Nokea
The nurse cautions the patient that, because of hormonal changes in late pregnancy, the pelvic joints relax.What does this result in?
- A. Waddling gait
- B. Joint instability
- C. Urinary frequency
- D. Back pain
- E. Aching in cervical spine
Correct Answer: A,B
Rationale: Relaxation of pelvic joints in late pregnancy causes a waddling gait and joint instability.
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What is the most appropriate nursing intervention?
- A. Provide the rubella vaccine as ordered by the physician immediately.
- B. Inform the woman she should receive the vaccine in the hospital after delivery.
- C. Hold all immunizations until 1 month postpartum.
- D. Encourage the patient to decide whether or not to get the rubella vaccine prenatally.
Correct Answer: B
Rationale: The rubella vaccine is contraindicated during pregnancy and should be given post-delivery.
What lab test can the nurse anticipate the physician will order?
- A. Endovaginal ultrasound
- B. Pap test
- C. Complete blood count
- D. Hemoglobin electrophoresis
Correct Answer: D
Rationale: Hemoglobin electrophoresis identifies sickle cell trait or disease, indicated by a family history.
What is the nurse's first action?
- A. Ask if the patient has taken a sedative.
- B. Notify the physician.
- C. Turn the patient to her right side.
- D. Record the rate as a normal finding.
Correct Answer: D
Rationale: The FHR at term ranges from 110 to 120 beats/minute to 150 to 160 beats/minute, so 120 beats/minute is normal and should be recorded.
What is this woman's expected delivery date using N?¤gele's rule?
- A. 30-Apr-14
- B. 5-May-14
- C. 13-May-14
- D. 26-May-14
Correct Answer: C
Rationale: Using N?¤gele's rule, count back 3 months from August 5, 2013 (May 5, 2013), add 7 days (May 12, 2013), and adjust the year to 2014, resulting in May 12, 2014.
At what gestational age can the fetal heartbeat be auscultated with a specially adapted stethoscope or fetoscope?
- A. 4 weeks
- B. 12 weeks
- C. 18 weeks
- D. 24 weeks
Correct Answer: C
Rationale: The fetal heartbeat can be heard with a fetoscope between the 18th and 20th weeks of pregnancy.