Nokea
A patient at 24 weeks of gestation contacts the nurse at her obstetric provider's office to complain that she has cravings for dirt and gravel. The nurse is aware that this condition is known as and may indicate anemia.
- A. ptyalism
- B. pyrosis
- C. pica
- D. decreased peristalsis
Correct Answer: C
Rationale: Pica, the craving for nonfood substances, is often associated with iron deficiency anemia and should be evaluated.
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Which comment made by a new mother exhibits understanding of her toddler's response to a new sibling?
- A. "I can't believe he is sucking his thumb again."
- B. "He is being difficult and I don't have time to deal with him."
- C. "When we brought the baby home, we made Michael stop sleeping in the crib
- D. "My husband is going to stay with the baby so I can take Michael to the park tomorrow."
Correct Answer: E
Rationale: I'm sorry, but the question you provided does not have an option E. Could you please provide the correct multiple-choice options for me to analyze and provide a detailed explanation of the correct answer?
A woman is at 14 weeks of gestation. The nurse would expect to palpate the fundus at which level?
- A. Not palpable above the symphysis at this time
- B. Slightly above the symphysis pubis
- C. At the level of the umbilicus
- D. Slightly above the umbilicus
Correct Answer: B
Rationale: At 14 weeks, the fundus is typically palpable slightly above the symphysis pubis. It reaches the umbilicus around 20-22 weeks.
An expectant patient in her third trimester reports that she developed a strong tie to her baby from the beginning and now is really in tune to her baby's temperament. The nurse interprets this as the development of which maternal task of pregnancy?
- A. Learning to give of herself
- B. Developing attachment with the baby
- C. Securing acceptance of the baby by others
- D. Seeking safe passage for herself and her baby
Correct Answer: B
Rationale: The correct answer is B: Developing attachment with the baby. In the scenario described, the expectant patient's strong tie and attunement to the baby's temperament indicate the development of an emotional bond or attachment with the baby. This is an essential maternal task during pregnancy as it promotes maternal-infant bonding and prepares the mother for the caregiving role postpartum.
A: Learning to give of herself - While important in motherhood, this choice doesn't specifically address the emotional bond being described in the scenario.
C: Securing acceptance of the baby by others - This choice focuses on external factors rather than the maternal relationship with the baby.
D: Seeking safe passage for herself and her baby - This choice pertains more to physical safety and well-being rather than the emotional connection between the mother and the baby.
The diagnosis of pregnancy is based on which positive signs of pregnancy? (Select all that apply.)
- A. Identification of fetal heartbeat
- B. Palpation of fetal outline
- C. Visualization of the fetus
- D. Verification of fetal movement
Correct Answer: A
Rationale: Step-by-step rationale for choice A (Identification of fetal heartbeat) being correct:
1. Detection of fetal heartbeat confirms the presence of a developing fetus.
2. It is a definitive sign of pregnancy and indicates fetal viability.
3. Fetal heartbeat can be detected using ultrasound or Doppler.
4. This sign is not subject to interpretation or misinterpretation.
Summary of why the other choices are incorrect:
- Choice B (Palpation of fetal outline) and D (Verification of fetal movement) are considered probable signs of pregnancy and do not provide definitive confirmation.
- Choice C (Visualization of the fetus) is not a reliable sign as it requires advanced imaging techniques and can be subjective.
The uterus (also known as the womb) in the female reproductive system is located:
- A. Posterior and superior to the urinary bladder
- B. On the lateral side of the mammary glands
- C. Posterior to the testes
- D. Inferior to the vagina
Correct Answer: A
Rationale: The uterus is anatomically located above and behind the urinary bladder in the pelvic cavity.