Nokea
The nurse is educating a pregnant patient about the importance of exercise during pregnancy. Which statement by the patient indicates that the teaching has been effective?
- A. I should avoid any exercise because it could harm my baby.
- B. Moderate exercise is safe and helps prepare my body for labor.
- C. I should only exercise during the second trimester to avoid complications.
- D. I can perform any type of exercise as long as I am comfortable.
Correct Answer: B
Rationale: The correct answer is B because it acknowledges the importance of moderate exercise during pregnancy to prepare the body for labor. This shows understanding of the benefits of exercise for both the mother and baby. Choice A is incorrect as it promotes complete avoidance of exercise, which is not recommended. Choice C is incorrect because exercise is beneficial throughout pregnancy, not just in the second trimester. Choice D is incorrect because some exercises may not be safe during pregnancy, so comfort alone is not the only factor to consider.
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Of what is the normal umbilical cord comprised?
- A. 1 artery carrying blood to the fetus and 1 vein carrying blood away from the fetus
- B. 1 artery carrying blood to the fetus and 2 veins carrying blood away from the fetus
- C. 2 arteries carrying blood away from the fetus and 1 vein carrying blood to the fetus
- D. 2 arteries carrying blood to the fetus and 2 veins carrying blood away from the fetus
Correct Answer: C
Rationale: The umbilical cord is comprised of 2 arteries carrying blood away from the fetus and 1 vein carrying blood to the fetus.
A woman is planning to become pregnant. Which of the following actions should she be counseled to take before stopping birth control? Select all that apply.
- A. Take a daily multivitamin.
- B. See a medical doctor.
- C. Drink beer instead of vodka.
- D. Stop all over-the-counter medications.
Correct Answer: B
Rationale: Taking a multivitamin, consulting a doctor, and stopping potentially harmful medications are important preconception steps. Alcohol consumption should generally be minimized, but switching from vodka to beer is not a significant improvement.
A pregnant patient at 36 weeks gestation reports difficulty breathing when lying flat. What should the nurse do first?
- A. Encourage the patient to rest in a semi-reclined position or on her left side.
- B. Administer oxygen as prescribed to improve oxygenation.
- C. Monitor the fetal heart rate and assess for signs of distress.
- D. Instruct the patient to take shallow breaths and stay in bed.
Correct Answer: A
Rationale: The correct answer is A because positioning the patient in a semi-reclined or left side position can alleviate pressure on the diaphragm and improve breathing. This position helps optimize blood flow to the uterus and placenta. Encouraging rest in this position can improve oxygenation for both the mother and fetus. Administering oxygen (Choice B) may help with oxygenation but does not address the underlying issue of positional discomfort. Monitoring fetal heart rate (Choice C) is important but not the first action to address the mother's breathing difficulty. Instructing the patient to take shallow breaths and stay in bed (Choice D) does not address the positional component of the issue.
A 20-year-old client states that the at-home pregnancy test that she took this morning was positive. Which of the following comments by the nurse is appropriate at this time?
- A. Congratulations, you and your family must be so happy.
- B. Have you told the baby’s father yet?
- C. How do you feel about the results?
- D. Please tell me when your last menstrual period was.
Correct Answer: C
Rationale: It is important to assess the client's emotional response to the pregnancy test result before providing further guidance or congratulations.
A woman, 26-weeks’ gestation, calls the triage nurse stating, 'I’m really scared. I tried not to but I had an orgasm when we were making love. I just know that I will go into preterm labor now.'
- A. Lie down and drink a quart of water. If you feel any back pressure at all call me back right away.
- B. Although oxytocin was responsible for your orgasm it is very unlikely that it will stimulate preterm labor.
- C. I will inform the doctor for you. What I want you to do is to come to the hospital right now to be checked.
- D. The best thing for you to do right now is to take a warm shower and then do a fetal kick count assessment.
Correct Answer: B
Rationale: Oxytocin released during orgasm does not typically trigger preterm labor. Reassurance is appropriate unless there are other risk factors present.