Nokea
During a prenatal visit, a pregnant woman says, 'I know the amniotic fluid is important, but can you tell me more about it?' When describing amniotic fluid to a pregnant woman, which description would the nurse most likely include?
- A. This fluid acts as a cushion to help protect your baby from injury.
- B. The amount of fluid remains fairly constant throughout the pregnancy.
- C. The fluid is mostly protein to provide nourishment to your baby.
- D. This fluid acts as a transport mechanism for oxygen and nutrients.
Correct Answer: A
Rationale: Amniotic fluid cushions the fetus against injury, aiding movement and growth. Its volume varies (peaks at term), is mostly water (not protein), and doesn't transport oxygen or nutrients, which the placenta handles.
You may also like to solve these questions
Assessment of a pregnant woman reveals that she compulsively craves ice. The nurse documents this finding as
- A. linea nigra
- B. pica
- C. ballottement
- D. quickening
Correct Answer: B
Rationale: Pica is the craving for non-food items like ice, often linked to nutrient deficiencies such as iron. Linea nigra is a skin line, ballottement is a fetal palpation technique, and quickening is feeling fetal movement, none related to cravings.
On the first prenatal visit, an examination of the woman's internal genitalia reveals a bluish coloration of the cervix and vaginal mucosa. The nurse documents this finding as:
- A. Chadwick's sign
- B. Goodell's sign
- C. Hegar's sign
- D. Homan's sign
Correct Answer: A
Rationale: Chadwick's sign is bluish discoloration of the cervix and vagina from increased blood flow, seen early in pregnancy. Goodell's is cervical softening, Hegar's is uterine softening, and Homan's indicates thrombosis, not pregnancy.
A woman with a history of systemic lupus erythematosus comes to the clinic for evaluation. The woman tells the nurse that she and her partner would like to have a baby but that they are afraid her lupus will be a problem. Which response would be most appropriate for the nurse to make?
- A. Be sure that your lupus is stable or in remission for 6 months before getting pregnant.
- B. It's probably not a good idea for you to get pregnant since you have lupus.
- C. Your lupus will not have any effect on your pregnancy whatsoever.
- D. When you get pregnant we'll have to add quite a few medications to your normal treatment plan.
Correct Answer: A
Rationale: Stable lupus for 6 months before pregnancy reduces risks like flares or miscarriage. Discouraging pregnancy is insensitive, claiming no effect is false, and adding many medications is inaccurate without specifics.
Assessment of a pregnant woman reveals a pigmented line down the middle of her abdomen. The nurse documents this as which finding?
- A. striae gravidarum
- B. linea nigra
- C. vascular spiders
- D. melasma
Correct Answer: B
Rationale: Linea nigra is a dark line from umbilicus to pubis caused by increased melanin from hormonal changes. Striae gravidarum are stretch marks, vascular spiders are dilated vessels on face or chest, and melasma is facial pigmentation, none matching the abdominal line description.
A nurse is preparing to administer penicillin G benzathine 1.2 million units IM now. The amount available is penicillin G benzathine 600,000 units/mL. How many mL should the nurse administer?
- A. 2 mL
- B. 1 mL
- C. 3 mL
- D. 4 mL
Correct Answer: A
Rationale: Formula: volume = dose / concentration. 1,200,000 units / 600,000 units/mL = 2 mL. Other options result from incorrect division or rounding errors.