Nokea
Organize the developmental stages in the correct order. Put a comma and space between each answer choice (a, b, c, d, etc.)
- A. Zygote
- B. Morula
- C. Blastocyst
- D. Embryo
Correct Answer: B
Rationale: Fetal development progresses through several stages: zygote, morula, blastocyst, embryo, and fetus. Each stage represents a critical phase in the formation and growth of the embryo.
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What is the primary goal of fetal heart rate monitoring during the second stage of labor?
- A. to predict when to bear down during contractions
- B. to determine the strength of the uterine contractions
- C. to evaluate fetal well-being
- D. to monitor vital signs of the birthing person
Correct Answer: C
Rationale: The primary goal of fetal heart rate monitoring during the second stage of labor is to evaluate fetal well-being. This is crucial to ensure that the baby is tolerating labor and delivery well. Monitoring fetal heart rate helps identify any signs of distress or compromise in oxygen supply to the baby. It guides healthcare providers in making timely interventions if needed to prevent adverse outcomes. Choices A and B are incorrect because the primary goal is not about timing contractions or assessing uterine contractions strength. Choice D is incorrect as the focus is not on monitoring the vital signs of the birthing person but on assessing the well-being of the fetus.
A nurse is educating a postpartum person about newborn care. Which of the following should be included in the teaching about umbilical cord care?
- A. keep the cord dry and clean
- B. apply a sterile dressing to the cord
- C. use alcohol or iodine to clean the cord
- D. apply a sterile dressing to the umbilicus
Correct Answer: A
Rationale: The correct answer is A: keep the cord dry and clean. This is because keeping the umbilical cord dry and clean helps prevent infection and promotes healing. Applying a sterile dressing (B) is unnecessary and may trap moisture, leading to infection. Using alcohol or iodine (C) is outdated and can delay cord separation. Applying a sterile dressing to the umbilicus (D) is not recommended as it can interfere with air circulation and healing. In summary, choice A is correct as it aligns with current best practices for umbilical cord care.
A pregnant woman who is 36 weeks gestation reports sudden swelling in her hands and feet, along with a headache. What should the nurse do first?
- A. Instruct the patient to rest and elevate her feet.
- B. Assess the patient's blood pressure and urine for protein.
- C. Encourage the patient to drink plenty of fluids.
- D. Recommend that the patient lie on her left side to improve circulation.
Correct Answer: B
Rationale: The correct answer is B. Assessing the patient's blood pressure and urine for protein is the priority because sudden swelling in hands and feet, along with a headache, could indicate preeclampsia, a serious condition in pregnancy. High blood pressure and protein in the urine are key indicators of preeclampsia. This assessment will help determine if the patient needs immediate medical intervention.
Choice A is incorrect because simply resting and elevating the feet may not address the underlying issue of preeclampsia. Choice C is incorrect as encouraging the patient to drink fluids will not address the potential serious condition. Choice D is incorrect because while lying on the left side can improve circulation, it does not address the urgent need to assess for preeclampsia.
A 22-year-old woman presents to the labor and delivery unit in labor at 39 weeks gestation. Her cervix is 6 cm dilated and 100% effaced. What should the nurse do next?
- A. Prepare for delivery
- B. Administer pain relief medications
- C. Continue to monitor contractions and fetal heart rate
- D. Perform a vaginal examination to check for fetal descent
Correct Answer: C
Rationale: The correct answer is C: Continue to monitor contractions and fetal heart rate. At 6 cm dilated and 100% effaced, the woman is in active labor, but delivery is not imminent. Monitoring contractions and fetal heart rate is crucial to ensure the progress of labor and fetal well-being. This step allows the nurse to assess for any signs of fetal distress or labor progression. Administering pain relief medications (B) can be considered based on the woman's pain level, but it is not the immediate priority. Preparing for delivery (A) is premature at this stage. Performing a vaginal examination (D) may not be necessary unless there are concerns about fetal descent or progress of labor.
The nurse is taking a history of a mother who admits to cocaine drug use. Which action should the nurse take first?
- A. Refer the patient to a drug abuse program.
- B. Screen the infant for side effects associated with cocaine use.
- C. Educate the patient of the risks associated with cocaine use during pregnancy.
- D. Advise the patient that her baby will be okay even with the history of cocaine use.
Correct Answer: C
Rationale: The correct action for the nurse to take first is to educate the patient of the risks associated with cocaine use during pregnancy (Choice C). This is important because it helps the mother understand the potential harm that cocaine can cause to both her and her baby. By providing education, the nurse can empower the mother to make informed decisions for the health and well-being of herself and her baby. Referring the patient to a drug abuse program (Choice A) may be necessary but not the immediate first step. Screening the infant for side effects (Choice B) should be done later after educating the mother. Advising the patient that her baby will be okay (Choice D) is not appropriate as it downplays the seriousness of cocaine use during pregnancy.