Nokea
Mastitis is:
- A. Inflammation of the testes
- B. A condition that causes a woman's breast tissue to become painful and inflamed
- C. Often caused by too much calcium in the diet
Correct Answer: B
Rationale: Mastitis is inflammation of the breast tissue, often due to infection or blocked milk ducts during breastfeeding.
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During a patient's physical examination the nurse notes that the lower uterine segment is soft on palpation. The nurse would document this finding as:
- A. Hegar's sign.
- B. McDonald's sign.
- C. Chadwick's sign.
- D. Goodell's sign.
Correct Answer: A
Rationale: At approximately 6 weeks of gestation, softening and compressibility of the lower uterine segment occurs; this is called Hegar's sign.
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.
A nurse is educating a pregnant client about ways to prevent UTIs. Which statement by the client indicates that she understands the information from the nurse?
- A. I should decrease my fluid intake.
- B. Drinking Coke will prevent me from getting a UTI.
- C. I should always empty my bladder right after I have intercourse.
- D. I should drink orange juice every morning.
Correct Answer: C
Rationale: The correct answer is C: "I should always empty my bladder right after I have intercourse." This is correct because emptying the bladder after intercourse helps to flush out bacteria and reduce the risk of UTIs. Choice A is incorrect as adequate fluid intake is important to prevent UTIs. Choice B is incorrect as drinking Coke does not prevent UTIs and may even increase the risk due to its sugar content. Choice D is incorrect as there is no evidence to suggest that drinking orange juice prevents UTIs. Overall, choice C is the best preventative measure supported by medical evidence.
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.
Physiologic anemia often occurs during pregnancy as a result of:
- A. inadequate intake of iron.
- B. dilution of hemoglobin concentration.
- C. the fetus establishing iron stores.
- D. decreased production of erythrocytes.
Correct Answer: B
Rationale: Physiologic anemia during pregnancy occurs due to the expansion of plasma volume, causing a dilution of hemoglobin concentration. Increased blood volume is necessary to support the growing fetus, leading to a relative decrease in hemoglobin levels. Inadequate iron intake (Choice A) can cause iron-deficiency anemia but is not the primary reason for physiologic anemia in pregnancy. The fetus establishing iron stores (Choice C) is unrelated to the maternal anemia. Decreased production of erythrocytes (Choice D) is not the main cause of anemia in pregnancy; rather, it is the dilution effect from increased plasma volume.