Nokea
The mucous plug that forms in the endocervical canal is called the:
- A. operculum.
- B. leukorrhe
- C. funic souffle
- D. ballottement.
Correct Answer: A
Rationale: The correct answer is A: operculum. The mucous plug in the endocervical canal is called the operculum because it acts as a protective barrier to prevent pathogens from entering the uterus during pregnancy. This plug seals the cervix to protect the developing fetus. The other choices are incorrect because leukorrhea (choice B) refers to vaginal discharge, funic souffle (choice C) is a term related to fetal heart sounds, and ballottement (choice D) is a physical examination technique used to assess for floating objects in the uterus.
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Some pregnant patients may complain of changes in their voice and impaired hearing. The nurse can tell these patients that these are common reactions to:
- A. a decreased estrogen level.
- B. displacement of the diaphragm, resulting in thoracic breathing.
- C. congestion and swelling, which occur because the upper respiratory tract has become more vascular.
- D. increased blood volum
Correct Answer: C
Rationale: The correct answer is C because during pregnancy, hormonal changes can lead to congestion and swelling in the upper respiratory tract due to increased vascularity. This can result in changes in voice and impaired hearing. Estrogen levels (choice A) typically increase during pregnancy and do not directly cause these symptoms. Displacement of the diaphragm (choice B) may occur but is more related to breathing changes rather than voice and hearing issues. Increased blood volume (choice D) is a common physiological change in pregnancy but is not directly associated with voice and hearing changes.
During a patient's physical examination the nurse notes that the lower uterine segment is soft on palpation. The nurse would document this finding as:
- A. Hegar's sign.
- B. McDonald's sign.
- C. Chadwick's sign.
- D. Goodell's sign.
Correct Answer: A
Rationale: At approximately 6 weeks of gestation, softening and compressibility of the lower uterine segment occurs; this is called Hegar's sign.
A patient who is 7 months pregnant states, "I'm worried that something will happen to my baby." Which is the nurse's best response?
- A. "Your baby is doing fin
- B. "Tell me about your concerns."
- C. "There is nothing to worry about."
- D. "The doctor is taking good care of you and your baby."
Correct Answer: C
Rationale: The correct response is C: "There is nothing to worry about." This answer acknowledges the patient's concerns while providing reassurance. By stating that there is nothing to worry about, the nurse addresses the patient's anxiety and helps alleviate her fears without dismissing them. Option A is too dismissive, B encourages the patient to share concerns but doesn't provide immediate reassurance, and D shifts the focus to the doctor instead of directly addressing the patient's worries.
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: The correct answer is B: Glycosuria. In pregnant women, glycosuria is considered a variation of normal due to the hormonal changes affecting glucose metabolism. During pregnancy, the renal threshold for glucose is lowered, leading to glucose spillage in urine without significant pathology. Proteinuria (A) can indicate kidney damage. Bacteria in the urine (C) suggest a possible urinary tract infection. Ketones in the urine (D) may indicate a metabolic disorder or inadequate carbohydrate intake. Glycosuria in pregnancy is a physiological adaptation and not necessarily a cause for concern.
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.