Nokea
A pregnant patient at 12 weeks gestation is asking about safe activities during pregnancy. Which of the following responses is most appropriate?
- A. You should avoid all physical activity to protect your baby.
- B. Moderate exercise, such as walking and swimming, is safe during pregnancy.
- C. You can engage in vigorous exercise, as long as you don't feel any discomfort.
- D. Only yoga and stretching exercises are safe during pregnancy.
Correct Answer: B
Rationale: The correct answer is B because moderate exercise like walking and swimming is generally safe during pregnancy and can provide health benefits for both the mother and the baby. Walking and swimming are low-impact activities that can help improve cardiovascular health, reduce stress, and enhance overall well-being without posing significant risks.
Option A is incorrect as physical activity is important during pregnancy, and avoiding all activity can be detrimental to both the mother and the baby. Option C is incorrect as engaging in vigorous exercise may increase the risk of injury or complications during pregnancy. Option D is incorrect as a variety of moderate exercises beyond just yoga and stretching can be safe and beneficial during pregnancy.
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A nurse is monitoring a postpartum person for signs of infection. Which finding would be most concerning in the first 24 hours after delivery?
- A. fever
- B. foul-smelling lochia
- C. increased blood pressure
- D. increased heart rate
Correct Answer: A
Rationale: The correct answer is A: fever. A fever in the first 24 hours after delivery is most concerning as it may indicate an infection, such as endometritis, which can lead to serious complications if not promptly treated. Postpartum fever is often the earliest sign of infection due to retained products of conception or ascending genital tract infection. Monitoring for fever is crucial as it can help prevent sepsis. Foul-smelling lochia (choice B) may suggest infection but is not as immediate a concern as fever. Increased blood pressure (choice C) and heart rate (choice D) may be normal physiological responses to delivery and are not specific indicators of infection in the immediate postpartum period.
A nurse is educating a birthing person about the signs and symptoms of postpartum hemorrhage. Which of the following is an early sign of postpartum hemorrhage?
- A. bright red bleeding
- B. increased blood pressure
- C. severe abdominal pain
- D. increased heart rate
Correct Answer: A
Rationale: The correct answer is A: bright red bleeding. This is an early sign of postpartum hemorrhage because it indicates active bleeding from the uterus. Bright red blood suggests fresh bleeding, which is more concerning than darker blood. Increased blood pressure (B) is not typically associated with postpartum hemorrhage. Severe abdominal pain (C) is more indicative of other complications like uterine rupture. Increased heart rate (D) can be a sign of postpartum hemorrhage, but bright red bleeding is a more specific early indicator.
A nurse is assessing a laboring person and notes the presence of meconium-stained amniotic fluid. What is the priority nursing action?
- A. prepare for an emergency cesarean section
- B. document the amount of meconium
- C. notify the healthcare provider
- D. prepare the person for a blood transfusion
Correct Answer: D
Rationale: The correct answer is D: prepare the person for a blood transfusion. Meconium-stained amniotic fluid indicates fetal distress, which can lead to hypoxia and potential blood loss in the laboring person. The priority action is to prepare for a potential blood transfusion to address any hemorrhage that may occur during delivery. This is crucial for ensuring the safety and well-being of both the laboring person and the baby.
Incorrect options:
A: Prepare for an emergency cesarean section - While meconium-stained amniotic fluid may indicate fetal distress, the priority is addressing potential maternal blood loss.
B: Document the amount of meconium - Documenting is important but not the priority when the person's health is at risk.
C: Notify the healthcare provider - While important, immediate action to address potential blood loss takes precedence over notifying the healthcare provider.
A nurse is assessing a postpartum person for signs of urinary retention. What is the most common sign of urinary retention in the postpartum period?
- A. Abdominal distension
- B. Frequent voiding
- C. No voiding for several hours
- D. Urinary urgency
Correct Answer: C
Rationale: The correct answer is C: No voiding for several hours. Postpartum urinary retention is common due to trauma during childbirth. The bladder may be unable to contract effectively, leading to a lack of sensation to void. This can result in no voiding for several hours. Abdominal distension (A) is not specific to urinary retention. Frequent voiding (B) and urinary urgency (D) are not characteristic signs of urinary retention; they are more indicative of overactive bladder or urinary tract infection.
A nurse is educating a pregnant patient at 32 weeks gestation about safe physical activity. Which of the following recommendations should the nurse prioritize?
- A. Perform strenuous exercise to strengthen muscles and improve endurance.
- B. Engage in moderate exercise, such as walking or swimming, to maintain health.
- C. Avoid all physical activity during pregnancy to reduce the risk of complications.
- D. Engage in high-impact exercises to strengthen bones and joints.
Correct Answer: B
Rationale: The correct answer is B because engaging in moderate exercise like walking or swimming is recommended for pregnant patients at 32 weeks gestation. This type of activity helps maintain health without putting excessive strain on the body. Strenuous exercises (Choice A) may increase the risk of injury or complications during pregnancy. Avoiding all physical activity (Choice C) can lead to decreased muscle tone and potential complications. High-impact exercises (Choice D) can be too harsh on the joints and bones during pregnancy. Therefore, moderate exercise is the safest and most beneficial option for pregnant patients at this stage.