Nokea
The nurse assesses a reactive result to a nonstress test when the fetal heart rate increases ___ beats/min.
Correct Answer: 15
Rationale: The reactive criterion is that the fetal heart rate will increase 15 beats/min when stimulated in the nonstress test.
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During which gestational week can a primigravida expect to first feel fetal movement?
- A. 8
- B. 10
- C. 16
- D. 20
Correct Answer: C
Rationale: At about 16 to 18 weeks, the sensation of the first movement is felt.
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.
What does the increase in circulating blood volume during pregnancy cause in the mother?
- A. Shortness of breath
- B. Frontal headaches
- C. Decreased white blood cell count
- D. Decreased hemoglobin
Correct Answer: D
Rationale: Maternal circulating volume increases 30% to 40%, causing a virtual decrease in hemoglobin.
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.
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.