Nokea
The nurse has taken a health history on four primigravid clients at their first prenatal visits. It is high priority that which of the clients receives nutrition counseling?
- A. The woman diagnosed with phenylketonuria.
- B. The woman who has Graves’ disease.
- C. The woman with Cushing’s syndrome.
- D. The woman diagnosed with myasthenia gravis.
Correct Answer: A
Rationale: Phenylketonuria (PKU) requires strict dietary management, especially during pregnancy, to prevent harm to the fetus. The other conditions do not have the same immediate dietary implications.
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A nurse midwife has advised a 39-week gestation gravid to take evening primrose oil 2,500 mg daily as a complementary therapy. This suggestion was made because evening primrose has been shown to perform which of the following actions?
- A. Relieve back strain.
- B. Improve development of colostrum.
- C. Ripen the cervix.
- D. Reduce the incidence of hemorrhoids.
Correct Answer: C
Rationale: Evening primrose oil is believed to help ripen the cervix in preparation for labor. It is not typically used to relieve back strain, improve colostrum development, or reduce hemorrhoids.
What is the term for a nonstress test in which there are two or more fetal heart rate accelerations of 15 or more beats per minute (BPM) with fetal movement in a 20-minute period?
- A. Positive
- B. Negative
- C. Reactive
- D. Nonreactive
Correct Answer: C
Rationale: A nonstress test is considered reactive when there are at least two accelerations of 15 BPM or more in a 20-minute period, indicating fetal well-being.
The nurse is caring for a pregnant patient at 24 weeks gestation who reports increased vaginal discharge. What should the nurse do first?
- A. Assess the characteristics of the discharge, including color and odor.
- B. Encourage the patient to rest and monitor for changes in discharge.
- C. Instruct the patient to wear a sanitary pad and track the amount of discharge.
- D. Perform a pelvic exam to check for signs of infection or complications.
Correct Answer: A
Rationale: Rationale:
Step 1: Assess characteristics of discharge - determining color and odor helps identify if it's normal or concerning.
Step 2: Based on assessment, decide next steps - presence of abnormal color or odor may indicate infection or other issues.
Step 3: Implement appropriate interventions - further evaluation or treatment as needed.
Summary:
- B: Resting and monitoring alone may not address the underlying cause of increased discharge.
- C: While tracking amount is important, it doesn't provide immediate information on potential infection.
- D: Performing a pelvic exam should come after initial assessment of discharge characteristics to guide further actions.
A patient is being discharged after giving birth to a healthy baby. The nurse educates the patient about safe sleep practices for the infant. Which of the following statements by the patient indicates the need for further teaching?
- A. I will always place my baby on their back to sleep.
- B. I will let my baby sleep in the same bed with me to make sure they are safe.
- C. I will avoid placing pillows and soft bedding in my baby's crib.
- D. I will encourage tummy time when my baby is awake.
Correct Answer: B
Rationale: Correct Answer: B
Rationale: Co-sleeping increases the risk of sudden infant death syndrome (SIDS) and suffocation. Placing the baby in a separate crib reduces these risks.
Incorrect Choices:
A: Placing the baby on their back to sleep is the recommended position to reduce the risk of SIDS.
C: Avoiding pillows and soft bedding in the crib reduces the risk of suffocation.
D: Tummy time is important for infant development when the baby is awake.
A nurse is educating a pregnant patient about safe sleep practices for the infant. Which of the following statements by the patient indicates the need for further teaching?
- A. I will always place my baby on their back to sleep.
- B. I will place my baby in the same bed with me to make sure they are safe.
- C. I will keep soft bedding out of my baby's crib.
- D. I will encourage tummy time when my baby is awake.
Correct Answer: B
Rationale: The correct answer is B because placing the baby in the same bed increases the risk of suffocation, Sudden Infant Death Syndrome (SIDS), and other sleep-related accidents. Co-sleeping is not recommended due to the potential hazards. Choices A, C, and D are safe sleep practices. Placing the baby on their back reduces the risk of SIDS, keeping soft bedding out of the crib prevents suffocation, and tummy time is beneficial for the baby's development when they are awake.