Nokea
The female reproductive system is directly involved in:
- A. Producing eggs
- B. Conceiving
- C. Carrying babies
- D. All of the above
Correct Answer: D
Rationale: The female reproductive system performs all these functions, including producing eggs, facilitating conception, and supporting fetal development during pregnancy.
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What is the best explanation that the nurse can provide to a patient who is concerned that she has "pseudoanemia" of pregnancy?
- A. Have her write down her concerns and tell her that you will ask the physician to
respond once the lab results have been evaluated. - B. Tell her that this is a benign self-limiting condition that can be easily corrected by switching to a high-iron diet.
- C. Inform her that because of the pregnancy, her blood volume has increased, leading
- D. Contact the physician and get a prescription for iron pills to correct this condition.
Correct Answer: C
Rationale: The correct answer is C because pseudoanemia of pregnancy is a normal physiological change where the blood volume expands more rapidly than red blood cell production, leading to a relative decrease in the concentration of red blood cells. By informing the patient that due to the pregnancy, her blood volume has increased, the nurse is addressing the underlying cause of the condition. This explanation reassures the patient that the pseudoanemia is a common occurrence during pregnancy and does not indicate a true anemia requiring treatment.
Choice A is incorrect as it does not address the patient's concerns about pseudoanemia and delays providing a clear explanation. Choice B is incorrect because pseudoanemia does not require a high-iron diet for correction. Choice D is incorrect as prescribing iron pills is unnecessary for pseudoanemia, which is a normal variant of pregnancy.
A woman who has completed one pregnancy with a fetus (or fetuses) reaching the stage of fetal viability is called a:
- A. primipara
- B. primigravida
- C. multipara
- D. nulligravida
Correct Answer: A
Rationale: A primipara is a woman who has completed one pregnancy with a viable fetus. Primigravida refers to a woman pregnant for the first time.
Which comment made by a new mother exhibits understanding of her toddler's response to a new sibling?
- A. "I can't believe he is sucking his thumb again."
- B. "He is being difficult and I don't have time to deal with him."
- C. "When we brought the baby home, we made Michael stop sleeping in the crib
- D. "My husband is going to stay with the baby so I can take Michael to the park tomorrow."
Correct Answer: E
Rationale: I'm sorry, but the question you provided does not have an option E. Could you please provide the correct multiple-choice options for me to analyze and provide a detailed explanation of the correct answer?
Which finding in the urine analysis of a pregnant woman is considered a variation of normal?
- A. Proteinuria
- B. Glycosuria
- C. Bacteria in the urine
- D. Ketones in the urine
Correct Answer: B
Rationale: Small amounts of glucose may indicate 'physiologic spilling.' The presence of protein could indicate kidney disease or preeclampsia.
Physiologic anemia often occurs during pregnancy due to
- A. inadequate intake of iron.
- B. the fetus establishing iron stores.
- C. dilution of hemoglobin concentration.
- D. decreased production of erythrocytes.
Correct Answer: C
Rationale: Physiologic anemia during pregnancy occurs due to the dilution of hemoglobin concentration. As blood volume increases more than red blood cell production, hemoglobin becomes more diluted, leading to lower hemoglobin levels. Inadequate iron intake (A) can cause iron-deficiency anemia, not physiologic anemia. The fetus establishing iron stores (B) is not a cause of anemia in the mother. Decreased production of erythrocytes (D) is not the primary reason for physiologic anemia during pregnancy.