Nokea
Lactation is the process of a woman producing:
- A. Sperm
- B. Urine
- C. Milk
- D. Water
Correct Answer: C
Rationale: Lactation is the production and secretion of milk by the mammary glands to nourish an infant.
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A patient reports to the clinic nurse that she has not had a period in over 12 weeks, she is
- A. The patient's urine test is positive for hCG. What is the correct nursing action related to this information?
- B. Ask the patient if she has had any nausea or vomiting in the morning.
- C. Schedule the patient to be seen by a health care provider within the next 4 weeks.
- D. Send the patient to the maternity screening area of the clinic for a routine
Correct Answer: C
Rationale: The correct answer is C because scheduling the patient to be seen by a healthcare provider within the next 4 weeks is important for further evaluation and management of the patient's amenorrhea. This timeline allows for timely assessment and potential interventions if needed.
Choice A is incorrect as simply having a positive urine hCG test does not provide enough information on its own to determine the appropriate nursing action.
Choice B is incorrect as asking about nausea or vomiting does not address the need for a comprehensive assessment and evaluation of the patient's amenorrhea.
Choice D is incorrect as sending the patient to the maternity screening area assumes a pregnancy-related issue without proper evaluation and could lead to unnecessary testing or interventions.
A young woman comes to the neighborhood clinic explaining that she had a negative urine pregnancy test last week but a positive test today. What is the best explanation?
- A. It is probable that the hCG levels were not high enough to be detected last week.
- B. It is likely that you may not be pregnant, so wait to see if you get your period.
- C. Don't worry, this happens sometimes. You should perform another test in a few days.
- D. Shall we set up a complete examination to see if you are really pregnant?
Correct Answer: A
Rationale: The correct answer is A: It is probable that the hCG levels were not high enough to be detected last week. This is because hCG (human chorionic gonadotropin) is the hormone produced during pregnancy that is detected in pregnancy tests. In early pregnancy, hCG levels can be low and may not be detectable by a urine test until they reach a certain threshold. Therefore, a negative test last week could be due to the hCG levels being below the detection threshold at that time. A positive test today indicates that the hCG levels have increased and are now detectable.
Summary of why the other choices are incorrect:
B: It is likely that you may not be pregnant, so wait to see if you get your period. This is incorrect because a positive test indicates pregnancy, and waiting for a period may not be appropriate if the woman is indeed pregnant.
C: Don't worry, this happens sometimes. You should perform another test in a few days. This
The vagina is:
- A. Used to fertilise an ovum before moving onto the fallopian tubes
- B. A mass of glandular tissue situated over the pectoral muscles
- C. An elastic muscular tube, connecting the cervix to the uterus
- D. Used to stop the menstrual flow from leaving the body
Correct Answer: C
Rationale: The vagina is a muscular tube that connects the cervix to the external genitalia, serving as a passage for menstrual flow and childbirth.
Which time-based description of a stage of development in pregnancy is accurate?
- A. Viability-22 to 37 weeks since the last menstrual period (LMP) (assuming a fetal weight >500 g).
- B. Full Term-Pregnancy from the beginning of week 39 of gestation to the end of week 40
- C. Preterm-Pregnancy from 20 to 28 weeks.
- D. Postdate-Pregnancy that extends beyond 38 weeks.
Correct Answer: B
Rationale: The correct answer is B: Full Term-Pregnancy from the beginning of week 39 of gestation to the end of week 40. This is accurate because full-term pregnancy typically ranges from 39 to 40 weeks of gestation, which is considered the optimal time for a baby to be born in terms of development and health. Viability (Choice A) refers to the ability of a fetus to survive outside the womb and typically occurs between 22 to 37 weeks. Preterm (Choice C) describes a pregnancy that occurs before 37 weeks. Postdate (Choice D) refers to a pregnancy that extends beyond 40 weeks. Therefore, Choices A, C, and D are incorrect as they do not accurately describe the full-term stage of pregnancy.
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: D
Rationale: The correct answer is D because all the statements in choices A, B, and C are true regarding changes in the cardiovascular system during pregnancy.
A: Pregnant women with disturbed cardiac rhythm, such as sinus arrhythmia, should be closely monitored as it can impact both the mother and the fetus, regardless of the mother's overall health status.
B: Changes in heart size, position, and blood volume lead to auditory changes from 20 weeks to term, which is important for nurses to be aware of in order to monitor the cardiovascular health of pregnant patients.
C: Palpitations are more likely to occur in twin gestations due to the increased demands on the cardiovascular system.
In summary, all the changes mentioned in choices A, B, and C are common occurrences in pregnancy and it is crucial for maternity nurses to be aware of them in order to provide appropriate care and education to pregnant patients.