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How early might fetal heart tones be detected with an electronic Doppler device?
- A. 4 weeks
- B. 8 weeks
- C. 10 weeks
- D. 14 weeks
Correct Answer: C
Rationale: The fetal heartbeat can be detected as early as 10 weeks of pregnancy using a Doppler device.
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What is Chadwick's sign?
- A. Bluish or purplish discoloration of the vulva, vagina, and cervix
- B. Presence of early fetal movements
- C. Darkening of the areola and breast tenderness
- D. Palpation of the fetal outline
Correct Answer: A
Rationale: Chadwick's sign is the purplish or bluish discoloration of the cervix, vulva, and vagina.
What is folic acid thought to decrease the incidence of in fetal development?
- A. Structural heart defects
- B. Craniofacial deformities
- C. Limb deformities
- D. Neural tube defects
Correct Answer: D
Rationale: Folic acid reduces the incidence of neural tube defects such as spina bifida and anencephaly.
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 nursing interventions are appropriate for the prenatal patient in terms of prenatal care?
- A. Offer nutritional counseling.
- B. Reinforce responsibility of parenthood.
- C. Reduce risk factors.
- D. Improve health practices.
- E. Make financial arrangements for delivery.
Correct Answer: A,B,C,D
Rationale: Nutritional counseling, reinforcing parenthood responsibilities, reducing risk factors, and improving health practices are goals of prenatal care.
How does the need for prenatal care and counseling for adolescents differ from other age populations?
- A. A pregnant adolescent is experiencing two major life transitions at the same time.
- B. Adolescents who get pregnant are more likely to have other chronic health problems.
- C. Adolescents are at greater risk for multifetal pregnancies.
- D. At this age, a pregnant adolescent will accept the nurse's advice.
Correct Answer: A
Rationale: The pregnant adolescent must cope with adolescence and parenthood simultaneously.