The nurse is caring for a pregnant client who is a vegan. Which of the following foods should the nurse suggest the client consume as substitutes for restricted foods?
- A. Tofu, legumes, broccoli.
- B. Corn, yams, green beans.
- C. Potatoes, parsnips, turnips.
- D. Cheese, yogurt, fish.
Correct Answer: A
Rationale: Tofu, legumes, and broccoli provide essential nutrients like protein, iron, and calcium that are often lacking in a vegan diet. Corn, yams, and green beans offer carbohydrates and vitamins but lack sufficient protein sources. Potatoes, parsnips, and turnips are starchy vegetables with limited nutritional variety. Cheese, yogurt, and fish are non-vegan options.
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The vessels comprising the umbilical cord are cushioned and protected by a substance called _____________ _____________.
- A. Wharton’s jelly
- B. Endoderm
- C. jelly
- D. haploid
Correct Answer: A
Rationale: Wharton’s jelly is a gelatinous substance surrounding the blood vessels in the umbilical cord. It cushions and protects the vessels from compression and damage during pregnancy.
Where is the usual location for implantation of the zygote?
- A. Upper section of the posterior uterine wall
- B. Lower portion of the uterus near the cervical os
- C. Inner third of the fallopian tube near the uterus
- D. Lateral aspect of the uterine wall
Correct Answer: A
Rationale: The zygote usually implants in the upper section of the posterior uterine wall.
Which feature would be absent in a 41-week gestation fetus?
- A. Fingernails
- B. Eyelashes
- C. Lanugo
- D. Milia
Correct Answer: C
Rationale: Lanugo, the fine hair covering the fetus, typically sheds before term, making it absent in a 41-week gestation fetus.
A nurse is assessing a pregnant patient at 36 weeks gestation who complains of pain in the lower abdomen and back. The nurse finds no signs of labor. Which of the following interventions should the nurse implement?
- A. Encourage the patient to rest and monitor for any changes in symptoms.
- B. Administer pain medication and schedule an appointment with the doctor.
- C. Perform a pelvic exam to determine the cause of the pain.
- D. Instruct the patient to remain in bed for the rest of the day.
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to rest and monitor for any changes in symptoms. At 36 weeks gestation, the patient might be experiencing Braxton Hicks contractions or round ligament pain, which are common in late pregnancy. Encouraging rest allows for potential relief of discomfort. Monitoring for any changes in symptoms is essential to rule out preterm labor. Option B is incorrect as administering pain medication without identifying the cause may mask symptoms of preterm labor. Option C is incorrect as performing a pelvic exam could potentially cause harm if the patient is experiencing preterm labor. Option D is incorrect as prolonged bed rest is not recommended in pregnancy and may not alleviate the pain or address the underlying cause.
A nurse is caring for a laboring person who is experiencing fetal tachycardia. What is the most appropriate intervention?
- A. administer oxygen
- B. administer IV fluids
- C. monitor maternal vital signs
- D. monitor fetal heart rate continuously
Correct Answer: A
Rationale: Correct Answer: A: Administer oxygen
Rationale: Fetal tachycardia indicates the fetus is not getting enough oxygen. Administering oxygen to the laboring person will help increase oxygen levels in their blood, leading to better oxygen supply to the fetus and potentially improving the fetal heart rate.
Summary of Other Choices:
B: Administering IV fluids may be helpful in some cases, but it is not the priority when dealing with fetal tachycardia.
C: While monitoring maternal vital signs is important, addressing the fetal tachycardia and oxygen supply to the fetus takes precedence.
D: Continuous monitoring of fetal heart rate is essential, but administering oxygen should be the immediate intervention to address the underlying issue of oxygen deficiency.