Nokea
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 36-week gestation gravid lies flat on her back.
- A. Hypertension.
- B. Dizziness.
- C. Rales.
- D. Chloasma.
Correct Answer: B
Rationale: Lying flat on the back can compress the inferior vena cava, leading to reduced blood flow and dizziness. Chloasma, rales, and hypertension are unrelated to this position.
What is true about the morula stage of development?
- A. Fertilized egg has yet to implant
- B. Lung fields are completely formed
- C. Sex of fetus can be identified
- D. Eyelids begin to open and close
Correct Answer: A
Rationale: The morula stage occurs before implantation, representing an early phase of embryonic development.
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.
A couple is preparing to interview obstetric primary care providers to determine who they will go to for care during their pregnancy and delivery.
- A. Take a tour of hospital delivery areas.
- B. Develop a preliminary birth plan.
- C. Make appointments with three or four obstetric care providers.
- D. Search the Internet for the malpractice histories of the providers.
Correct Answer: B
Rationale: Developing a preliminary birth plan helps couples clarify their preferences and priorities, facilitating better communication with potential providers.
A laboring person on oxytocin for induction of labor should have continuous monitoring of the fetal heart rate. How often should the nurse assess the fetal heart rate?
- A. every 30 minutes
- B. every 15 minutes
- C. every 5 minutes
- D. every 1 hour
Correct Answer: B
Rationale: The correct answer is B: every 15 minutes. Continuous monitoring of the fetal heart rate is crucial during labor induction with oxytocin to promptly detect any signs of fetal distress. Assessing the fetal heart rate every 15 minutes allows for frequent monitoring to ensure the baby's well-being and timely intervention if needed. Assessing every 30 minutes (choice A) may not provide adequate monitoring frequency, every 5 minutes (choice C) is too frequent and may not be practical, and every 1 hour (choice D) is too long of an interval between assessments, potentially missing important changes in fetal status.