Nokea
The midwife has just palpated the fundal height at the location noted on the picture below. It is likely that the client is how many weeks pregnant?
- A. 12
- B. 20
- C. 28
- D. 36
Correct Answer: B
Rationale: At 20 weeks, the fundal height is typically at the level of the umbilicus, which is consistent with the description provided.
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A nurse is caring for a pregnant patient who is at 20 weeks gestation and reports experiencing leg cramps. What is the nurse's most appropriate intervention?
- A. Recommend taking calcium supplements to relieve leg cramps.
- B. Encourage the patient to elevate the legs and perform leg stretches.
- C. Instruct the patient to rest and avoid any physical activity.
- D. Administer pain medication as needed.
Correct Answer: B
Rationale: The correct answer is B because elevating the legs and performing leg stretches can help improve circulation and relieve leg cramps during pregnancy. This intervention promotes blood flow and prevents muscle fatigue. Calcium supplements (choice A) may be helpful for preventing leg cramps in some cases but are not the first-line intervention. Instructing the patient to rest (choice C) may worsen leg cramps due to decreased circulation. Administering pain medication (choice D) should be avoided unless necessary, as it does not address the root cause of the leg cramps.
Which vitamin should be avoided in excess during pregnancy?
- A. Vitamin C
- B. Vitamin D
- C. Vitamin B2 (niacin)
- D. Vitamin B12 (cobalamin)
Correct Answer: B
Rationale: Vitamin D in excess can lead to hypercalcemia, which may harm the fetus. Other vitamins listed are generally safe when consumed in recommended amounts.
A nurse is caring for a pregnant patient who is 28 weeks gestation and has been diagnosed with gestational diabetes. What is the nurse's priority teaching for this patient?
- A. Encourage the patient to exercise vigorously to manage blood sugar levels.
- B. Monitor blood glucose levels regularly and follow a balanced diet.
- C. Instruct the patient to limit fluid intake to prevent complications.
- D. Recommend insulin therapy immediately to control blood sugar levels.
Correct Answer: B
Rationale: The correct answer is B: Monitor blood glucose levels regularly and follow a balanced diet. This is the priority teaching for a pregnant patient with gestational diabetes because it focuses on managing blood sugar levels effectively. Regular monitoring helps the patient understand how their body responds to different foods and activities. Following a balanced diet helps maintain stable blood sugar levels and provides essential nutrients for the baby's development.
A: Encouraging vigorous exercise may not be safe during pregnancy, especially for a patient with gestational diabetes.
C: Limiting fluid intake is not a priority teaching for gestational diabetes and may lead to dehydration, which can be harmful during pregnancy.
D: Recommending insulin therapy immediately is not the first-line treatment for gestational diabetes. Lifestyle modifications like diet and exercise are usually tried first.
During a preconception counseling session, the nurse encourages a couple to prepare a birth plan.
- A. Promote communication between the couple and health care professionals.
- B. Enable the couple to learn about the types of pain medicine used in labor.
- C. Provide the couple with a list of items that they should take to the hospital for the labor and delivery.
- D. Give the high-risk couple a sense of control over the likelihood of having a surgical delivery.
Correct Answer: A
Rationale: A birth plan fosters open communication between the couple and healthcare providers, ensuring that expectations and preferences are understood.
A nurse is caring for a postpartum person who is breastfeeding. What is the most appropriate intervention to relieve nipple pain?
- A. apply lanolin cream
- B. assist with proper latch
- C. administer antibiotics
- D. administer analgesics
Correct Answer: A
Rationale: The correct answer is A: apply lanolin cream. Lanolin cream helps soothe and moisturize nipples, relieving pain. It is safe for breastfeeding and does not need to be removed before nursing. Choice B is incorrect because ensuring a proper latch helps prevent nipple pain but does not directly alleviate it. Choices C and D are not appropriate interventions for nipple pain in breastfeeding individuals as antibiotics and analgesics can have negative effects on the infant through breast milk.