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.
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Which food is the best source of iron?
- A. Raisins
- B. Hamburger
- C. Broccoli
- D. Molasses
Correct Answer: B
Rationale: Hamburger is rich in heme iron, which is more easily absorbed by the body compared to non-heme sources like raisins or molasses.
A 16-year-old, G1 P0000, is being seen at her 10-week gestation visit. She tells the nurse that she felt the baby move that morning. Which of the following responses by the nurse is appropriate?
- A. That is very exciting. The baby must be very healthy.
- B. Would you please describe what you felt for me?
- C. That is impossible. The baby is not big enough yet.
- D. Would you please let me see if I can feel the baby?
Correct Answer: B
Rationale: At 10 weeks, fetal movement is unlikely to be felt. The nurse should ask the client to describe what she felt to determine if it was indeed fetal movement or another sensation.
After nutrition counseling, a woman, G3 P1101, proclaims that she certainly can’t eat any strawberries during her pregnancy. Which of the following is the likely reason for this statement?
- A. The woman is allergic to strawberries.
- B. Strawberries have been shown to cause birth defects.
- C. The woman believes in old wives’ tales.
- D. The premature baby died because the woman ate strawberries.
Correct Answer: A
Rationale: Food allergies are a plausible reason for avoiding strawberries. There is no scientific evidence linking strawberries to birth defects or premature death. Old wives’ tales might exist but are less likely the primary reason here.
A nurse is caring for a birthing person who is experiencing a late deceleration in fetal heart rate. What is the most appropriate action for the nurse to take?
- A. turn the laboring person to the left side
- B. increase maternal oxygen supply
- C. prepare for an emergency cesarean section
- D. administer terbutaline
Correct Answer: A
Rationale: The correct action for a nurse when a birthing person experiences late deceleration in fetal heart rate is to turn the laboring person to the left side. This helps improve placental perfusion by reducing pressure on the vena cava, enhancing blood flow to the uterus, and thus improving oxygenation to the fetus. This action can help alleviate the late deceleration and prevent fetal distress. Increasing maternal oxygen supply (choice B) is important but not the first-line intervention for late decelerations. Emergency cesarean section (choice C) is not typically indicated for late decelerations unless other interventions fail. Administering terbutaline (choice D) is not appropriate for late decelerations as it is a tocolytic used to inhibit uterine contractions and prevent preterm labor.
The nurse is caring for a pregnant patient at 34 weeks gestation who is experiencing leg cramps. What is the most appropriate recommendation for the nurse to make?
- A. Increase calcium and vitamin D intake to prevent cramps.
- B. Encourage the patient to perform leg stretches and elevate the legs.
- C. Administer pain medications and apply ice to the affected areas.
- D. Recommend frequent walking to strengthen leg muscles.
Correct Answer: B
Rationale: The correct answer is B: Encourage the patient to perform leg stretches and elevate the legs. Leg cramps are common in pregnancy due to increased pressure on nerves and blood vessels. Leg stretches help relieve muscle tension, and elevating the legs promotes circulation. Increasing calcium and vitamin D may be helpful but not the primary intervention. Administering pain medications and applying ice may provide temporary relief but do not address the underlying cause. Frequent walking can help strengthen leg muscles but may exacerbate cramps if done excessively.