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A woman in labor who is receiving oxytocin starts to experience uterine hyperstimulation. What should the nurse do first?
- A. Stop the oxytocin infusion
- B. Administer a tocolytic agent
- C. Increase the oxytocin infusion rate
- D. Position the patient on her left side
Correct Answer: A
Rationale: The correct answer is A: Stop the oxytocin infusion. Uterine hyperstimulation can lead to fetal distress and compromise maternal and fetal well-being. Stopping the oxytocin infusion is the first step to prevent further complications. Administering a tocolytic agent (B) is not the initial action for uterine hyperstimulation. Increasing the oxytocin infusion rate (C) would exacerbate the hyperstimulation. Positioning the patient on her left side (D) can help improve blood flow but is not the priority in this situation.
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Which food should the nurse advise a pregnant woman to avoid?
- A. Bologna
- B. Cantaloupe
- C. Asparagus
- D. Popcorn
Correct Answer: A
Rationale: Bologna is a processed meat that may contain harmful bacteria like Listeria, posing risks during pregnancy.
A nurse is caring for a laboring person who is in the first stage of labor. What is the most important assessment to perform during this stage?
- A. assess fetal heart rate
- B. monitor contractions
- C. check blood pressure
- D. assist with breathing exercises
Correct Answer: A
Rationale: The correct answer is A: assess fetal heart rate. During the first stage of labor, monitoring the fetal heart rate is crucial as it indicates the well-being of the baby. Changes in fetal heart rate can signal distress and prompt intervention. Monitoring contractions is important but assessing fetal well-being takes precedence. Checking blood pressure is important but not the most critical in this stage. Assisting with breathing exercises can help manage pain, but assessing fetal heart rate is more crucial for ensuring the baby's safety.
The nurse is caring for a 16-year-old patient who is 32 weeks pregnant with her first child, who is male. The patient's mother has accompanied her to today's visit. During the nursing assessment, the patient mentions that she is no longer in a relationship with the baby's father but her mother plans to help her. However, the patient's mother asks whether this will have any impact on the child. Which should the nurse indicate the child is at increased risk of during his adolescence?
- A. Hypertension
- B. Diabetes
- C. Alcohol abuse
- D. Intraventricular bleeding
Correct Answer: C
Rationale: The correct answer is C: Alcohol abuse. During adolescence, children of parents who have substance abuse issues, like alcohol, are at an increased risk of developing similar problems. This is due to genetic predisposition, environmental factors, and learned behavior. Children tend to model the behavior of their parents, and if they are exposed to alcohol abuse at a young age, they are more likely to engage in alcohol abuse themselves as they grow older.
Incorrect choices:
A: Hypertension - This choice is not directly related to the situation described and is not typically a risk factor associated with parental alcohol abuse.
B: Diabetes - Similar to choice A, diabetes is not directly linked to parental alcohol abuse and is not a common risk factor during adolescence in this scenario.
D: Intraventricular bleeding - This is a medical condition that is not typically influenced by parental alcohol abuse and is not a common risk factor during adolescence.
The nurse is caring for a pregnant patient who is 34 weeks gestation and is concerned about the safety of using herbal remedies. What is the nurse's most appropriate response?
- A. Herbal remedies are always safe during pregnancy as long as they are natural.
- B. You should avoid all herbal remedies during pregnancy without consulting your healthcare provider.
- C. Herbal remedies are only unsafe during the first trimester of pregnancy.
- D. Herbal remedies are safe as long as they are purchased from a reputable source.
Correct Answer: B
Rationale: The correct answer is B because pregnant patients should avoid all herbal remedies without consulting their healthcare provider. During pregnancy, there can be potential risks associated with herbal remedies, as their safety and efficacy are not well studied. It is crucial for healthcare providers to assess the individual patient's medical history and current health status before recommending any herbal remedies.
Choice A is incorrect because not all herbal remedies are safe during pregnancy, regardless of being natural. Choice C is incorrect because herbal remedies can pose risks throughout pregnancy, not just in the first trimester. Choice D is incorrect because the safety of herbal remedies cannot be guaranteed solely by purchasing them from a reputable source. Consulting a healthcare provider is essential to ensure the safety of both the mother and the baby.
Which of the following is an appropriate intervention for a birthing person experiencing preterm labor?
- A. administer tocolytics
- B. administer antibiotics
- C. provide hydration and rest
- D. offer pain relief
Correct Answer: A
Rationale: The correct answer is A: administer tocolytics. Tocolytics help inhibit uterine contractions and can delay preterm labor, giving time for other interventions. Administering antibiotics (B) would not directly address preterm labor. Providing hydration and rest (C) may be helpful but not a direct intervention. Offering pain relief (D) does not address the underlying cause of preterm labor. Administering tocolytics is crucial in managing preterm labor to prevent premature birth and associated complications.