Nokea
The nurse is educating a client about exercises during pregnancy. What activity should be avoided?
- A. Swimming.
- B. Walking.
- C. Contact sports.
- D. Prenatal yoga.
Correct Answer: C
Rationale: Contact sports pose a risk of trauma to the mother and fetus and should be avoided during pregnancy.
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Which of the following serve as maternal risk factors juice to having a baby who may suffer from birth trauma?
- A. Take her supplement after a meal Select all that apply.
- B. Take her supplement with full glass of tea
- C. Term delivery
- D. Scheduled cesarean delivery
Correct Answer: D
Rationale: Scheduled cesarean delivery serves as a maternal risk factor juice to having a baby who may suffer from birth trauma. Cesarean deliveries, especially scheduled ones without a medical indication, can increase the risk of birth trauma for the baby compared to a vaginal delivery. Birth trauma in infants can include injuries like bruises, fractures, and head trauma due to various factors during the delivery process. It is important to weigh the risks and benefits of delivery methods in consultation with healthcare providers to minimize the chances of birth trauma.
A patient has just been prescribed birth control pills and asks about possible side effects. Which of the following should be discussed with the patient?
- A. Increase in menstrual flow
- B. Headaches or nausea
- C. Decrease in libido
- D. Increased risk of breast cancer
Correct Answer: B
Rationale: Headaches and nausea are common side effects of oral contraceptives. Choice A is incorrect because birth control pills typically decrease the menstrual flow. Choice C is not commonly reported with oral contraceptives, and many women report no change in libido. Choice D is incorrect because while oral contraceptives may slightly increase the risk of certain cancers, breast cancer risk is not significantly elevated compared to the general population.
The nurse is caring for a client at 38 weeks' gestation with suspected placental abruption. What is the priority nursing action?
- A. Assess maternal vital signs and fetal heart rate.
- B. Prepare the client for immediate cesarean delivery.
- C. Administer oxygen at 2 L/min via nasal cannula.
- D. Insert an indwelling urinary catheter.
Correct Answer: A
Rationale: Assessing maternal and fetal status is the first step to determine the urgency and appropriate intervention.
A client at 32 weeks' gestation reports regular uterine contractions every 10 minutes. What is the nurse's priority action?
- A. Administer tocolytic medication as prescribed.
- B. Perform a sterile vaginal examination.
- C. Assess for cervical changes and fetal heart rate.
- D. Encourage ambulation to relieve discomfort.
Correct Answer: C
Rationale: Assessing cervical changes and fetal heart rate is essential to determine whether the client is in preterm labor.
The nurse suspects that a client has an early sign of ectopic
- B. Abdominal pain
- C. Vaginal spotting or light bleeding
- D. Pelvic pain
Correct Answer: C
Rationale: Vaginal spotting or light bleeding is one of the early signs of an ectopic pregnancy. Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, most commonly in the fallopian tube. The presence of vaginal spotting or light bleeding may indicate the implantation of the fertilized egg in a location other than the uterus, leading to the suspicion of an ectopic pregnancy. It is essential for the nurse to recognize this early sign and promptly assess the client for further evaluation and intervention to prevent complications such as rupture and severe bleeding that can be life-threatening.