Nokea
A woman asks the nurse about the safety of sexual intercourse during her pregnancy. Which response by the nurse is the most correct?
- A. "Sexual activity should be avoided after the first trimester."
- B. "Sexual activity should be ceased in the case of vaginal bleeding."
- C. "Sexual activity should be avoided in the second trimester."
- D. "Sexual activity should be limited to activity that does not include intercourse."
Correct Answer: B
Rationale: Sexual intercourse can be enjoyed throughout pregnancy unless it is contraindicated by other conditions. In the case of vaginal bleeding, sexual activity should cease until the cause of the bleeding is determined by the health care provider.
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A pregnant teenager presents with the following complaints. Which complaint could be an indicator of a serious complication?
- A. Painful hemorrhoids
- B. Linea nigra
- C. Visual disturbances
- D. Low back pain
Correct Answer: C
Rationale: Visual disturbances may be an indicator of increased blood pressure and retained fluids. These are indicators of eclampsia. Hemorrhoids, linea nigra, and back pain are common discomforts of pregnancy.
During which gestational week can a primigravida expect to first feel fetal movement?
- A. 8
- B. 10
- C. 16
- D. 20
Correct Answer: C
Rationale: At about 16 to 18 weeks, the sensation of the first movement is felt.
Where does implantation of the fertilized ovum usually occur?
- A. Lower uterine wall
- B. Side of the uterus
- C. Fundus of the uterus
- D. Body of the uterus
Correct Answer: C
Rationale: Implantation usually occurs in the fundus of the uterus.
During the final weeks of pregnancy urinary frequency may return due to the enlarged uterus compressing the bladder against the pelvic bones. What does the nurse suggest to aid in relieving the urinary frequency?
- A. Decrease fluid intake.
- B. Use the knee-chest position.
- C. Sleep on her side.
- D. Avoid fluid intake in evening.
Correct Answer: C
Rationale: The patient should decrease pressure on the bladder at night by sleeping on her side. Fluids should not be decreased unless directed by a health care provider.
Early in the first trimester a woman complains of morning sickness. What does the nurse suggest to aid with the discomfort?
- A. Eating something with a high-fat content
- B. Eating dry crackers before getting up
- C. Eating three well-balanced meals
- D. Getting rest and taking antiemetics
Correct Answer: B
Rationale: A remedy for morning sickness is to eat a few dry crackers before getting up.