Nokea
A woman is in the first stage of labor. The nurse would encourage her to assume which position to facilitate the progress of labor?
- A. supine
- B. lithotomy
- C. upright
- D. knee-chest
Correct Answer: C
Rationale: Research shows that upright positions help reduce the length of labor, improve progress, fetal head descent, reduce pain, and result in a good Apgar score. Recumbent positions can lead to supine hypotension and decrease uterine activity, hindering labor progress. Therefore, encouraging an upright position is the best choice for facilitating labor.
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What dietary recommendation should the nurse provide to a patient trying to conceive?
- A. Follow a high-protein diet to support fertility.
- B. Consume a variety of fruits, vegetables, and whole grains.
- C. Eliminate all sources of fat from the diet.
- D. Increase caffeine intake for better energy during ovulation.
Correct Answer: B
Rationale: The correct answer is B: Consume a variety of fruits, vegetables, and whole grains. This recommendation is based on the importance of a balanced and nutritious diet for overall health and fertility. Fruits, vegetables, and whole grains provide essential vitamins, minerals, and antioxidants that support reproductive health. High-protein diets (choice A) may be beneficial but should not be the sole focus. Eliminating all sources of fat (choice C) is not recommended as healthy fats are essential for hormone production. Increasing caffeine intake (choice D) can have negative effects on fertility. In summary, a diet rich in fruits, vegetables, and whole grains provides the necessary nutrients for optimal fertility.
The nurse is reviewing the monitoring strip of a woman in labor who is experiencing a contraction. The nurse notes the time the contraction takes from its onset to reach its highest intensity. The nurse interprets this time as which phase?
- A. increment
- B. acme
- C. peak
- D. decrement
Correct Answer: A
Rationale: The correct answer is A because the time from the onset of a contraction to its highest intensity corresponds to the increment phase, which is the buildup of the contraction. The acme is the peak intensity, and the decrement is the relaxation phase.
What is the purpose of tracking cervical mucus changes during the menstrual cycle?
- A. To identify signs of infection.
- B. To monitor hormone levels.
- C. To predict ovulation.
- D. To determine the luteal phase length.
Correct Answer: C
Rationale: The purpose of tracking cervical mucus changes during the menstrual cycle is to predict ovulation. Cervical mucus consistency changes throughout the cycle, becoming clear and stretchy around ovulation. This method helps determine the most fertile days for conception. Monitoring hormone levels (B) requires blood tests. Identifying signs of infection (A) involves different symptoms. Determining luteal phase length (D) usually requires tracking basal body temperature.
A patient undergoing IUI asks why sperm washing is performed. What is the nurse's explanation?
- A. It concentrates healthy sperm to increase fertilization potential.
- B. It ensures sperm are only viable for IVF procedures.
- C. It reduces the chances of genetic abnormalities in offspring.
- D. It prevents ovulation from occurring too early in the cycle.
Correct Answer: A
Rationale: The correct answer is A because sperm washing in IUI concentrates healthy sperm, removing debris and non-motile sperm, increasing the chance of fertilization. Choice B is incorrect as sperm washing is not specifically for IVF. Choice C is incorrect, as genetic abnormalities are not directly related to sperm washing. Choice D is incorrect, as sperm washing does not affect ovulation timing.
At ovulation, the basal body temperature usually:
- A. Rises abruptly and then falls 1 or 2 days after menstruation starts.
- B. Falls and remains low for the last half of the cycle.
- C. Is higher during the first half of the cycle than in the last half.
- D. Falls just before ovulation and is higher during the last half.
Correct Answer: A
Rationale: Basal body temperature usually rises abruptly at ovulation and then falls 1 or 2 days after menstruation starts. This rise indicates the release of an egg and the shift from the follicular phase to the luteal phase of the menstrual cycle.