Nokea
A third-trimester client is being seen for routine prenatal care.
- A. Blood glucose.
- B. Blood pressure.
- C. Fetal heart rate.
- D. Urine protein.
Correct Answer: A
Rationale: Routine assessments in the third trimester include monitoring blood glucose, blood pressure, fetal heart rate, and urine protein to ensure maternal and fetal health.
You may also like to solve these questions
A woman who is 25 weeks pregnant asks the nurse what her fetus looks like. What does the nurse explain is one physical characteristic present in a 25-week-old fetus?
- A. Lanugo covering the body
- B. Constant motion
- C. Skin that is pink and smooth
- D. Eyes that are closed
Correct Answer: A
Rationale: By 25 weeks, the body of the fetus is covered with lanugo, the eyes are open, the skin is wrinkled, and the fetus has definite periods of movement and sleeping.
A nurse is caring for a postpartum person who is at risk for uterine atony. What is the most important action to prevent uterine atony?
- A. administer uterotonic medication
- B. perform uterine massage
- C. perform a vaginal exam
- D. monitor the baby's latch
Correct Answer: B
Rationale: The correct answer is B: perform uterine massage. Uterine massage helps the uterus contract, reducing the risk of uterine atony by promoting uterine tone and preventing excessive bleeding. It is crucial in preventing postpartum hemorrhage. Administering uterotonic medications (choice A) can also help prevent uterine atony but is not the most important initial action. Performing a vaginal exam (choice C) is not necessary to prevent uterine atony. Monitoring the baby's latch (choice D) is unrelated to preventing uterine atony.
A patient in active labor starts to complain of circumoral numbness and tingling in her fingertips. What should the nurse do?
- A. Increase intravenous fluids.
- B. Give the woman pain medication.
- C. Obtain an arterial blood gas.
- D. Encourage the woman to slow down her breathing.
Correct Answer: D
Rationale: The correct answer is D: Encourage the woman to slow down her breathing. Circumoral numbness and tingling in the fingertips are symptoms of hyperventilation, which can occur during labor due to increased anxiety. Slowing down breathing helps to correct the imbalance of oxygen and carbon dioxide levels, alleviating the symptoms. Increasing IV fluids (A) is not indicated for hyperventilation. Pain medication (B) does not address the root cause. Obtaining an arterial blood gas (C) is not necessary unless the symptoms persist after addressing hyperventilation.
A 36-week pregnant woman presents to the labor and delivery unit in preterm labor. What is the priority intervention?
- A. Administer corticosteroids to promote fetal lung maturity
- B. Administer magnesium sulfate to stop labor
- C. Perform an emergency cesarean section
- D. Perform a nonstress test (NST)
Correct Answer: A
Rationale: The correct answer is A: Administer corticosteroids to promote fetal lung maturity. This is the priority intervention in preterm labor as it helps accelerate fetal lung development, reducing the risk of respiratory distress syndrome. Administering magnesium sulfate (B) is used for neuroprotection in preterm labor but is not the priority in this case. Emergency cesarean section (C) is not indicated unless there is a life-threatening situation. Performing a nonstress test (D) is important for fetal monitoring but is not the priority intervention in this scenario.
A woman who is 25 weeks pregnant asks the nurse what her fetus looks like. What does the nurse explain is one physical characteristic present in a 25-week-old fetus?
- A. Lanugo covering the body
- B. Constant motion
- C. Skin that is pink and smooth
- D. Eyes that are closed
Correct Answer: A
Rationale: By 25 weeks, the body of the fetus is covered with lanugo, the eyes are open, the skin is wrinkled, and the fetus has definite periods of movement and sleeping.