Nokea
How should the nurse respond to a concern about alcohol exposure during conception?
- A. Inform the doctor
- B. Reassure it's unlikely the baby was affected
- C. Suggest abortion
- D. Recommend ultrasound
Correct Answer: B
Rationale: Occasional alcohol exposure around conception is unlikely to cause significant harm, though ongoing abstinence is advised.
You may also like to solve these questions
A pregnant patient at 28 weeks gestation reports leg cramps and lower back pain. What should the nurse recommend to alleviate these symptoms?
- A. Take a warm bath and perform leg stretches to relieve muscle tension.
- B. Apply a heating pad to the affected areas and rest in bed.
- C. Increase calcium intake and take over-the-counter pain medications.
- D. Encourage the patient to perform light physical activity and avoid long periods of rest.
Correct Answer: A
Rationale: The correct answer is A. Leg cramps and lower back pain in pregnancy can be relieved by taking a warm bath and performing leg stretches. Warm water helps relax muscles, while stretching can alleviate muscle tension. This is safe and effective for pregnant patients.
Choice B is incorrect because applying a heating pad may not be recommended during pregnancy due to the risk of overheating. Resting in bed may provide temporary relief but does not address the underlying cause.
Choice C is incorrect because increasing calcium intake and taking over-the-counter pain medications may not specifically target muscle cramps and back pain. It is essential to address the symptoms directly.
Choice D is incorrect because encouraging light physical activity may be beneficial, but avoiding long periods of rest may not be necessary. Stretching and warm baths are more specific interventions for muscle cramps and back pain.
Which food is best for constipation relief?
- A. Pasta
- B. Rice
- C. Yogurt
- D. Celery
Correct Answer: D
Rationale: Celery is high in fiber and water, making it an effective choice for relieving constipation.
A nurse is assisting with a vaginal birth. What is the most appropriate nursing action when the head crowns during delivery?
- A. apply gentle pressure to the fetal head
- B. prepare for delivery of the placenta
- C. assist with shoulder delivery
- D. apply gentle pressure to the perineum
Correct Answer: A
Rationale: The correct answer is A: apply gentle pressure to the fetal head. This action helps prevent rapid delivery, reducing the risk of perineal tearing and promoting controlled delivery of the baby. Applying pressure also helps prevent the baby from being born too quickly, reducing the risk of umbilical cord compression and potential birth injuries.
Choices B, C, and D are incorrect because at the moment the head crowns, the priority is to assist with the controlled delivery of the baby's head. Delivering the placenta (B) and assisting with shoulder delivery (C) are steps that come after the baby's head is delivered. Applying pressure to the perineum (D) is not recommended as it may increase the risk of perineal tearing.
A client makes the following statement after finding out that her pregnancy test is positive, 'This is not a good time. I am in college and the baby will be due during final exams!' Which of the following responses by the nurse would be most appropriate at this time?
- A. I’m absolutely positive that everything will turn out all right.
- B. I suggest that you e-mail your professors to set up an alternate plan.
- C. It sounds like you’re feeling a little overwhelmed right now.
- D. You and the baby’s father will find a way to get through the pregnancy.
Correct Answer: C
Rationale: Acknowledging the client's feelings of being overwhelmed is the most supportive response. Offering solutions or reassurance without first addressing the client's emotions may not be as effective.
During a prenatal visit, a gravid client is complaining of ptyalism. Which of the following nursing interventions is appropriate?
- A. Encourage the woman to brush her teeth carefully.
- B. Advise the woman to have her blood pressure checked regularly.
- C. Encourage the woman to wear supportive hosiery.
- D. Advise the woman to avoid eating rare meat.
Correct Answer: A
Rationale: Ptyalism (excessive salivation) can lead to oral hygiene issues, so encouraging careful tooth brushing is appropriate. Blood pressure checks, wearing supportive hosiery, and avoiding rare meat address other concerns but are unrelated to ptyalism.