Nokea
A pregnant woman is being seen at her first prenatal visit. The RN should correct which action of a student nurse who is preparing the client for a pelvic examination?
- A. Asking the client if she needs something to drink
- B. Assembling the necessary equipment for the pelvic examination
- C. Positioning the client in the lithotomy position
- D. Explaining the procedure prior to the pelvic examination
Correct Answer: A
Rationale: Multipara is a term used for a woman who has given birth more than once, which is consistent with the birth history provided. Primigravida refers to a woman who is pregnant for the first time, and primipara refers to a woman who has had one pregnancy outcome.
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A 26-year-old multigravida patient is 14 weeks pregnant and is scheduled for a maternal serum alpha-fetoprotein test. She asks the nurse, 'What does this test indicate?' The nurse explains that this test can detect which of the following?
- A. Leg defects
- B. Gastrointestinal defects
- C. Neural tube defects
- D. Renal defects
Correct Answer: C
Rationale: Quickening is the term used when a woman feels the first fetal movements. It typically happens around the second trimester and is a sign of fetal development and activity.
With what is malnutrition during pregnancy associated?
- A. fetal growth restriction
- B. postterm birth
- C. uterine dystocia
- D. precipitous birth
Correct Answer: A
Rationale: Malnutrition during pregnancy can lead to fetal growth restriction.
The nurse is caring for a pregnant person who was in a motor vehicle accident when she was younger and broke a bone in her pelvis. For what complication should the nurse be prepared?
- A. fetal dystocia
- B. pelvic dystocia
- C. uterine dystocia
- D. age dystocia
Correct Answer: B
Rationale: Pelvic dystocia can result from previous pelvic fractures.
The nurse recognizes that fetal scalp stimulation may be prescribed to evaluate the response of the fetus to tactile stimulation. Which conditions contraindicate the use of fetal scalp stimulation? (Select all that apply.)
- A. Post-term fetus
- B. Maternal fever
- C. Placenta previa
- D. Induction of labor
Correct Answer: A
Rationale: A. Post-term fetus: Fetal scalp stimulation can be contraindicated in post-term fetuses due to the potential risks associated with uterine hyperstimulation and decreased fetal reserve in these pregnancies.
The nurse in labor and delivery notices an increase in the number of women requesting cesarean births. Which are the parameters and criteria used when making the decision to perform a cesarean delivery on maternal request (CDMR)? Select all that apply.
- A. Patient is able to self-pay for the procedure.
- B. Patient is willing to defer from legal litigation.
- C. Mother is planning to only have one child.
- D. Patient is aware of possible neonatal complications.
Correct Answer: D
Rationale: Choice B is correct because CDMR (cesarean delivery on maternal request) is often performed after 39 weeks gestation when the mother is fully aware of the risks and potential complications involved with the procedure.