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A woman who is 36 weeks pregnant tells the nurse she plans to take a 12-hour flight to Hawaii.What would the nurse recommend that the patient do during the flight?
- A. Wear tight-fitting clothing to promote venous return.
- B. Eat a large meal before boarding the flight.
- C. Request a seat with greater leg room.
- D. Drink at least 4 ounces of water every hour.
- E. Get up and walk around the plane frequently.
Correct Answer: C,D,E
Rationale: Adequate hydration, frequent position changes, and movement reduce the risk of thromboembolism.
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At what gestational age can the fetal heartbeat be auscultated with a specially adapted stethoscope or fetoscope?
- A. 4 weeks
- B. 12 weeks
- C. 18 weeks
- D. 24 weeks
Correct Answer: C
Rationale: The fetal heartbeat can be heard with a fetoscope between the 18th and 20th weeks of pregnancy.
What does the nurse explain as the most likely cause of this symptom?
- A. Supine hypotension syndrome
- B. Gestational diabetes
- C. Pregnancy-induced hypertension
- D. Malnutrition
Correct Answer: A
Rationale: Supine hypotension syndrome occurs when lying on the back, causing dizziness due to aortocaval compression.
What is the most appropriate nursing intervention?
- A. Provide the rubella vaccine as ordered by the physician immediately.
- B. Inform the woman she should receive the vaccine in the hospital after delivery.
- C. Hold all immunizations until 1 month postpartum.
- D. Encourage the patient to decide whether or not to get the rubella vaccine prenatally.
Correct Answer: B
Rationale: The rubella vaccine is contraindicated during pregnancy and should be given post-delivery.
What is the appropriate term for this sign?
- A. Chadwick's
- B. Hegar's
- C. McDonald's
- D. Goodell's
Correct Answer: D
Rationale: Goodell's sign describes a softened cervix and vagina, a probable sign of pregnancy.
What dietary adjustments could the nurse recommend?
- A. Increase intake of organ meats.
- B. Eat more green leafy vegetables.
- C. Choose more fresh fruits, particularly citrus fruits.
- D. Include molasses and whole-grain breads in the diet.
Correct Answer: B
Rationale: Green leafy vegetables are a good source of calcium for women who do not like milk.