Nokea
The nurse is educating a pregnant client about common discomforts during the third trimester. Which statement by the nurse is appropriate?
- A. Perform pelvic-tilt exercises.
- B. Eat crackers prior to getting out of bed in the morning.
- C. Use humidifiers or saline nose drops.
- D. Wear a supportive bra.
Correct Answer: A
Rationale: The correct answer is A: Perform pelvic-tilt exercises. Pelvic-tilt exercises help alleviate back pain common in the third trimester by strengthening abdominal muscles and reducing strain on the lower back. This is appropriate for addressing discomforts during pregnancy.
B: Eating crackers before getting out of bed helps with morning sickness, not third-trimester discomforts.
C: Using humidifiers or saline nose drops is more related to nasal congestion, not common discomforts in the third trimester.
D: Wearing a supportive bra is important during pregnancy but does not directly address common discomforts in the third trimester.
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A physician has just documented on a prenatal client. The nurse notices that the physician notes the presence of Goodell's sign. The nurse understands that this sign indicates which of the following?
- A. Changes in the cervix
- B. Changes in the uterus
- C. Passive movement of an unengaged fetus
- D. Fetus that has begun to descend and engage in the pelvis
Correct Answer: A
Rationale: The correct answer is A, changes in the cervix. Goodell's sign refers to the softening of the cervix that occurs during early pregnancy due to increased vascularity and hormonal changes. This sign is an important indicator of pregnancy and is typically observed during the first trimester. Choice B, changes in the uterus, is incorrect because Goodell's sign specifically refers to changes in the cervix, not the uterus as a whole. Choice C, passive movement of an unengaged fetus, is incorrect as Goodell's sign is not related to fetal movement. Choice D, fetus that has begun to descend and engage in the pelvis, is also incorrect as Goodell's sign occurs much earlier in pregnancy before the fetus engages in the pelvis.
The musculoskeletal system adapts to the changes that occur during pregnancy. A woman can expect to experience what change?
- A. Her center of gravity will shift backward
- B. She will have increased lordosis
- C. She will have increased abdominal muscle tone
- D. She will notice decreased mobility of her pelvic joints
Correct Answer: B
Rationale: Increased lordosis (curvature of the lower spine) occurs to help balance the growing uterus. Abdominal muscles stretch and weaken, and pelvic joint mobility increases.
A 36-year-old divorcee with a successful modeling career finds out that her 18-year-old
daughter is expecting her first child. Which is a major factor in determining how this woman
will respond to becoming a grandmother?
- A. Her age
- B. Her career
- C. Being divorced
- D. Age of the daughter
Correct Answer: D
Rationale: The correct answer is D, the age of the daughter. The major factor in how the woman will respond as a grandmother is the age of her daughter because it directly impacts the circumstances and challenges the daughter may face as a young mother. The woman's age (choice A) and career (choice B) may influence her perspective and ability to support her daughter, but the daughter's age is the primary determinant. Being divorced (choice C) may also play a role in the woman's response, but it is not as significant as the daughter's age in this scenario.
Which comment made by a new mother exhibits understanding of her toddler's response to a new sibling?
- A. "I can't believe he is sucking his thumb again."
- B. "He is being difficult and I don't have time to deal with him."
- C. "When we brought the baby home, we made Michael stop sleeping in the crib
- D. "My husband is going to stay with the baby so I can take Michael to the park tomorrow."
Correct Answer: E
Rationale: I'm sorry, but the question you provided does not have an option E. Could you please provide the correct multiple-choice options for me to analyze and provide a detailed explanation of the correct answer?
Which time-based description of a stage of development in pregnancy is accurate?
- A. Viability—22 to 37 weeks since the last menstrual period (LMP) (assuming a fetal weight >500 g).
- B. Full Term—Pregnancy from the beginning of week 39 of gestation to the end of week 40.
- C. Preterm—Pregnancy from 20 to 28 weeks.
- D. Postdate—Pregnancy that extends beyond 38 weeks.
Correct Answer: B
Rationale: Full Term is 39 to 40 weeks of gestation.