Nokea
The nurse identifies which sign as indicative of postpartum depression?
- A. Occasional mood swings
- B. Persistent feelings of hopelessness
- C. Excitement about motherhood
- D. Increased energy levels
Correct Answer: B
Rationale: Persistent feelings of hopelessness are a key indicator of postpartum depression, requiring intervention.
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Which client would the nurse identify as being at highest risk for developing complications during pregnancy?
- A. A 17-year-old gravida I client
- B. A client with the placenta implanted on the fundus of the uterus
- C. A client who has nausea and vomiting during the first trimester
- D. A 35-year-old gravida V client
Correct Answer: D
Rationale: A 35-year-old gravida V client is at higher risk due to advanced maternal age and multiple pregnancies, increasing complication risks.
The nurse reviews information and assesses the laboring client at 42 weeks’ gestation before an HCP induces labor. Which findings should be reported to the HCP because they are contraindications to labor induction? Select all that apply.
- A. Umbilical cord prolapse
- B. Transverse fetal lie
- C. Cervical dilation not progressing
- D. Premature rupture of membranes
- E. Previous cesarean incision
Correct Answer: A,B,E
Rationale: Inducing labor with an umbilical cord prolapsed can cause fetal trauma and is contraindicated. This should be reported to the HCP. Inducing labor with a transverse fetal lie can produce trauma to the fetus and mother and is contraindicated. This should be reported to the HCP. Women with a previous cesarean incision should not be stimulated because it is a contraindication for a vaginal birth and warrants an immediate repeat cesarean birth. This should be reported to the HCP. Lack of progressive cervical dilation is an indication for labor induction, not a contraindication. Premature rupture of the membranes is an indication for labor induction, not a contraindication.
The nurse includes which activity to promote bonding with the fetus?
- A. Talking or singing to the fetus
- B. Watching television daily
- C. Avoiding fetal movement monitoring
- D. Limiting prenatal visits
Correct Answer: A
Rationale: Talking or singing to the fetus promotes early bonding and stimulates fetal development.
Which teaching method is most effective for prenatal education?
- A. Group classes with interactive discussions
- B. Individual counseling sessions
- C. Written pamphlets only
- D. Online video tutorials
Correct Answer: A
Rationale: Group classes with interactive discussions promote engagement, peer support, and active learning, enhancing retention of prenatal information.
The nurse correctly assists the client into which position?
- A. Lithotomy
- B. Prone
- C. Sims'
- D. Trendelenburg's
Correct Answer: A
Rationale: The lithotomy position, with legs elevated and apart, is standard for pelvic examinations to provide access to the pelvic area.