Nokea
A patient who is 38 weeks pregnant reports decreased fetal movement. What should the nurse do next?
- A. Reassure the patient that decreased fetal movement is normal at this stage
- B. Perform a nonstress test (NST) to assess fetal well-being
- C. Administer a tocolytic agent to relieve uterine contractions
- D. Encourage the patient to drink a sugary drink to stimulate fetal movement
Correct Answer: B
Rationale: The correct answer is B: Perform a nonstress test (NST) to assess fetal well-being.
1. Decreased fetal movement can be a sign of fetal distress.
2. NST helps monitor fetal heart rate and movement to assess fetal well-being.
3. It is a non-invasive and effective way to determine fetal health.
4. Other choices are incorrect:
A: Incorrect because decreased fetal movement is not always normal and should be assessed.
C: Incorrect as tocolytic agents are used to stop preterm labor, not for decreased fetal movement.
D: Incorrect as sugary drinks do not reliably stimulate fetal movement.
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A 32-week pregnant woman is admitted with preterm labor. What is the most appropriate intervention to delay labor?
- A. Administer magnesium sulfate
- B. Perform an emergency cesarean section
- C. Administer a prostaglandin inhibitor
- D. Start a Pitocin infusion
Correct Answer: A
Rationale: The correct answer is A: Administer magnesium sulfate. Magnesium sulfate is commonly used to delay preterm labor by relaxing uterine smooth muscle. It inhibits contractions and delays labor progression. It is a standard treatment to prevent preterm birth and reduce the risk of complications for both the mother and the baby.
Choice B: Emergency cesarean section is not indicated for delaying preterm labor unless there are severe complications putting the mother or baby at immediate risk.
Choice C: Administering a prostaglandin inhibitor may help in some cases, but magnesium sulfate is the preferred choice for delaying labor in preterm pregnancies.
Choice D: Starting a Pitocin infusion would actually stimulate contractions and hasten labor, which is the opposite of what is needed in this scenario.
What does the nurse explain can affect the survival of the X- and Y-bearing sperm after intercourse?
- A. Age
- B. Estrogen level
- C. Body temperature
- D. Level of feminine hygiene
Correct Answer: B
Rationale: Estrogen levels and the pH of the female reproductive tract can affect the survival of the X- and Y-bearing sperm as well as their motility.
A pregnant patient is at 32 weeks gestation and reports feeling fatigued and weak. What is the nurse's priority intervention?
- A. Assess the patient's hemoglobin levels to check for anemia.
- B. Encourage the patient to increase physical activity and exercise.
- C. Instruct the patient to rest and avoid any strenuous activity.
- D. Recommend a high-calorie diet to improve energy levels.
Correct Answer: A
Rationale: The correct answer is A: Assess the patient's hemoglobin levels to check for anemia.
1. During pregnancy, anemia is common due to increased blood volume and demands. Fatigue and weakness are common symptoms.
2. Anemia can lead to complications for both the mother and baby if left untreated.
3. Assessing hemoglobin levels will help determine if anemia is present and guide appropriate interventions.
4. Prompt treatment of anemia can improve symptoms and prevent adverse outcomes.
Summary:
B: Increasing physical activity may exacerbate fatigue if anemia is present.
C: Resting is important, but addressing the underlying cause of fatigue is crucial.
D: A high-calorie diet may not address the root cause of fatigue and could potentially worsen anemia if not properly managed.
Which of the following is true about the use of a birthing ball during labor?
- A. It is contraindicated for patients with high blood pressure
- B. It promotes pelvic mobility and can help reduce pain
- C. It should only be used during the second stage of labor
- D. It is only effective in early labor
Correct Answer: B
Rationale: The correct answer is B because a birthing ball promotes pelvic mobility, which can help reduce pain during labor by encouraging movement and optimal positioning of the baby. It is not contraindicated for patients with high blood pressure unless specifically advised by a healthcare provider. It can be used throughout labor, not just during the second stage, and is effective at various stages, not just in early labor.
When analyzing the need for health teaching of a prenatal multigravida, the nurse should ask which of the following questions?
- A. What are the ages of your children?
- B. What is your marital status?
- C. Do you ever drink alcohol?
- D. Do you have any allergies?
Correct Answer: C
Rationale: Asking about alcohol consumption is directly related to health teaching needs, as it can impact fetal development. The other questions, while important, are not directly related to health teaching.