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The nurse discusses sexual intimacy with a pregnant couple. Which of the following should be included in the teaching plan?
- A. Vaginal intercourse should cease by the beginning of the third trimester.
- B. Breast fondling should be discouraged because of the potential for preterm labor.
- C. The couple may find it necessary to experiment with alternate positions.
- D. Vaginal lubricant should be used sparingly throughout the pregnancy.
Correct Answer: C
Rationale: Experimenting with alternate positions is often necessary due to changing body dynamics during pregnancy. Vaginal intercourse does not need to stop unless medically advised, breast fondling is unlikely to induce labor, and vaginal lubricants can be used as needed.
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A pregnant patient at 32 weeks gestation is concerned about gestational diabetes. What is the nurse's priority intervention?
- A. Encourage the patient to eat smaller, more frequent meals and monitor blood glucose levels.
- B. Administer insulin as prescribed to control blood glucose levels.
- C. Recommend a high-protein, low-carbohydrate diet to prevent blood sugar spikes.
- D. Instruct the patient to limit fluid intake to reduce blood sugar fluctuations.
Correct Answer: A
Rationale: The correct answer is A because it addresses the immediate concern of managing blood glucose levels in a pregnant patient with gestational diabetes. Encouraging smaller, more frequent meals helps stabilize blood sugar levels and prevent spikes. Monitoring blood glucose levels is crucial for timely interventions. Administering insulin (B) may be necessary but not the priority. A high-protein, low-carb diet (C) is not typically recommended for gestational diabetes. Limiting fluid intake (D) is not appropriate as hydration is important during pregnancy. In summary, choice A is the priority as it directly addresses the patient's concern and promotes optimal blood sugar control during pregnancy.
The nurse is caring for a pregnant patient who has a BMI of 30. Which of the following complications is the patient at increased risk for during pregnancy?
- A. Preeclampsia and gestational diabetes
- B. Hyperemesis gravidarum and miscarriage
- C. Iron-deficiency anemia and urinary tract infections
- D. Gestational hypertension and placenta previa
Correct Answer: A
Rationale: The correct answer is A: Preeclampsia and gestational diabetes. A pregnant patient with a BMI of 30 is considered obese, increasing the risk of developing preeclampsia and gestational diabetes. Obesity is a known risk factor for these complications due to the increased strain on the body's systems. Preeclampsia is characterized by high blood pressure and protein in the urine, which can lead to serious complications for both the mother and the baby. Gestational diabetes is a type of diabetes that develops during pregnancy and can lead to complications for both the mother and the baby if not managed properly. The other choices (B, C, D) are not directly associated with obesity or a BMI of 30 during pregnancy, making them incorrect.
The nurse discusses sexual intimacy with a pregnant couple. Which of the following should be included in the teaching plan?
- A. Vaginal intercourse should cease by the beginning of the third trimester.
- B. Breast fondling should be discouraged because of the potential for preterm labor.
- C. The couple may find it necessary to experiment with alternate positions.
- D. Vaginal lubricant should be used sparingly throughout the pregnancy.
Correct Answer: C
Rationale: Experimenting with alternate positions is often necessary due to changing body dynamics during pregnancy. Vaginal intercourse does not need to stop unless medically advised, breast fondling is unlikely to induce labor, and vaginal lubricants can be used as needed.
A pregnant patient reports nausea and vomiting and asks the nurse about ways to manage these symptoms. Which of the following suggestions should the nurse make?
- A. Eat large meals to avoid hunger and nausea.
- B. Take anti-nausea medication without consulting a provider.
- C. Avoid foods with strong smells and eat small, frequent meals.
- D. Lie down immediately after meals to prevent nausea.
Correct Answer: C
Rationale: The correct answer is C: Avoid foods with strong smells and eat small, frequent meals. This suggestion is appropriate as it helps manage nausea and vomiting in pregnancy. Avoiding strong smells can reduce triggers for nausea, and eating small, frequent meals helps maintain stable blood sugar levels. This approach prevents the stomach from becoming too full or too empty, which can trigger nausea.
A: Eating large meals can exacerbate nausea and vomiting due to increased stomach distention.
B: Taking anti-nausea medication without consulting a healthcare provider is not safe during pregnancy as it may harm the fetus.
D: Lying down immediately after meals can worsen symptoms by promoting reflux and indigestion.
In summary, Option C is the best choice as it addresses the symptoms of nausea and vomiting in pregnancy effectively.
A woman, 6 weeks pregnant, is having a vaginal examination. Which of the following would the practitioner expect to find?
- A. Thin cervical muscle.
- B. An enlarged ovary.
- C. Thick cervical mucus.
- D. Pale pink vaginal wall.
Correct Answer: B
Rationale: An enlarged ovary is a common finding in early pregnancy due to the corpus luteum. Thin cervical muscle, thick cervical mucus, and a pale pink vaginal wall are not typical findings at this stage.