropriate assessment.
The nurse is caring for a pregnant patient who is at 28 weeks gestation and has been diagnosed with gestational diabetes. Which of the following interventions should the nurse prioritize?
- A. Monitor the patient's blood glucose levels and administer insulin as needed.
- B. Educate the patient about safe exercise and nutrition practices to manage blood glucose.
- C. Recommend that the patient avoid all carbohydrates to control blood sugar.
- D. Schedule regular ultrasounds to assess fetal growth and development.
Correct Answer: B
Rationale: The correct answer is B because educating the patient about safe exercise and nutrition practices is crucial in managing gestational diabetes. Exercise and proper nutrition help control blood glucose levels and reduce the risk of complications for both the mother and the baby. Monitoring blood glucose levels and administering insulin (choice A) are important but not the priority at this stage. Avoiding all carbohydrates (choice C) is not recommended as balanced carbohydrate intake is essential. Regular ultrasounds (choice D) are important but do not directly address managing gestational diabetes.
A nurse is caring for a pregnant patient who is at 22 weeks gestation and reports experiencing vaginal bleeding. What is the nurse's priority action?
- A. Encourage the patient to rest and avoid strenuous activity.
- B. Monitor the fetal heart rate and assess for any signs of preterm labor.
- C. Assess the bleeding and notify the healthcare provider immediately.
- D. Instruct the patient to use a sanitary pad to monitor for changes in bleeding.
Correct Answer: C
Rationale: The correct answer is C: Assess the bleeding and notify the healthcare provider immediately. This is the priority action because vaginal bleeding during pregnancy can indicate serious complications such as placental abruption or preterm labor. By assessing the bleeding, the nurse can determine the severity and nature of the bleeding to provide crucial information to the healthcare provider for prompt intervention. Notifying the healthcare provider immediately ensures timely assessment and appropriate management to protect the health and well-being of both the mother and fetus. Encouraging rest (choice A) may be appropriate, but assessing the bleeding and notifying the healthcare provider take precedence. Monitoring fetal heart rate (choice B) is important but secondary to assessing the bleeding. Instructing the patient to use a sanitary pad (choice D) is not sufficient to address the potential underlying causes of vaginal bleeding.
The results of a contraction stress test (CST) are positive. Which intervention is necessary based on this test result?
- A. Repeat the test in 1 week so that results can be trended based on this baseline result.
- B. Contact the health care provider to discuss birth options for the patient.
- C. Send the patient out for a meal and repeat the test to confirm that the results are valid.
- D. Ask the patient to perform a fetal kick count assessment for the next 30 minutes and then reassess the patient.
Correct Answer: B
Rationale: A positive CST is an abnormal finding that may indicate fetal compromise, requiring immediate discussion of birth options.
A nurse is caring for a postpartum person who is at risk for infection. What is the most important nursing action to reduce the risk of infection?
- A. provide perineal care and hygiene
- B. ensure proper hand hygiene
- C. offer antibiotics as needed
- D. ensure proper infection control practices
Correct Answer: C
Rationale: The correct answer is C: offer antibiotics as needed. In postpartum individuals at high risk for infection, antibiotics may be necessary to prevent or treat infections. Antibiotics target specific pathogens, reducing the risk of infection. Proper hand hygiene (B) and infection control practices (D) are important but do not directly address the underlying risk of infection. Providing perineal care and hygiene (A) is essential for overall hygiene but may not be sufficient in preventing infections in high-risk individuals. Antibiotics, when prescribed judiciously and appropriately, can be crucial in reducing the risk of infection and promoting recovery.