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A woman, 26-weeks’ gestation, calls the triage nurse stating, 'I’m really scared. I tried not to but I had an orgasm when we were making love. I just know that I will go into preterm labor now.'
- A. Lie down and drink a quart of water. If you feel any back pressure at all call me back right away.
- B. Although oxytocin was responsible for your orgasm it is very unlikely that it will stimulate preterm labor.
- C. I will inform the doctor for you. What I want you to do is to come to the hospital right now to be checked.
- D. The best thing for you to do right now is to take a warm shower and then do a fetal kick count assessment.
Correct Answer: B
Rationale: Oxytocin released during orgasm does not typically trigger preterm labor. Reassurance is appropriate unless there are other risk factors present.
You may also like to solve these questions
Where is the usual location for implantation of the zygote?
- A. Upper section of the posterior uterine wall
- B. Lower portion of the uterus near the cervical os
- C. Inner third of the fallopian tube near the uterus
- D. Lateral aspect of the uterine wall
Correct Answer: A
Rationale: The zygote usually implants in the upper section of the posterior uterine wall.
What complication is associated with pica during pregnancy?
- A. Hypothyroidism
- B. Iron-deficiency anemia
- C. Hypercalcemia
- D. Overexposure to zinc
Correct Answer: B
Rationale: Pica often leads to nutritional deficiencies, particularly iron-deficiency anemia, due to the ingestion of non-food substances.
A woman whose prenatal weight was 105 lb weighs 109 lb at her 12-week visit. Which of the following comments by the nurse is appropriate at this time?
- A. We expect you to gain about 1 lb per week, so your weight is a little low at this time.
- B. Most women gain no weight during the first trimester, so I would suggest you eat fewer desserts for the next few weeks.
- C. You entered the pregnancy well underweight, so we should check your diet to make sure you are getting the nutrients you need.
- D. Your weight gain is exactly what we would expect it to be at this time.
Correct Answer: D
Rationale: A weight gain of 3 to 5 lb is expected during the first trimester. The client's weight gain is within the normal range.
What is the primary purpose of performing a vaginal examination during labor?
- A. to assess cervical dilation and effacement
- B. to assess fetal well-being and progress of labor
- C. to identify fetal distress
- D. to assess fetal descent and station
Correct Answer: B
Rationale: The correct answer is B because the primary purpose of performing a vaginal examination during labor is to assess fetal well-being and progress of labor. By conducting a vaginal exam, healthcare providers can monitor the fetal heart rate, position, and stage of labor. This information helps determine if the labor is progressing normally and if any interventions are needed. Choice A is incorrect because cervical dilation and effacement can be assessed but are not the primary purpose. Choice C is incorrect as fetal distress is typically identified through other methods such as continuous fetal monitoring. Choice D is incorrect as assessing fetal descent and station can be done through vaginal examination but is not the primary purpose.
Of what is the normal umbilical cord comprised?
- A. 1 artery carrying blood to the fetus and 1 vein carrying blood away from the fetus
- B. 1 artery carrying blood to the fetus and 2 veins carrying blood away from the fetus
- C. 2 arteries carrying blood away from the fetus and 1 vein carrying blood to the fetus
- D. 2 arteries carrying blood to the fetus and 2 veins carrying blood away from the fetus
Correct Answer: C
Rationale: The umbilical cord is comprised of 2 arteries carrying blood away from the fetus and 1 vein carrying blood to the fetus.