Nokea
The health care provider decides to send the mother for a test to determine the fetal lung maturity. What is the name of this fetal well-being test?
- A. Biophysical profile
- B. Alpha-fetoprotein
- C. Amniocentesis
- D. Ultrasound
Correct Answer: C
Rationale: Amniocentesis helps determine the maturity of the fetal lungs.
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What period of the maternity cycle does the intrapartal period cover?
- A. Beginning of pregnancy to midterm
- B. Conception to third trimester
- C. Onset of labor to delivery of the baby
- D. Onset of labor to delivery of the placenta
Correct Answer: D
Rationale: The intrapartal period of the maternity cycle covers the onset of labor to delivery of the placenta. The antepartal period begins at conception and continues until the onset of labor. The postpartal period begins after the delivery of the placenta and continues for approximately 6 weeks, until the reproductive organs return to their prepregnancy state.
Which hormone is secreted by the placenta?
- A. Follicle-stimulating hormone (FSH)
- B. Alpha-fetoprotein (AFP)
- C. Human chorionic gonadotropin (HCG)
- D. Luteinizing hormone (LH)
Correct Answer: C
Rationale: The placenta functions as an endocrine gland, secreting estrogen, progesterone, and HCG.
Which of the following demonstrate culturally competent care of the pregnant patient?
- A. Discuss beliefs with the patient and incorporate them in the plan of care.
- B. Prohibit visits from anyone other than immediate family members.
- C. Require the patient's participation in every aspect of the health care system.
- D. Maintain the patient's modesty at all times.
- E. Strive to maintain a harmonious environment for the patient.
Correct Answer: A,D,E
Rationale: The nurse should discuss the patient's cultural beliefs and incorporate as many as possible into the plan of care. Modesty is important in almost all cultures, and the nurse should take measures to ensure the patient's modesty. Absence of a stressful environment is important for a positive outcome for both mother and baby, and the nurse should strive to alleviate stress and maintain a harmonious environment. Many cultures will foster relationships, and visits from extended family members may be important. The patient may not participate in all aspects of the health care system due to cultural issues.
A woman asks the nurse about the safety of sexual intercourse during her pregnancy. Which response by the nurse is the most correct?
- A. "Sexual activity should be avoided after the first trimester."
- B. "Sexual activity should be ceased in the case of vaginal bleeding."
- C. "Sexual activity should be avoided in the second trimester."
- D. "Sexual activity should be limited to activity that does not include intercourse."
Correct Answer: B
Rationale: Sexual intercourse can be enjoyed throughout pregnancy unless it is contraindicated by other conditions. In the case of vaginal bleeding, sexual activity should cease until the cause of the bleeding is determined by the health care provider.
Which is a positive sign of pregnancy?
- A. Positive pregnancy test
- B. Positive Chadwick sign
- C. Ultrasonic tracing of the fetus
- D. Positive Goodell sign
Correct Answer: C
Rationale: A positive sign of pregnancy is an ultrasonic tracing of the fetus. A positive pregnancy test, positive Chadwick sign, and positive Goodell sign are all probable signs of pregnancy.