An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for the baby. What information should the nurse provide?
- A. Intercourse is safe until the third trimester.
- B. Safer sex practices should be used once the membranes rupture
- C. Intercourse should be avoided if any spotting from the vagina occurs afterward
- D. Intercourse and orgasm are often contraindicated if a history of or signs of preterm
Correct Answer: E
Rationale: As per the provided choices, none of them accurately address the safety of intercourse during pregnancy. The correct information that the nurse should provide is that intercourse is generally safe during a normal, healthy pregnancy unless advised otherwise by a healthcare provider. It is important to communicate that unless there are specific medical conditions or complications, intercourse is typically safe throughout pregnancy. Therefore, the correct answer is that the nurse should inform the expectant couple that intercourse is safe during pregnancy unless advised otherwise.
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A group of women are discussing childbirth experiences. Which statement would most likely indicate that the woman gave birth in the 1950s?
- A. My husband stayed with me throughout labor and birth.
- B. The suite allowed me to deliver and recover in the same room.
- C. I was discharged from the hospital 1 week following delivery.
- D. The birthing center rooms were decorated in a homelike fashion.
Correct Answer: C
Rationale: In the 1950s, hospital stays after childbirth were typically longer, often around a week, as opposed to modern practices where discharge occurs much sooner.
Physiologic anemia often occurs during pregnancy as a result of:
- A. inadequate intake of iron
- B. dilution of hemoglobin concentration
- C. the fetus establishing iron stores
- D. decreased production of erythrocytes
Correct Answer: B
Rationale: Physiologic anemia results from plasma volume expansion outpacing red blood cell production, diluting hemoglobin concentration.
The woman who is primigravida is in the clinic for her first prenatal visit. She states that she has experienced dizziness when she gets out of bed and sometimes when she stands up from a sitting position. What is the reason for this?
- A. She is experiencing hypoglycemia from being diabetic.
- B. She is standing up too quickly and must be careful to avoid injury.
- C. She needs to drink more fluids to prevent orthostatic hypotension and it will clear up soon.
- D. She is not getting enough exercise, so circulation to the head and upper extremities is less than optimal.
Correct Answer: B
Rationale: The correct answer is B: She is standing up too quickly and must be careful to avoid injury. When a person stands up quickly, blood pools in the lower extremities, causing a momentary drop in blood pressure. This sudden drop can lead to dizziness or lightheadedness. This phenomenon is known as orthostatic hypotension. It is common during pregnancy due to the hormonal and physiological changes that affect blood pressure regulation.
Explanation for why other choices are incorrect:
A: She is experiencing hypoglycemia from being diabetic - There is no information provided in the scenario to suggest that the woman is diabetic or experiencing low blood sugar levels.
C: She needs to drink more fluids to prevent orthostatic hypotension and it will clear up soon - While staying hydrated is important, simply drinking more fluids may not address the underlying issue of orthostatic hypotension caused by rapid changes in position.
D: She is not getting enough exercise, so circulation to the
Some pregnant patients may complain of changes in their voice and impaired hearing. The nurse can tell these patients that these are common reactions to:
- A. a decreased estrogen level
- B. displacement of the diaphragm, resulting in thoracic breathing
- C. congestion and swelling, which occur because the upper respiratory tract has become more vascular
- D. increased blood volume
Correct Answer: C
Rationale: Increased estrogen levels cause vascular congestion and swelling in the upper respiratory tract, affecting voice and hearing.
What is the term for the step in maternal role attainment that relates to the woman giving up certain aspects of her previous life?
- A. Fantasy
- B. Grief work
- C. Role playing
- D. Looking for a fit
Correct Answer: B
Rationale: The correct answer is B: Grief work. In the process of maternal role attainment, giving up certain aspects of her previous life involves experiencing grief over the losses associated with the new role. This step is essential for the woman to fully embrace her new identity as a mother. Fantasy (A) refers to imagining scenarios, role playing (C) involves acting out behaviors, and looking for a fit (D) focuses on finding a balance between personal needs and the demands of the maternal role. Grief work is the most appropriate term that specifically addresses the emotional process of letting go and adjusting to the new responsibilities of motherhood.