Nokea
A pregnant woman is scheduled to undergo chorionic villus sampling (CVS) based on genetic family history. Which medication does the nurse anticipate will be administered?
- A. Magnesium sulfate
- B. Prostaglandin suppository
- C. RhoGAM if the patient is Rh-negative
- D. Betamethasone
Correct Answer: C
Rationale: The correct answer is C: RhoGAM if the patient is Rh-negative. During CVS, there is a risk of maternal-fetal blood mixing, especially if the patient is Rh-negative. RhoGAM is given to prevent sensitization to the Rh factor, which could lead to hemolytic disease in the newborn. Magnesium sulfate (A) is not indicated for CVS. Prostaglandin suppository (B) is used for cervical ripening or induction of labor, not for CVS. Betamethasone (D) is a corticosteroid given to pregnant women at risk of preterm delivery to promote fetal lung maturation, not indicated for CVS.
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When documenting a patient encounter, which term will the nurse use to describe the woman who is in the 28th week of her first pregnancy?
- A. Multigravida
- B. Multipara
- C. Nullipara
- D. Primigravida
Correct Answer: D
Rationale: The correct answer is D: Primigravida. In medical terminology, "primigravida" is used to describe a woman who is pregnant for the first time. The prefix "primi-" means first, and "gravida" refers to pregnancy. In this case, the patient is in her 28th week of her first pregnancy, making her a primigravida.
A: Multigravida refers to a woman who has been pregnant two or more times.
B: Multipara refers to a woman who has given birth two or more times.
C: Nullipara refers to a woman who has never given birth.
Therefore, the correct choice is D because it specifically describes the patient's current pregnancy status as a first-time pregnant woman.
A gravida 1 patient at 32 weeks of gestation reports that she has severe lower back pain. What should the nurse's assessment include?
- A. Palpation of the lumbar spine
- B. Exercise pattern and duration
- C. Observation of posture and body mechanics
- D. Ability to sleep for at least 6 hours uninterrupted
Correct Answer: C
Rationale: The correct answer is C. Observation of posture and body mechanics is essential in assessing lower back pain in a pregnant patient to identify any potential causes related to the growing uterus and changes in body mechanics. Palpation of the lumbar spine (Choice A) may provide some information but does not address the underlying issue. Exercise pattern and duration (Choice B) are important but not the priority in this scenario. Ability to sleep for at least 6 hours uninterrupted (Choice D) is not directly related to assessing lower back pain.
A school nurse is discussing the male reproductive system with the students in a high school health class. Which of the following information about the hormone testosterone should be included in the discussion?
- A. Testosterone is what makes boys more muscular than girls.'
- B. The level of testosterone in boys changes every month like female hormones do.'
- C. Testosterone is produced by the male prostate gland.'
- D. The production of testosterone usually stops by the time a man is fifty years old.'
Correct Answer: A
Rationale: Testosterone is responsible for the development of male secondary sexual characteristics, including increased muscle mass.
The nurse is scheduling the next appointment for a healthy primigravida currently at 28 weeks gestation. When will the nurse schedule the next prenatal visit?
- A. 1 week
- B. 2 weeks
- C. 3 weeks
- D. 4 weeks
Correct Answer: B
Rationale: The correct answer is B (2 weeks) because for a healthy primigravida at 28 weeks gestation, it is recommended to schedule prenatal visits every 2 weeks during the third trimester. This frequency allows for closer monitoring of both the mother and the baby's well-being as they near the delivery date. Option A (1 week) is too frequent and unnecessary for a healthy pregnancy at this stage. Option C (3 weeks) and Option D (4 weeks) are too far apart and may not provide adequate monitoring and support during the critical final weeks of pregnancy.
Which of the patient health behaviors in the first trimester would the nurse identify as a risk factor in pregnancy?
- A. Sexual intercourse two or three times weekly
- B. Moderate exercise for 30 minutes daily
- C. Working 40 hours a week as a secretary in a travel agency
- D. Relaxing in a hot tub for 30 minutes a day, several days a week
Correct Answer: D
Rationale: The correct answer is D because relaxing in a hot tub for 30 minutes a day, several days a week can increase the body temperature, which is harmful during the first trimester and can lead to birth defects. Choice A is not a risk factor as it promotes a healthy sexual relationship. Choice B is beneficial as moderate exercise is recommended during pregnancy. Choice C is not necessarily a risk factor unless it involves exposure to harmful substances or excessive stress.