Nokea
The glucose challenge screening test is performed at or after 24 weeks’ gestation to assess for the maternal physiological response to which of the following pregnancy hormones?
- A. Estrogen.
- B. Progesterone.
- C. Human placental lactogen.
- D. Human chorionic gonadotropin.
Correct Answer: C
Rationale: Human placental lactogen (hPL) is the hormone that affects glucose metabolism during pregnancy, making it the focus of the glucose challenge test.
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What is the primary goal of using an epidural for pain management during labor?
- A. to provide analgesia without sedation
- B. to allow for movement and positioning
- C. to relieve anxiety and promote relaxation
- D. to allow for continuous monitoring
Correct Answer: A
Rationale: The primary goal of using an epidural during labor is to provide analgesia without sedation. Epidurals block pain signals, allowing the laboring individual to feel relief while remaining fully conscious. This helps manage labor pain effectively without causing sedation, allowing the individual to actively participate in the birthing process. Choice B is incorrect because epidurals can limit movement and positioning due to numbness. Choice C is incorrect as the main purpose is pain relief, not anxiety relief. Choice D is incorrect as continuous monitoring can be achieved through other methods, and it is not the primary goal of using an epidural.
What assessment data are collected to assess progress during the second stage of labor?
- A. fetal heart rate
- B. fetal descent
- C. bearing-down effort
- D. contraction strength
Correct Answer: B
Rationale: The correct answer is B: fetal descent. During the second stage of labor, assessing fetal descent is crucial to monitor progress. This data helps determine if the baby is moving down the birth canal appropriately. Fetal descent indicates the effectiveness of contractions and pushing efforts. It is a key indicator of labor progression.
Rationale:
- A: Fetal heart rate is important but primarily assesses fetal well-being, not progress during the second stage of labor.
- C: Bearing-down effort is relevant for pushing but does not directly measure progress in terms of fetal descent.
- D: Contraction strength is essential but does not specifically indicate the progress of the baby's descent in the birth canal during the second stage of labor.
After nutrition counseling, a woman, G3 P1101, proclaims that she certainly can’t eat any strawberries during her pregnancy. Which of the following is the likely reason for this statement?
- A. The woman is allergic to strawberries.
- B. Strawberries have been shown to cause birth defects.
- C. The woman believes in old wives’ tales.
- D. The premature baby died because the woman ate strawberries.
Correct Answer: A
Rationale: Food allergies are a plausible reason for avoiding strawberries. There is no scientific evidence linking strawberries to birth defects or premature death. Old wives’ tales might exist but are less likely the primary reason here.
The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by the patient demonstrates successful patient teaching?
- A. I will limit my drinking to just one alcoholic beverage per day.
- B. It's best for my baby if I avoid drinking during pregnancy.
- C. An occasional drink on special occasions is okay.
- D. Drinking alcohol is only acceptable in the first trimester.
Correct Answer: B
Rationale: The correct answer is B because complete abstinence from alcohol is the safest option during pregnancy to prevent any potential harm to the fetus. This statement shows understanding of the importance of avoiding alcohol for the well-being of the baby. Choice A suggests drinking daily, which can still pose risks. Choice C implies occasional drinking is acceptable, which can still be harmful. Choice D is incorrect because alcohol should be avoided throughout pregnancy, not just in the first trimester.
When analyzing the need for health teaching of a prenatal multigravida, the nurse should ask which of the following questions?
- A. What are the ages of your children?
- B. What is your marital status?
- C. Do you ever drink alcohol?
- D. Do you have any allergies?
Correct Answer: C
Rationale: Asking about alcohol consumption is directly related to health teaching needs, as it can impact fetal development. The other questions, while important, are not directly related to health teaching.