Nokea
The blood of a pregnant client was initially assessed at 10 weeks’ gestation and reassessed at 38 weeks’ gestation.
- A. Rise in hematocrit from 34% to 38%.
- B. Rise in white blood cells from 5 000 cells/mm3 to 15 000 cells/mm3.
- C. Rise in potassium from 3.9 mEq/L to 5.2 mEq/L.
- D. Rise in sodium from 137 mEq/L to 150 mEq/L.
Correct Answer: B
Rationale: White blood cell count increases during pregnancy due to physiological stress and immune system changes. Hematocrit levels typically decrease due to plasma expansion, while potassium and sodium levels remain stable.
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The blood of a pregnant client was initially assessed at 10 weeks’ gestation and reassessed at 38 weeks’ gestation.
- A. Rise in hematocrit from 34% to 38%.
- B. Rise in white blood cells from 5 000 cells/mm3 to 15 000 cells/mm3.
- C. Rise in potassium from 3.9 mEq/L to 5.2 mEq/L.
- D. Rise in sodium from 137 mEq/L to 150 mEq/L.
Correct Answer: B
Rationale: White blood cell count increases during pregnancy due to physiological stress and immune system changes. Hematocrit levels typically decrease due to plasma expansion, while potassium and sodium levels remain stable.
A nurse is caring for a laboring person who is experiencing irregular fetal heart rate patterns. What is the most appropriate intervention?
- A. increase oxygen flow
- B. increase fetal monitoring
- C. administer an analgesic
- D. increase fluid intake
Correct Answer: B
Rationale: The correct answer is B, to increase fetal monitoring. This is crucial to assess the fetal well-being and identify any potential distress or complications early on. Monitoring allows for timely interventions to be implemented to optimize outcomes. Increasing oxygen flow (A) may be necessary in some cases, but it is not the initial priority. Administering an analgesic (C) may help with pain management but does not address the fetal heart rate patterns. Increasing fluid intake (D) is important for hydration but is not directly related to managing fetal heart rate patterns.
The nurse is caring for a patient who is in labor with her first child. The patient's mother is present for support and notes that things have changed in the delivery room since she last gave birth in the early 1980s. Which current trend or intervention may the patient's mother find most different?
- A. Fetal monitoring throughout labor
- B. Postpartum stay of 10 days
- C. Expectant partner and family in operating room for cesarean birth
- D. Hospital support for breastfeeding
Correct Answer: D
Rationale: Step 1: The correct answer is D because hospital support for breastfeeding is a current trend that has significantly changed since the early 1980s. Back then, breastfeeding support in hospitals was minimal or nonexistent.
Step 2: Hospitals now provide extensive support for breastfeeding, including lactation consultants, education, and resources to help new mothers succeed in breastfeeding.
Step 3: This change in practice is a significant departure from the past and reflects the growing awareness of the importance of breastfeeding for both the mother and the baby's health.
Step 4: In contrast, choices A, B, and C are not as significant changes or trends compared to the evolution of hospital support for breastfeeding. Fetal monitoring, postpartum stay duration, and family presence during cesarean births have been around for a while and have seen some modifications, but they are not as dramatic as the shift in breastfeeding support.
What item represents a serving of meat?
- A. Deck of cards
- B. Paperback book
- C. Clenched fist
- D. Large tomato
Correct Answer: A
Rationale: A serving of meat is approximately the size of a deck of cards, which equates to about 3 ounces.
Which of the following vital sign changes should the nurse highlight for a pregnant woman’s obstetrician?
- A. Prepregnancy blood pressure (BP) 100/60 and third trimester BP 140/90.
- B. Prepregnancy respiratory rate (RR) 16 rpm and third trimester RR 22 rpm.
- C. Prepregnancy heart rate (HR) 76 bpm and third trimester HR 88 bpm.
- D. Prepregnancy temperature (T) 98.6°F and third trimester T 99.2°F.
Correct Answer: A
Rationale: A significant increase in blood pressure, particularly to 140/90, could indicate preeclampsia and should be highlighted for further evaluation. The other changes are within normal limits for pregnancy.