Nokea
The nurse caring for a pregnant patient knows that her health teaching regarding fetal circulation has been effective when the patient reports that she has been sleeping:
- A. In a side-lying position.
- B. On her back with a pillow under her knees.
- C. With the head of the bed elevated.
- D. On her abdomen.
Correct Answer: A
Rationale: Optimal circulation is achieved when the woman is lying at rest on her side.
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The nurse is teaching a class about embryonic and fetal development to couples in the early stage of pregnancy. For which reason does the nurse emphasize the first 8 weeks of gestation?
- A. Pregnancies often abort before or at this time of development.
- B. Lack of size and movement prevents confirmation of pregnancy.
- C. All organ systems are developing during this period.
- D. Factors that can interrupt the pregnancy are no longer a concern.
Correct Answer: C
Rationale: The first 8 weeks are critical as all organ systems are developing, making it a sensitive period for any interruptions.
The nurse is reviewing the hormonal blood work from a patient who is tracking their cycle to try to conceive this month. The patient’s estradiol and progesterone levels are low. What statement would the nurse include in the patient teaching?
- A. “You have already ovulated this month. Let us know if you are not pregnant, and we will try again next month.”
- B. “You should have intercourse tonight and tomorrow. This is the best time to try to conceive.”
- C. “You are at the very beginning of your cycle and will be getting your period very soon.”
- D. “We can’t tell where you are in your cycle from this blood work. You may need to repeat it next week.”
Correct Answer: C
Rationale: Low estradiol and progesterone levels suggest the patient is in the early follicular phase, just before menstruation.
What are probable signs of pregnancy? Select all that apply.
- A. amenorrhea
- B. fetal movement
- C. Goodell sign
- D. positive pregnancy test
Correct Answer: B
Rationale: Probable signs include Goodell sign, positive pregnancy test, and skin hyperpigmentation. Amenorrhea and fetal movement are subjective or definitive signs.
The nurse is discussing genetically linked diseases with a couple planning a pregnancy. The female states, 'I am concerned because there is a history of sickle-cell disease in my family.' Which information from the nurse is correct?
- A. Any offspring will have the disease.
- B. Only male children will have the disease.
- C. The male partner needs genetic testing.
- D. The couple should not become pregnant.
Correct Answer: C
Rationale: The male partner should undergo genetic testing to determine if he is a carrier of the sickle-cell gene. This information guides the couple's reproductive decisions.
A 35-year-old woman is 34 weeks pregnant and is diagnosed with oligohydramnios. She asks the nurse to explain how this could affect the pregnancy. Which should the nurse explain to the client? Select all that apply.
- A. The baby’s lungs may be underdeveloped.
- B. The umbilical cord may become compressed.
- C. The mother has developed diabetes mellitus.
- D. It is associated with fetal gastrointestinal abnormalities.
Correct Answer: C
Rationale: Oligohydramnios can cause underdeveloped lungs, compressed umbilical cords, fetal limb abnormalities, and is associated with renal issues. Gastrointestinal abnormalities are less likely.