Nokea
The newly diagnosed primigravida who is 6 weeks pregnant states "I don't feel like I have a real baby inside me." To reassure the mother the nurse provides reassurance that which of the following is functioning in the 6-week-old embryo?
- A. Brain
- B. Lungs
- C. Hands
- D. Heart
Correct Answer: D
Rationale: At 6 weeks, the fetus has a pumping heart.
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At what week of fetal development can the nurse expect to first hear fetal heart tones with an amplified stethoscope?
- A. 10
- B. 12
- C. 14
- D. 16
Correct Answer: D
Rationale: During week 16, the fetal heart can be heard with an amplified stethoscope.
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 entering the 22nd week of pregnancy complains that she has become unsightly because of chloasma. What should the nurse recommend to reduce the appearance of the chloasma?
- A. Use heavy makeup.
- B. Take extra doses of vitamin A.
- C. Avoid exposure to the sun.
- D. Reduce caffeine intake.
Correct Answer: C
Rationale: At week 22, skin pigment changes called chloasma are found. Avoiding exposure to the sun will reduce the pigmentation.
During the 30th week of gestation the nurse would anticipate that the fundal height would be ___ cm above the symphysis.
Correct Answer: 30
Rationale: The fundal height is equal to the weeks of gestation.
Early in the first trimester a woman complains of morning sickness. What does the nurse suggest to aid with the discomfort?
- A. Eating something with a high-fat content
- B. Eating dry crackers before getting up
- C. Eating three well-balanced meals
- D. Getting rest and taking antiemetics
Correct Answer: B
Rationale: A remedy for morning sickness is to eat a few dry crackers before getting up.