Nokea
Jose's wife, Camilla, is 5 months pregnant and seems more interested in sex than during the first trimester. However, he has told her he is worried about having normal 'relations,' fearing it will hurt the baby. What information can the nurse provide to assist in their decision about sexual activity?
- A. The baby is well protected and will not be injured during intercourse as long as the membranes remain intact and there are no symptoms of preterm labor.
- B. Your husband is correct to be concerned. It would be best if you avoid female orgasm during intercourse.
- C. Intercourse is okay, but avoid experimenting with different partner positions.
- D. Enjoy intimate relations while you can. Things will change after the baby is born.
Correct Answer: A
Rationale: Step 1: The correct answer is A because it provides accurate information. Intercourse during pregnancy is generally safe as long as there are no complications, and the baby is well protected by the amniotic fluid and membranes.
Step 2: The membranes act as a barrier to protect the baby, and as long as there are no signs of preterm labor, intercourse should not harm the baby.
Step 3: Option B is incorrect because there is no evidence to support that female orgasm during intercourse could harm the baby. Option C is incorrect as there is no need to avoid experimenting with different positions unless advised by a healthcare provider. Option D is incorrect as it oversimplifies the situation and doesn't provide accurate information.
You may also like to solve these questions
To reassure and educate pregnant patients about changes in their cardiovascular system, maternity nurses should be aware that:
- A. a pregnant woman experiencing disturbed cardiac rhythm, such as sinus arrhythmia requires close medical and obstetric observation, no matter how healthy she otherwise may appear.
- B. changes in heart size and position and increases in blood volume create auditory changes from 20 weeks to term.
- C. palpitations are twice as likely to occur in twin gestations.
- D. all of the above changes will likely occur.
Correct Answer: B
Rationale: Auscultatory changes should be discernible after 20 weeks of gestation.
An expectant patient in her third trimester reports that she developed a strong tie to her baby from the beginning and now is really in tune to her baby's temperament. The nurse interprets this as the development of which maternal task of pregnancy?
- A. Learning to give of herself
- B. Developing attachment with the baby
- C. Securing acceptance of the baby by others
- D. Seeking safe passage for herself and her baby
Correct Answer: B
Rationale: The correct answer is B: Developing attachment with the baby. In the scenario described, the expectant patient's strong tie and attunement to the baby's temperament indicate the development of an emotional bond or attachment with the baby. This is an essential maternal task during pregnancy as it promotes maternal-infant bonding and prepares the mother for the caregiving role postpartum.
A: Learning to give of herself - While important in motherhood, this choice doesn't specifically address the emotional bond being described in the scenario.
C: Securing acceptance of the baby by others - This choice focuses on external factors rather than the maternal relationship with the baby.
D: Seeking safe passage for herself and her baby - This choice pertains more to physical safety and well-being rather than the emotional connection between the mother and the baby.
The nurse is assessing a patient in her 37th week of pregnancy for the psychological responses commonly experienced as birth nears. Which psychological responses should the nurse expect to evaluate? (Select all that apply.)
- A. The patient is excited to see her baby.
- B. The patient has not started to prepare the nursery for the new baby.
- C. The patient expresses concern about how to know if labor has started
- D. The patient and her spouse are concerned about getting to the birth center in time
Correct Answer: A
Rationale: Rationale for Answer A (Correct): The patient being excited to see her baby is a common psychological response as birth nears. This anticipation and eagerness are typical emotions experienced by expectant mothers as they approach the end of their pregnancy journey. It reflects positive emotional preparation for the upcoming birth.
Summary of Incorrect Choices:
B: Not preparing the nursery may indicate lack of readiness or emotional readiness for the baby's arrival, but it does not directly relate to the psychological responses commonly experienced as birth nears.
C: Expressing concern about recognizing labor signs is a common worry but does not directly point to the psychological responses commonly experienced as birth nears.
D: Being concerned about reaching the birth center in time is more related to logistical or practical considerations rather than the psychological responses typically associated with impending childbirth.
The uterus (also known as the womb) in the female reproductive system is located:
- A. Posterior and superior to the urinary bladder
- B. On the lateral side of the mammary glands
- C. Posterior to the testes
- D. Inferior to the vagina
Correct Answer: A
Rationale: The uterus is anatomically located above and behind the urinary bladder in the pelvic cavity.
Which physiologic findings related to gallbladder function may lead to the development of gallstones during pregnancy?
- A. Decrease in alkaline phosphatase levels compared with nonpregnant women
- B. Increase in albumin and total protein as a result of hemodilution
- C. Hypertonicity of gallbladder tissue
- D. Prolonged emptying time
Correct Answer: D
Rationale: The correct answer is D: Prolonged emptying time. During pregnancy, hormonal changes can lead to gallbladder stasis, causing bile to become concentrated and leading to the formation of gallstones. Prolonged emptying time indicates poor gallbladder motility, increasing the risk of gallstone formation.
A: Decrease in alkaline phosphatase levels is not directly related to gallstone formation during pregnancy.
B: Increase in albumin and total protein is a common finding in pregnancy due to hemodilution, but it is not directly linked to gallstone development.
C: Hypertonicity of gallbladder tissue is not a typical physiologic finding related to gallbladder function during pregnancy and is not a known risk factor for gallstone formation.