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How frequently will the nurse assist the patient to schedule these appointments?
- A. Every 3 weeks until the 6th month, then every 2 weeks until delivery
- B. Every 4 weeks until the 7th month, after which appointments will become more frequent
- C. Monthly until the 8th month
- D. Every 2 to 3 weeks for the entire pregnancy
Correct Answer: B
Rationale: Monthly visits are scheduled up to 28 weeks, then every 2 weeks through 36 weeks, and weekly thereafter.
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The nurse cautions the patient that, because of hormonal changes in late pregnancy, the pelvic joints relax.What does this result in?
- A. Waddling gait
- B. Joint instability
- C. Urinary frequency
- D. Back pain
- E. Aching in cervical spine
Correct Answer: A,B
Rationale: Relaxation of pelvic joints in late pregnancy causes a waddling gait and joint instability.
What recommendations would the nurse offer to alleviate this symptom?
- A. Eat three well-balanced meals per day and limit snacks.
- B. Drink a full glass of fluid at the beginning of each meal.
- C. Have crackers handy at the bedside, and eat a few before getting out of bed.
- D. Eat a bland diet and avoid concentrated sweets.
Correct Answer: C
Rationale: Eating dry toast or crackers before getting out of bed can alleviate nausea during pregnancy.
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.'
What dietary adjustments could the nurse recommend?
- A. Increase intake of organ meats.
- B. Eat more green leafy vegetables.
- C. Choose more fresh fruits, particularly citrus fruits.
- D. Include molasses and whole-grain breads in the diet.
Correct Answer: B
Rationale: Green leafy vegetables are a good source of calcium for women who do not like milk.
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.