Nokea
The nurse is assessing a client with suspected preeclampsia. What symptom supports this diagnosis?
- A. Hyperglycemia.
- B. Proteinuria.
- C. Increased fetal movement.
- D. Hypotension.
Correct Answer: B
Rationale: Proteinuria is a hallmark symptom of preeclampsia, along with hypertension and other systemic findings.
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During a trauma-informed gynecologic examination, what principle emphasizes the importance of involving the patient in decision making about their health care?
- A. respecting autonomy and empowerment
- B. trauma-sensitive language and communication
- C. providing information and explanation
- D. avoiding triggering situations
Correct Answer: A
Rationale:
The nurse is assessing a client at 36 weeks' gestation who reports swelling in the hands and face. What is the priority nursing action?
- A. Check the client’s blood pressure.
- B. Reassure the client that swelling is normal.
- C. Encourage the client to reduce salt intake.
- D. Evaluate the fetal heart rate.
Correct Answer: A
Rationale: Swelling in the hands and face may indicate preeclampsia, requiring immediate blood pressure assessment.
A nurse is planning to teach a group of clients who are about breastfeeding after returning to work. Which of the following infection should the nurse include in the teaching?
- A. "Thawed breast milk can be refrigerated for up to 72 hours."
- B. "Breast milk can be stored in a deep freezer for 12 months."
- C. Breast milk can be stored at room temperature for up to 12 hours."
- D. "Thawed breast milk that is unused can be refrozen."
Correct Answer: D
Rationale: The correct information for breastfeeding after returning to work is that thawed breast milk that is unused should not be refrozen. Once breast milk has been thawed, it should be used within 24 hours and should not be refrozen. This is important to prevent contamination and maintain the quality of the breast milk for the baby. The other statements provided in the options are correct guidelines regarding the storage of breast milk. Thawed breast milk can be refrigerated for up to 24 hours, breast milk can be stored in a deep freezer for up to 12 months, and breast milk can be stored at room temperature for up to 4 hours.
What factor is known to increase the risk of gestational DM?
- A. Weigh 100kg prior to pregnancy
- B. Previous birth AGA
- C. Maternal age younger than 25
- D. Previous diagnosis of type 2 diabetes
Correct Answer: D
Rationale: A previous diagnosis of type 2 diabetes is a known risk factor for developing gestational diabetes mellitus (GDM). Women who have had diabetes prior to pregnancy are more likely to develop GDM due to pre-existing insulin resistance. This increased risk is why healthcare providers closely monitor pregnant women with a history of type 2 diabetes. It is important for these women to manage their blood sugar levels carefully during pregnancy to reduce the risk of complications for both the mother and the baby.
The nurse is caring for a client in labor who reports intense pressure and the urge to push. What is the priority nursing action?
- A. Perform a sterile vaginal examination.
- B. Instruct the client to breathe through the urge to push.
- C. Notify the healthcare provider.
- D. Increase the oxytocin infusion rate.
Correct Answer: A
Rationale: A vaginal examination is needed to confirm full cervical dilation and readiness for delivery.