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The nurse asks a woman about how the woman’s husband is dealing with the pregnancy.
- A. My husband is ready for the pregnancy to end so that we can have sex again.
- B. My husband has gained quite a bit of weight during this pregnancy.
- C. My husband seems more worried about our finances now than before the pregnancy.
- D. My husband plays his favorite music for my belly so the baby will learn to like it.
Correct Answer: A
Rationale: If the husband is overly focused on resuming sexual activity postpartum, it might indicate a lack of emotional support for the pregnant partner, warranting counseling.
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A nurse is assessing a postpartum person for signs of postpartum hemorrhage. What is the most common early sign of postpartum hemorrhage?
- A. excessive bleeding
- B. low blood pressure
- C. pale skin
- D. dark red bleeding
Correct Answer: C
Rationale: The correct answer is C: pale skin. This is because the most common early sign of postpartum hemorrhage is hypovolemia, which leads to decreased perfusion and oxygenation of tissues. Pale skin indicates decreased blood flow and oxygen delivery, a key indicator of hypovolemia. Excessive bleeding (choice A) is a symptom, not a sign. Low blood pressure (choice B) is a late sign of postpartum hemorrhage. Dark red bleeding (choice D) may indicate the presence of clots but is not specific to early postpartum hemorrhage.
A pregnant patient is at 30 weeks gestation and is experiencing dizziness and lightheadedness when standing. What is the nurse's first priority action?
- A. Encourage the patient to drink fluids and rest for 10 minutes.
- B. Instruct the patient to lie flat on her back to restore circulation.
- C. Monitor the patient's blood pressure and check for signs of anemia.
- D. Administer oxygen and prepare for immediate delivery.
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to drink fluids and rest for 10 minutes. This is the first priority action because dizziness and lightheadedness in a pregnant patient at 30 weeks gestation could be due to orthostatic hypotension, a common issue in pregnancy. Encouraging the patient to drink fluids and rest will help increase blood volume and alleviate symptoms.
Choice B is incorrect because lying flat on her back can worsen symptoms due to supine hypotensive syndrome. Choice C is not the first priority as checking for anemia or monitoring blood pressure should come after addressing immediate symptoms. Choice D is incorrect because immediate delivery is not warranted based on the symptoms described.
A nurse is caring for a postpartum person who is breastfeeding. What is the most important action to promote effective breastfeeding?
- A. assist with positioning
- B. administer analgesics
- C. administer IV fluids
- D. assist with breastfeeding positioning
Correct Answer: B
Rationale: The correct answer is B: administer analgesics. Pain management is crucial to promote effective breastfeeding as it can help the postpartum person be more comfortable and relaxed during breastfeeding sessions. This can lead to better latch and milk transfer, ultimately enhancing the breastfeeding experience.
A: assist with positioning - While positioning is important for successful breastfeeding, it is not the most crucial action compared to pain management.
C: administer IV fluids - IV fluids are not directly related to promoting effective breastfeeding. Hydration is important but not the most critical factor in this scenario.
D: assist with breastfeeding positioning - This choice is similar to option A and while important, it is not as critical as ensuring proper pain management for effective breastfeeding.
A nurse is caring for a pregnant patient who is at 28 weeks gestation and has a history of hypertension. Which of the following interventions is the most appropriate to prevent complications?
- A. Encourage the patient to increase salt intake to raise blood pressure.
- B. Monitor the patient's blood pressure regularly and check for protein in the urine.
- C. Increase physical activity and exercise to reduce blood pressure.
- D. Limit fluid intake to prevent swelling and lower blood pressure.
Correct Answer: B
Rationale: The correct answer is B: Monitor the patient's blood pressure regularly and check for protein in the urine. This is the most appropriate intervention because the patient has a history of hypertension, which can lead to complications like preeclampsia. Regular blood pressure monitoring and urine protein checks are essential in detecting early signs of preeclampsia, allowing for timely intervention to prevent complications.
Choice A: Encouraging the patient to increase salt intake would worsen hypertension and increase the risk of complications.
Choice C: Increasing physical activity and exercise may not be safe for a pregnant patient with hypertension and can potentially raise blood pressure.
Choice D: Limiting fluid intake can lead to dehydration and is not recommended during pregnancy, especially with a history of hypertension.
A patient at the obstetric office has just learned she is pregnant with dizygotic twins. What facts will the nurse include when educating this patient? (Select all that apply.)
- A. Dizygotic twins are the same sex.
- B. Dizygotic twins share a placenta.
- C. Dizygotic pregnancies tend to repeat in families.
- D. Dizygotic twins have separate chorions.
Correct Answer: C
Rationale: Dizygotic twins tend to repeat in families and have separate chorions. They can be the same sex or different sexes and have their own placenta. The incidence of dizygotic twins increases with maternal age rather than decreases.