Nokea
A pregnant client asks about the purpose of taking folic acid. What is the nurse's best response?
- A. It prevents gestational diabetes.
- B. It helps prevent neural tube defects.
- C. It supports fetal bone development.
- D. It reduces the risk of preterm labor.
Correct Answer: B
Rationale: Folic acid is essential for preventing neural tube defects like spina bifida during early fetal development.
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A client in the third trimester reports severe itching without rash. What condition should the nurse suspect?
- A. Cholestasis of pregnancy.
- B. Preeclampsia.
- C. Gestational diabetes.
- D. Fungal infection.
Correct Answer: A
Rationale: Severe itching in pregnancy without a rash is commonly associated with cholestasis of pregnancy.
What role do nurses play in addressing social determinants of health (SDOH)?
- A. Nurses primarily focus on providing medical treatments and interventions.
- B. Nurses have no role in addressing social determinants of health.
- C. Nurses are crucial in identifying and addressing the environmental factors that impact health outcomes.
- D. Nurses solely focus on the physical well-being of individuals and do not address social factors.
Correct Answer: C
Rationale:
A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipates a prescription by the provider for which of the following medications? (Select all that apply.)
- A. Prostaglandin E2
- B. Indomethacin
- C. Magnesium sulfate
- D. Methylergonovine
Correct Answer: A
Rationale: A. Prostaglandin E2: Prostaglandin E2 is used to manage preterm labor by helping to ripen the cervix and promote contractions.
The nurse is conducting a prenatal class on the female reproductive system. When a client asks why the fertilized ovum stays in the fallopian tube for 3 days, what is the best response?
- A. It promotes the fertilized ovum's chances of survival.
- B. It promotes the fertilized ovum's exposure to estrogen and progesterone.
- C. It promotes the fertilized ovum's normal implantation in the top portion of the uterus.
- D. It promotes the fertilized ovum's exposure to luteinizing hormone and follicle-stimulating hormone.
Correct Answer: C
Rationale: The delay ensures the ovum reaches the uterus at the right developmental stage for proper implantation in the upper uterine segment.
The nurse is teaching a client with preeclampsia about home care. Which statement indicates understanding?
- A. I should monitor my blood pressure once a week.
- B. I should limit my fluid intake to reduce swelling.
- C. I will report any headache or vision changes immediately.
- D. I can exercise daily to maintain health.
Correct Answer: C
Rationale: Headache and vision changes can signal worsening preeclampsia, requiring prompt medical attention.