Nokea
A woman who is 25 weeks pregnant asks the nurse what her fetus looks like. What does the nurse explain is one physical characteristic present in a 25-week-old fetus?
- A. Lanugo covering the body
- B. Constant motion
- C. Skin that is pink and smooth
- D. Eyes that are closed
Correct Answer: A
Rationale: By 25 weeks, the body of the fetus is covered with lanugo, the eyes are open, the skin is wrinkled, and the fetus has definite periods of movement and sleeping.
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A 36-week pregnant woman presents to the labor and delivery unit in preterm labor. What is the priority intervention?
- A. Administer corticosteroids to promote fetal lung maturity
- B. Administer magnesium sulfate to stop labor
- C. Perform an emergency cesarean section
- D. Perform a nonstress test (NST)
Correct Answer: A
Rationale: The correct answer is A: Administer corticosteroids to promote fetal lung maturity. This is the priority intervention in preterm labor as it helps accelerate fetal lung development, reducing the risk of respiratory distress syndrome. Administering magnesium sulfate (B) is used for neuroprotection in preterm labor but is not the priority in this case. Emergency cesarean section (C) is not indicated unless there is a life-threatening situation. Performing a nonstress test (D) is important for fetal monitoring but is not the priority intervention in this scenario.
A patient who is 38 weeks pregnant reports decreased fetal movement. What should the nurse do next?
- A. Reassure the patient that decreased fetal movement is normal at this stage
- B. Perform a nonstress test (NST) to assess fetal well-being
- C. Administer a tocolytic agent to relieve uterine contractions
- D. Encourage the patient to drink a sugary drink to stimulate fetal movement
Correct Answer: B
Rationale: The correct answer is B: Perform a nonstress test (NST) to assess fetal well-being.
1. Decreased fetal movement can be a sign of fetal distress.
2. NST helps monitor fetal heart rate and movement to assess fetal well-being.
3. It is a non-invasive and effective way to determine fetal health.
4. Other choices are incorrect:
A: Incorrect because decreased fetal movement is not always normal and should be assessed.
C: Incorrect as tocolytic agents are used to stop preterm labor, not for decreased fetal movement.
D: Incorrect as sugary drinks do not reliably stimulate fetal movement.
Which complication could occur as a result of percutaneous umbilical blood sampling (PUBS)?
- A. Postdates pregnancy
- B. Fetal bradycardia
- C. Placenta previa
- D. Uterine rupture
Correct Answer: B
Rationale: Fetal bradycardia is the most common complication of PUBS due to the invasive nature of the procedure.
A 32-week pregnant woman is admitted with preterm labor. What is the most appropriate intervention to delay labor?
- A. Administer magnesium sulfate
- B. Perform an emergency cesarean section
- C. Administer a prostaglandin inhibitor
- D. Start a Pitocin infusion
Correct Answer: A
Rationale: The correct answer is A: Administer magnesium sulfate. Magnesium sulfate is commonly used to delay preterm labor by relaxing uterine smooth muscle. It inhibits contractions and delays labor progression. It is a standard treatment to prevent preterm birth and reduce the risk of complications for both the mother and the baby.
Choice B: Emergency cesarean section is not indicated for delaying preterm labor unless there are severe complications putting the mother or baby at immediate risk.
Choice C: Administering a prostaglandin inhibitor may help in some cases, but magnesium sulfate is the preferred choice for delaying labor in preterm pregnancies.
Choice D: Starting a Pitocin infusion would actually stimulate contractions and hasten labor, which is the opposite of what is needed in this scenario.
Which client consumed the most dairy servings in one day?
- A. Client 1
- B. Client 2
- C. Client 3
- D. Client 4
Correct Answer: B
Rationale: Client 2 consumed the highest number of dairy servings based on the provided quantities of yogurt, milk, cottage cheese, and hard cheese.