Nokea
A patient who is 7 months pregnant states, "I'm worried that something will happen to my baby." Which is the nurse's best response?
- A. "Your baby is doing fin
- B. "Tell me about your concerns."
- C. "There is nothing to worry about."
- D. "The doctor is taking good care of you and your baby."
Correct Answer: C
Rationale: The correct response is C: "There is nothing to worry about." This answer acknowledges the patient's concerns while providing reassurance. By stating that there is nothing to worry about, the nurse addresses the patient's anxiety and helps alleviate her fears without dismissing them. Option A is too dismissive, B encourages the patient to share concerns but doesn't provide immediate reassurance, and D shifts the focus to the doctor instead of directly addressing the patient's worries.
You may also like to solve these questions
Human chorionic gonadotropin (hCG) is an important biochemical marker for pregnancy and the basis for many tests. A maternity nurse should be aware that:
- A. hCG can be detected 2.5 weeks after conception
- B. the hCG level increases gradually and uniformly throughout pregnancy
- C. much lower than normal increases in the level of hCG may indicate a postdate pregnancy
- D. a higher than normal level of hCG may indicate an ectopic pregnancy or Down syndrome
Correct Answer: D
Rationale: Higher hCG levels may indicate conditions such as multiple gestation, ectopic pregnancy, or Down syndrome. hCG levels fluctuate during pregnancy and peak around 8-10 weeks.
To reassure and educate pregnant patients about changes in their cardiovascular system, maternity nurses should be aware that:
- A. a pregnant woman experiencing disturbed cardiac rhythm, such as sinus arrhythmia requires close medical and obstetric observation, no matter how healthy she otherwise may appear.
- B. changes in heart size and position and increases in blood volume create auditory changes from 20 weeks to term.
- C. palpitations are twice as likely to occur in twin gestations.
- D. all of the above changes will likely occur.
Correct Answer: B
Rationale: Auscultatory changes should be discernible after 20 weeks of gestation.
Physiologic anemia often occurs during pregnancy due to
- A. inadequate intake of iron.
- B. the fetus establishing iron stores.
- C. dilution of hemoglobin concentration.
- D. decreased production of erythrocytes.
Correct Answer: C
Rationale: Physiologic anemia during pregnancy occurs due to the dilution of hemoglobin concentration. As blood volume increases more than red blood cell production, hemoglobin becomes more diluted, leading to lower hemoglobin levels. Inadequate iron intake (A) can cause iron-deficiency anemia, not physiologic anemia. The fetus establishing iron stores (B) is not a cause of anemia in the mother. Decreased production of erythrocytes (D) is not the primary reason for physiologic anemia during pregnancy.
Appendicitis may be difficult to diagnose in pregnancy because the appendix is:
- A. displaced upward and laterally, high and to the right.
- B. displaced upward and laterally, high and to the left.
- C. deep at McBurney point.
- D. displaced downward and laterally, low and to the right.
Correct Answer: A
Rationale: The appendix is displaced high and to the right, beyond McBurney point.
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.