Nokea
A pregnant patient at 24 weeks gestation is concerned about gestational diabetes. Which of the following is the most important aspect of managing this condition?
- A. Increasing physical activity and monitoring blood glucose levels.
- B. Administering insulin to control blood sugar levels.
- C. Eating larger meals to prevent hypoglycemia.
- D. Limiting fluid intake to reduce blood sugar fluctuations.
Correct Answer: A
Rationale: The correct answer is A: Increasing physical activity and monitoring blood glucose levels. This is because physical activity helps improve insulin sensitivity and manage blood glucose levels in gestational diabetes. Monitoring blood glucose levels is essential to ensure they are within the target range for both the mother and baby's health. Administering insulin (B) may be necessary in some cases but is not the first-line approach. Eating larger meals (C) can lead to higher blood sugar levels and does not prevent hypoglycemia. Limiting fluid intake (D) is not recommended as it can lead to dehydration and does not directly impact blood sugar fluctuations.
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Put the embryonic/fetal characteristics in the correct order of occurrence from week 3 to week 36 of gestation. Put a comma and space between each answer choice (a, b, c, d, etc.)
- A. Subcutaneous fat is present.
- B. Bone marrow forms blood cells.
- C. Spinal cord and brain appear.
- D. Skull and jaw ossify.
Correct Answer: C
Rationale: Primitive spinal cord and brain appear at 3 weeks. Neural tube closes at 4 weeks. Skull and jaw ossify at 6 weeks. Spleen stops forming blood cells and bone marrow takes over at 29 weeks. Subcutaneous fat is present at 36 weeks. This sequence reflects the chronological progression of key developmental milestones.
What factor should the nurse consider when counseling a Chinese immigrant?
- A. Many Chinese eat little protein
- B. Many Chinese believe in eating cold foods
- C. Many Chinese are prone to anemia
- D. Many Chinese believe strawberries cause birth defects
Correct Answer: D
Rationale: Cultural beliefs, such as the idea that strawberries might cause birth defects, should be considered to provide culturally sensitive care.
A nurse is caring for a pregnant patient who is at 16 weeks gestation and is concerned about varicose veins. Which of the following interventions should the nurse recommend?
- A. Wear tight compression stockings to reduce swelling.
- B. Elevate the legs and avoid prolonged periods of standing.
- C. Massage the affected area to improve circulation.
- D. Apply ice packs to the legs for 15 minutes every hour.
Correct Answer: B
Rationale: The correct answer is B: Elevate the legs and avoid prolonged periods of standing. Elevating the legs helps improve circulation and reduces pressure on the veins, which can help alleviate varicose veins. Prolonged standing can worsen varicose veins by increasing pressure on the lower extremities.
A: Wearing tight compression stockings can further constrict blood flow and should be avoided.
C: Massaging the affected area may not be recommended as it can potentially increase the risk of blood clots in pregnant women.
D: Applying ice packs is not recommended for varicose veins as it may not effectively address the underlying issue of poor circulation.
The nurse is reading an article that states that the maternal mortality rate in the United States in the year 2000 was 17. Which of the following statements would be an accurate interpretation of the statement?
- A. There were 17 maternal deaths in the United States in 2,000 per 100,000 live births.
- B. There were 17 maternal deaths in the United States in 2,000 per 100,000 women of childbearing age.
- C. There were 17 maternal deaths in the United States in 2,000 per 100,000 pregnancies.
- D. There were 17 maternal deaths in the United States in 2,000 per 100,000 women in the country
Correct Answer: A
Rationale: Maternal mortality rates are typically expressed as the number of maternal deaths per 100,000 live births. This metric focuses specifically on deaths related to pregnancy or childbirth complications among women who have given birth, making option A the correct choice. Options B, C, and D refer to broader populations or less relevant denominators, which do not align with standard definitions of maternal mortality rates.
A nurse is caring for a postpartum person who is at risk for infection. What is the most important nursing action to reduce the risk of infection?
- A. provide perineal care and hygiene
- B. ensure proper hand hygiene
- C. offer antibiotics as needed
- D. ensure proper infection control practices
Correct Answer: C
Rationale: The correct answer is C: offer antibiotics as needed. In postpartum individuals at high risk for infection, antibiotics may be necessary to prevent or treat infections. Antibiotics target specific pathogens, reducing the risk of infection. Proper hand hygiene (B) and infection control practices (D) are important but do not directly address the underlying risk of infection. Providing perineal care and hygiene (A) is essential for overall hygiene but may not be sufficient in preventing infections in high-risk individuals. Antibiotics, when prescribed judiciously and appropriately, can be crucial in reducing the risk of infection and promoting recovery.