Nokea
During the final weeks of pregnancy urinary frequency may return due to the enlarged uterus compressing the bladder against the pelvic bones. What does the nurse suggest to aid in relieving the urinary frequency?
- A. Decrease fluid intake.
- B. Use the knee-chest position.
- C. Sleep on her side.
- D. Avoid fluid intake in evening.
Correct Answer: C
Rationale: The patient should decrease pressure on the bladder at night by sleeping on her side. Fluids should not be decreased unless directed by a health care provider.
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A woman who has just discovered she is pregnant states that the first day of her last menstrual period was July 10. What will be her expected date of birth (EDB)?
- A. April 10
- B. April 17
- C. May 10
- D. October 17
Correct Answer: B
Rationale: To determine the EDB (estimated date of birth), the woman should count from the first day of her last menstrual period. Count back 3 months and forward 7 days.
Why is the nurse concerned about a patient in her first trimester of pregnancy being exposed to German measles?
- A. The disease is capable of causing a spontaneous abortion.
- B. The disease is capable of causing birth defects.
- C. The disease is capable of causing high fever and convulsions.
- D. The disease is capable of interfering with placental implantation.
Correct Answer: B
Rationale: Rubella is a known teratogen, which can cause birth defects.
Which hormone is secreted by the placenta?
- A. Follicle-stimulating hormone (FSH)
- B. Alpha-fetoprotein (AFP)
- C. Human chorionic gonadotropin (HCG)
- D. Luteinizing hormone (LH)
Correct Answer: C
Rationale: The placenta functions as an endocrine gland, secreting estrogen, progesterone, and HCG.
What do the arteries in the umbilical cord carry?
- A. Nutrients to the fetus from the placenta
- B. Oxygenated blood to perfuse the placenta
- C. Antibodies from the fetus to the mother
- D. Deoxygenated blood back to the placenta
Correct Answer: D
Rationale: The arteries of the umbilical cord are unique in that they carry deoxygenated blood back to the placenta.
Where does implantation of the fertilized ovum usually occur?
- A. Lower uterine wall
- B. Side of the uterus
- C. Fundus of the uterus
- D. Body of the uterus
Correct Answer: C
Rationale: Implantation usually occurs in the fundus of the uterus.