The embryo is termed a fetus at which stage of prenatal development?
- A. 2 weeks
- B. 4 weeks
- C. 9 weeks
- D. 16 weeks
Correct Answer: C
Rationale: The fetus (third stage of prenatal development) begins at the ninth week and continues until the 40th week of gestation or until birth.
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What response is appropriate regarding sushi consumption during pregnancy?
- A. Fish is healthy
- B. Sushi is too salty
- C. Raw fish is high in mercury
- D. Fish should be cooked
Correct Answer: D
Rationale: Cooking fish destroys harmful bacteria and parasites, reducing the risk of foodborne illnesses during pregnancy.
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.
A pregnant patient is at 32 weeks gestation and reports a sudden headache and visual disturbances. What is the nurse's priority action?
- A. Encourage the patient to lie down and rest for a while.
- B. Assess the patient's blood pressure and check for protein in the urine.
- C. Administer pain medication to relieve the headache.
- D. Instruct the patient to drink a caffeinated beverage to relieve symptoms.
Correct Answer: B
Rationale: The correct answer is B because sudden headache and visual disturbances in a pregnant patient at 32 weeks gestation could indicate preeclampsia. Assessing blood pressure and checking for protein in the urine are crucial steps in diagnosing preeclampsia, a serious condition that requires immediate medical attention to prevent complications for both the mother and baby. Encouraging rest, administering pain medication, or suggesting caffeinated beverages may mask symptoms but not address the underlying issue of preeclampsia. Therefore, prompt assessment and monitoring of blood pressure and urine protein levels are essential in this scenario.
A nurse is caring for a pregnant patient who is at 24 weeks gestation and reports feeling fatigued and weak. What is the most appropriate action for the nurse to take?
- A. Assess the patient's hemoglobin levels to check for anemia.
- B. Recommend a high-calorie diet to improve energy levels.
- C. Encourage the patient to rest and avoid any physical activity.
- D. Instruct the patient to perform gentle exercises to combat fatigue.
Correct Answer: A
Rationale: The correct answer is A: Assess the patient's hemoglobin levels to check for anemia. Fatigue and weakness are common symptoms of anemia, especially in pregnant women. By assessing the hemoglobin levels, the nurse can determine if the patient is anemic and needs appropriate treatment. This step is crucial for identifying and addressing the underlying cause of the symptoms.
Summary:
B: Recommending a high-calorie diet may not address the root cause of the fatigue and weakness, which could be anemia.
C: While rest is important during pregnancy, simply encouraging rest without investigating the cause of the symptoms may delay appropriate treatment.
D: While gentle exercises can be beneficial during pregnancy, they may not be suitable if the patient is experiencing significant fatigue and weakness due to anemia.
A gravid woman and her husband inform the nurse that they have just moved into a three-story home that was built in the 1930s. Which of the following is critical for the nurse to advise the woman to protect the unborn child?
- A. Stay out of any rooms that are being renovated.
- B. Drink water only from the hot water tap.
- C. Refrain from entering the basement.
- D. Climb the stairs only once per day.
Correct Answer: A
Rationale: Renovations in older homes may release lead dust or asbestos, which are harmful to the developing fetus. Drinking water from the hot tap, limiting stair climbing, or avoiding basements are less critical concerns compared to exposure to renovation hazards.