Nokea
A woman who is assessing fetal movements each day should notify her health care provider if:
- A. More than six movements are felt during a 30- to 60-minute period.
- B. Fetal movements are fewer than the minimum set by the provider.
- C. The movement pattern remains about the same from day to day.
- D. Fetal movements are more frequent during the evening than in the morning.
Correct Answer: B
Rationale: Decreased fetal movement may indicate a potential issue and requires further evaluation.
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The nurse receives a phone call from a pregnant person at 36 weeks’ gestation stating they have noticed some thin pink lines on the lower abdomen and wants to know if this is normal. The nurse recognizes the pregnant person is asking about what skin condition?
- A. linea nigra
- B. striae gravidarum
- C. palmar erythema
- D. pruritis
Correct Answer: B
Rationale: The correct answer is B: striae gravidarum. This skin condition consists of thin pink lines on the lower abdomen, commonly known as stretch marks, and is common during pregnancy due to rapid stretching of the skin. Linea nigra (A) is a dark line that appears vertically on the abdomen, palmar erythema (C) is redness on the palms, and pruritis (D) is itching which are not relevant to the description given.
What routine lab tests should a pregnant person have in the first trimester? Select all that apply.
- A. complete blood count (CBC)
- B. blood type and Rh factor
- C. urinalysis
- D. thyroid function tests
Correct Answer: D
Rationale: The correct answer is D: thyroid function tests. During pregnancy, thyroid function is crucial for the health of the mother and baby. Thyroid disorders can lead to complications. Testing thyroid function in the first trimester helps detect any abnormalities early.
A, B, and C are commonly performed tests in pregnancy, but they are not specific to the first trimester. A CBC helps assess overall health, blood type and Rh factor are important for identifying potential blood type incompatibilities, and urinalysis can indicate urinary tract infections or other issues. However, these tests are not unique to the first trimester and are typically done throughout pregnancy.
Where does conception most commonly occur?
- A. None
- B. In the ampulla of the fallopian tube.
- C. None
- D. None
Correct Answer: B
Rationale: Fertilization typically occurs in the ampulla.
The nurse is counseling a female patient who has unsuccessfully attempted to become pregnant through a variety of methods and treatments for infertility. Which psychosocial manifestation is the nurse most likely to recognize?
- A. Close connections with extended family
- B. Strong intimate relationship with her partner
- C. Difficulty accepting pregnancy if it does occur
- D. Greater focus on career and job opportunities
Correct Answer: C
Rationale: The correct answer is C: Difficulty accepting pregnancy if it does occur. A patient who has struggled with infertility may have developed emotional barriers or fears related to pregnancy due to past disappointments. This psychosocial manifestation is common in individuals who have faced challenges with fertility. It is important for the nurse to recognize and address this potential issue during counseling.
A: Close connections with extended family is not the most likely psychosocial manifestation in this scenario. While extended family support can be beneficial, it may not be the primary concern for a patient struggling with infertility.
B: Strong intimate relationship with her partner is important for coping with infertility, but it is not the most likely manifestation for the nurse to recognize in this scenario.
D: Greater focus on career and job opportunities is not the most likely psychosocial manifestation for a patient struggling with infertility. While some individuals may prioritize their career, the primary concern in this case is related to emotional challenges with pregnancy acceptance.
The nurse works in a urologist’s office. A male patient is scheduled for routine fertility testing. For which test does the nurse refrain from making preparation?
- A. STI screening
- B. Hormonal levels
- C. Sexual functioning
- D. Ejaculate analysis
Correct Answer: C
Rationale: The correct answer is C: Sexual functioning. The nurse should refrain from making preparation for sexual functioning testing because this is not typically part of routine fertility testing. The focus of routine fertility testing for a male patient in a urologist's office would be on assessing sperm health and quality, which includes tests like semen analysis (choice D). STI screening (choice A) may be necessary to rule out any infections that could affect fertility, and hormonal levels (choice B) are important to assess the endocrine system's role in fertility. However, sexual functioning testing is not directly related to assessing fertility issues in this context.