Nokea
A patient at the obstetric office has just learned she is pregnant with dizygotic twins. What facts will the nurse include when educating this patient? (Select all that apply.)
- A. Dizygotic twins are the same sex.
- B. Dizygotic twins share a placenta.
- C. Dizygotic pregnancies tend to repeat in families.
- D. Dizygotic twins have separate chorions.
Correct Answer: C
Rationale: Dizygotic twins tend to repeat in families and have separate chorions. They can be the same sex or different sexes and have their own placenta. The incidence of dizygotic twins increases with maternal age rather than decreases.
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Which statements about amniotic fluid are correct? Select all that apply.
- A. Provides fetal nutrition
- B. Cushions the fetus from injury
- C. Enables the fetus to grow
- D. Enables the fetus to practice swallowing
Correct Answer: D
Rationale: Amniotic fluid cushions the fetus, enables growth, maintains a stable thermal environment, and allows the fetus to practice swallowing.
Which of the following interventions is most appropriate for a postpartum person who has difficulty initiating breastfeeding?
- A. assist with hand expression
- B. administer pain relief
- C. offer additional support and education
- D. administer a breast pump
Correct Answer: B
Rationale: The correct answer is B: administer pain relief. Pain can be a common barrier to initiating breastfeeding. By providing pain relief, the postpartum person may feel more comfortable and be better able to initiate breastfeeding. Hand expression (A) may not address the underlying issue of pain. Offering additional support and education (C) may be beneficial but addressing pain is more urgent. Administering a breast pump (D) is not necessary at this stage unless there are specific indications.
The nurse is caring for a pregnant patient who is 37 weeks gestation and is experiencing contractions every 10 minutes. Which of the following should the nurse assess first?
- A. The patient's vital signs and fetal heart rate
- B. The patient's cervical dilation and effacement
- C. The patient's urinary output and fluid balance
- D. The patient's emotional status and support system
Correct Answer: B
Rationale: The correct answer is B: The patient's cervical dilation and effacement. At 37 weeks gestation with contractions every 10 minutes, assessing cervical dilation and effacement is crucial to determine if the patient is in active labor. This information will guide the nurse in determining the appropriate next steps for the patient's care, such as the need for further monitoring or interventions. Assessing vital signs and fetal heart rate (Choice A) is important but not the priority in this scenario. Urinary output and fluid balance (Choice C) are important considerations but not the immediate priority. Emotional status and support system (Choice D) are also important but not the first assessment to be made in this situation.
A nurse is advising a pregnant woman about the danger signs of pregnancy. The nurse should teach the mother that she should notify the physician immediately if she experiences which of the following signs/symptoms? Select all that apply.
- A. Convulsions.
- B. Double vision.
- C. Epigastric pain.
- D. Persistent vomiting.
Correct Answer: D
Rationale: These symptoms may indicate severe complications such as preeclampsia, eclampsia, or hyperemesis gravidarum, requiring immediate medical attention. Polyuria is generally not a danger sign.
An antenatal client is informing the nurse of her prenatal signs and symptoms. Which of the following findings would the nurse determine are presumptive signs of pregnancy? Select all that apply.
- A. Amenorrhea.
- B. Breast tenderness.
- C. Quickening.
- D. Frequent urination.
Correct Answer: A
Rationale: Presumptive signs of pregnancy are subjective and include amenorrhea, breast tenderness, quickening, and frequent urination. Uterine growth is a probable sign of pregnancy.