Nokea
The nurse documents a woman’s gravidity and parity as G6 P3214. Which of the following obstetric histories is consistent with this notation?
- A. The woman is currently pregnant, has 3 living children.
- B. The woman is currently pregnant, had 2 full-term pregnancies.
- C. The woman is not currently pregnant, had 4 preterm babies.
- D. The woman is not currently pregnant, had 1 abortion.
Correct Answer: A
Rationale: G6 indicates the woman is currently pregnant for the 6th time, and P3214 indicates 3 term births, 2 preterm births, 1 abortion, and 4 living children.
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What patient symptom at 10 weeks of gestation requires further investigation by the nurse?
- A. breast tenderness
- B. infrequent nausea
- C. change in appetite
- D. weight loss
Correct Answer: D
Rationale: The correct answer is D: weight loss. At 10 weeks of gestation, weight loss is concerning as it may indicate potential issues like hyperemesis gravidarum or inadequate nutrition, posing risks to both the mother and fetus. Breast tenderness (A), infrequent nausea (B), and changes in appetite (C) are common symptoms during early pregnancy and may not necessarily indicate serious problems. Weight loss (D) should be investigated promptly to ensure the well-being of both the mother and the developing baby.
What point in the pregnancy is the most accurate time to determine gestational age through ultrasound?
- A. First trimester
- B. Second trimester
- C. Third trimester
- D. No difference in accuracy among the trimesters
Correct Answer: A
Rationale: The correct answer is A: First trimester. During the first trimester, gestational age can be accurately determined through ultrasound by measuring the crown-rump length of the fetus. This measurement is most accurate during this time as the fetus is small and growth is consistent. In the second and third trimesters, other factors such as fetal growth variations and positioning can affect the accuracy of gestational age determination. Therefore, the first trimester is the most accurate time for determining gestational age through ultrasound. Other choices are incorrect because the precision of ultrasound measurements decreases as pregnancy progresses, making the first trimester the optimal window for accurate gestational age assessment.
A 6-month-old child has been diagnosed with a significant hearing loss. Which of the following complications that occurred immediately after delivery could have resulted in this condition?
- A. Necrotizing enterocolitis.
- B. Hypoglycemia.
- C. Bronchopulmonary dysplasia.
- D. Kernicterus.
Correct Answer: D
Rationale: Kernicterus, caused by severe jaundice, can lead to hearing loss due to bilirubin toxicity in the brain.
A woman has been diagnosed with chlamydia. The nurse would expect the client to complain of which of the following signs/symptoms?
- A. No signs or symptoms.
- B. Painful lesions on the labia.
- C. Foul-smelling discharge.
- D. Severe lower abdominal pain.
Correct Answer: A
Rationale: Chlamydia is often asymptomatic, but if symptoms occur, they may include discharge or pain.
An NST is performed on a client who is G6T3P1A1L4 38 weeks gestation. After the patient has been on the external monitor for 30 minutes, the nurse sees three fetal heart rate accelerations of 15 bpm lasting 5 seconds in association with fetal movement. The nurse documents this finding as which of the following?
- A. Unsatisfactory
- B. A reactive NST
- C. A nonreactive nonstress test
- D. Equivocal suspicious
Correct Answer: B
Rationale: The correct answer is B: A reactive NST. This is because the NST shows three fetal heart rate accelerations of 15 bpm lasting 5 seconds each, in association with fetal movement. A reactive NST indicates a normal response, which is characterized by the presence of fetal heart rate accelerations associated with fetal movement. This is a reassuring finding, suggesting fetal well-being.
Choice A (Unsatisfactory) is incorrect because the description of the findings indicates a satisfactory response. Choice C (A nonreactive nonstress test) is incorrect because the test showed accelerations in response to fetal movements, which is not consistent with a nonreactive test. Choice D (Equivocal suspicious) is incorrect as there is no indication of uncertainty or suspicion in the findings described.