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In a prenatal education class, the nurse is reviewing the importance of using relaxation techniques during labor. Which patient statement will the nurse need to correct?
- A. We will practice relaxation techniques only in a quiet setting so I can focus.'
- B. Relaxation is important during labor because it will help me conserve my energy.'
- C. If I relax in between contractions, my baby will get more oxygen during labor.'
- D. My partner and I will practice relaxation throughout the remainder of my pregnancy.'
Correct Answer: A
Rationale: The correct answer is A because relaxation techniques should be practiced not just in quiet settings but also during labor, regardless of the environment. This is important to help manage pain and promote a smoother labor process. Choice B is correct as relaxation can indeed help conserve energy. Choice C is incorrect as oxygenation to the baby is not directly related to the mother's relaxation between contractions. Choice D is also incorrect as relaxation techniques should be practiced specifically during labor as well, not just throughout the pregnancy.
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A laboring woman, G4 P3003, who was 6 cm dilated 1 hour ago cries, 'Hurry. I have to go to the bathroom to have a bowel movement.' The nurse notes that there is an increase in bloody show. Which of the following actions by the nurse is appropriate?
- A. Assess cervical dilation.
- B. Help the woman to the bathroom.
- C. Ask the woman if she needs pain medicine.
- D. Check the fetal heart rate.
Correct Answer: A
Rationale: The urge to have a bowel movement and increased bloody show could indicate that the woman is entering the second stage of labor. The nurse should assess cervical dilation to confirm.
A 6-month-old child has been diagnosed with a significant hearing loss. Which of the following complications that occurred immediately after delivery could have resulted in this condition?
- A. Necrotizing enterocolitis.
- B. Hypoglycemia.
- C. Bronchopulmonary dysplasia.
- D. Kernicterus.
Correct Answer: D
Rationale: Kernicterus, caused by severe jaundice, can lead to hearing loss due to bilirubin toxicity in the brain.
The nurse is providing education to a patient at 16 weeks' gestation who is undecided about consenting to the quad screen. How can the nurse explain the purpose of the quad screen to the patient?
- A. It indicates the risk of the fetus for heart defects.
- B. It indicates the risk of the fetus for neural tube defects.
- C. It indicates the risk of the fetus for neural tube defects and chromosome abnormalities.
- D. It indicates the risk of the fetus for chromosome abnormalities.
Correct Answer: C
Rationale: The correct answer is C because the quad screen is a prenatal screening test that assesses the risk of the fetus for neural tube defects and chromosome abnormalities. At 16 weeks' gestation, this test helps identify potential issues early on, allowing for further diagnostic testing and appropriate interventions if needed. Choice A is incorrect because the quad screen does not specifically target heart defects. Choice B is incorrect as the quad screen does not solely focus on neural tube defects. Choice D is incorrect because the quad screen assesses both neural tube defects and chromosome abnormalities, not just chromosome abnormalities alone. Therefore, choice C is the most comprehensive and accurate explanation of the purpose of the quad screen for the patient at 16 weeks' gestation.
A woman is seeking counseling regarding tubal ligation. Which of the following should the nurse include in her discussion?
- A. The woman will no longer menstruate.
- B. The surgery should be done when the woman is ovulating.
- C. The surgery is easily reversible.
- D. The woman will be under anesthesia during the procedure.
Correct Answer: D
Rationale: Tubal ligation is a permanent form of contraception and requires anesthesia. It does not affect menstruation, and reversal is not guaranteed.
A fetus is in the LOA position in utero. Which of the following findings would the nurse observe when doing Leopold's maneuvers?
- A. Hard, round object in the fundal region.
- B. Flat object above the symphysis pubis.
- C. Soft, round object on the left side of the uterus.
- D. Small objects on the right side of the uterus.
Correct Answer: C
Rationale: In the LOA (left occiput anterior) position, the baby's back is on the left side of the uterus, which would feel like a soft, round object during Leopold's maneuvers.