Nokea
At what age is a woman who becomes pregnant for the first time described as an 'elderly primip'?
- A. After 25 years old
- B. After 28 years old
- C. After 30 years old
- D. After 35 years old
Correct Answer: D
Rationale: A woman over 35 who becomes pregnant for the first time is described as an 'elderly primip.'
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What food can the nurse recommend?
- A. Fried fish
- B. Olive oil
- C. Red meat
- D. Leafy green vegetables
Correct Answer: C
Rationale: Red meat is rich in DHA, which is thought to enhance fetal brain development.
What is this woman's expected delivery date using N?¤gele's rule?
- A. 30-Apr-14
- B. 5-May-14
- C. 13-May-14
- D. 26-May-14
Correct Answer: C
Rationale: Using N?¤gele's rule, count back 3 months from August 5, 2013 (May 5, 2013), add 7 days (May 12, 2013), and adjust the year to 2014, resulting in May 12, 2014.
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 would the nurse explain as the cause of Chadwick's sign?
- A. Enlargement of the uterus
- B. Progesterone action on the breasts
- C. Increasing activity of the fetus
- D. Vascular congestion in the pelvic area
Correct Answer: D
Rationale: Chadwick's sign is caused by increased vascular congestion in the cervical and vaginal area.
What is the nurse's best response?
- A. You may notice the baby moving around the 4th or 5th month.'
- B. Quickening varies with every woman.'
- C. You'll feel something by the end of the first trimester.'
- D. The baby will be big enough for you to feel in your 8th month.'
Correct Answer: A
Rationale: Quickening, fetal movement felt by the mother, is first perceived at 16 to 20 weeks of gestation.