Nokea
After nutrition counseling, a woman, G3 P1101, proclaims that she certainly can’t eat any strawberries during her pregnancy. Which of the following is the likely reason for this statement?
- A. The woman is allergic to strawberries.
- B. Strawberries have been shown to cause birth defects.
- C. The woman believes in old wives’ tales.
- D. The premature baby died because the woman ate strawberries.
Correct Answer: A
Rationale: Food allergies are a plausible reason for avoiding strawberries. There is no scientific evidence linking strawberries to birth defects or premature death. Old wives’ tales might exist but are less likely the primary reason here.
You may also like to solve these questions
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.
The nurse is assessing a pregnant patient who is at 32 weeks gestation and is concerned about leg cramps. Which intervention should the nurse recommend?
- A. Apply a heating pad to the legs to relieve cramps.
- B. Perform gentle stretching exercises to reduce muscle tension.
- C. Increase calcium intake to prevent muscle cramps.
- D. Lie down and elevate the legs to prevent cramps.
Correct Answer: B
Rationale: The correct answer is B: Perform gentle stretching exercises to reduce muscle tension. Leg cramps during pregnancy are common due to increased weight and pressure on muscles. Gentle stretching exercises can help relieve tension and improve circulation, reducing the likelihood of cramps. Applying heat (choice A) can worsen swelling in pregnancy. Increasing calcium intake (choice C) can help prevent cramps but is not an immediate intervention. Lying down and elevating legs (choice D) can provide temporary relief but may not address the underlying muscle tension.
A patient in active labor starts to complain of circumoral numbness and tingling in her fingertips. What should the nurse do?
- A. Increase intravenous fluids.
- B. Give the woman pain medication.
- C. Obtain an arterial blood gas.
- D. Encourage the woman to slow down her breathing.
Correct Answer: D
Rationale: The correct answer is D: Encourage the woman to slow down her breathing. Circumoral numbness and tingling in the fingertips are symptoms of hyperventilation, which can occur during labor due to increased anxiety. Slowing down breathing helps to correct the imbalance of oxygen and carbon dioxide levels, alleviating the symptoms. Increasing IV fluids (A) is not indicated for hyperventilation. Pain medication (B) does not address the root cause. Obtaining an arterial blood gas (C) is not necessary unless the symptoms persist after addressing hyperventilation.
A 16-year-old, G1 P0000, is being seen at her 10-week gestation visit. She tells the nurse that she felt the baby move that morning. Which of the following responses by the nurse is appropriate?
- A. That is very exciting. The baby must be very healthy.
- B. Would you please describe what you felt for me?
- C. That is impossible. The baby is not big enough yet.
- D. Would you please let me see if I can feel the baby?
Correct Answer: B
Rationale: At 10 weeks, fetal movement is unlikely to be felt. The nurse should ask the client to describe what she felt to determine if it was indeed fetal movement or another sensation.
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.