During the last trimester of pregnancy the nurse recommends that the woman wear low-heeled shoes. What is the nurse trying to prevent with this recommendation?
- A. Lower back pain
- B. Leg cramps
- C. Leg swelling
- D. Joint pain
Correct Answer: A
Rationale: A remedy for backache is to wear low-heeled shoes.
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Which of the following demonstrate culturally competent care of the pregnant patient?
- A. Discuss beliefs with the patient and incorporate them in the plan of care.
- B. Prohibit visits from anyone other than immediate family members.
- C. Require the patient's participation in every aspect of the health care system.
- D. Maintain the patient's modesty at all times.
- E. Strive to maintain a harmonious environment for the patient.
Correct Answer: A,D,E
Rationale: The nurse should discuss the patient's cultural beliefs and incorporate as many as possible into the plan of care. Modesty is important in almost all cultures, and the nurse should take measures to ensure the patient's modesty. Absence of a stressful environment is important for a positive outcome for both mother and baby, and the nurse should strive to alleviate stress and maintain a harmonious environment. Many cultures will foster relationships, and visits from extended family members may be important. The patient may not participate in all aspects of the health care system due to cultural issues.
The nurse instructor reminds the nursing student that the "Shiny Schultz" is a name given to the ___ side of the placenta.
Correct Answer: fetal
Rationale: The fetal side of the placenta is called the Shiny Schultz and the maternal side is called the Dirty Duncan.
A pregnant teenager presents with the following complaints. Which complaint could be an indicator of a serious complication?
- A. Painful hemorrhoids
- B. Linea nigra
- C. Visual disturbances
- D. Low back pain
Correct Answer: C
Rationale: Visual disturbances may be an indicator of increased blood pressure and retained fluids. These are indicators of eclampsia. Hemorrhoids, linea nigra, and back pain are common discomforts of pregnancy.
What period of the maternity cycle does the intrapartal period cover?
- A. Beginning of pregnancy to midterm
- B. Conception to third trimester
- C. Onset of labor to delivery of the baby
- D. Onset of labor to delivery of the placenta
Correct Answer: D
Rationale: The intrapartal period of the maternity cycle covers the onset of labor to delivery of the placenta. The antepartal period begins at conception and continues until the onset of labor. The postpartal period begins after the delivery of the placenta and continues for approximately 6 weeks, until the reproductive organs return to their prepregnancy state.
When can the sex of the fetus be confirmed?
- A. Conception
- B. 2 weeks
- C. 6 weeks
- D. 9 weeks
Correct Answer: D
Rationale: At 9 weeks the genitalia are well defined.
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