Nokea
The nurse is educating a pregnant patient on the importance of prenatal care. Which statement by the patient indicates the need for further teaching?
- A. Prenatal visits are important to monitor my baby's growth and development.
- B. Prenatal care helps to identify any complications early on.
- C. I will only need to see the doctor once during my pregnancy if everything goes well.
- D. Regular prenatal visits help ensure that I am maintaining good health during pregnancy.
Correct Answer: C
Rationale: The correct answer is C because it suggests a misconception that the patient only needs to see the doctor once during pregnancy. This is incorrect as prenatal care involves multiple visits to monitor both the mother's and baby's health. A: Correct - Prenatal visits monitor baby's growth. B: Correct - Early detection of complications is crucial. D: Correct - Regular visits ensure the mother's health. C: Incorrect - Seeing the doctor only once is inadequate prenatal care and can lead to missed opportunities for early intervention.
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The nurse notes each of the following findings in a 10-week gestation client. Which of the findings would enable the nurse to tell the client that she is positively pregnant?
- A. Fetal heart rate via Doppler.
- B. Positive pregnancy test.
- C. Positive Chadwick’s sign.
- D. Montgomery gland enlargements.
Correct Answer: A
Rationale: A fetal heart rate detected via Doppler is a positive sign of pregnancy. A positive pregnancy test, Chadwick’s sign, and Montgomery gland enlargements are probable signs but not definitive.
Which food can a lactose-intolerant pregnant woman consume for calcium?
- A. Turnip greens
- B. Green beans
- C. Cantaloupe
- D. Nectarines
Correct Answer: A
Rationale: Turnip greens are rich in calcium, making them a suitable alternative for lactose-intolerant individuals.
The nurse is providing prenatal education to a pregnant patient at 20 weeks gestation. Which of the following actions should the nurse prioritize?
- A. Assessing the patient for signs of gestational hypertension.
- B. Encouraging the patient to avoid all forms of exercise.
- C. Reviewing newborn care practices and breastfeeding options.
- D. Discussing the signs and symptoms of preterm labor.
Correct Answer: D
Rationale: The correct answer is D: Discussing the signs and symptoms of preterm labor. This is crucial at 20 weeks gestation as preterm labor can occur. By educating the patient on the signs and symptoms, the nurse can empower her to recognize and seek prompt medical attention if needed. Assessing for gestational hypertension (A) is important but typically done later in pregnancy. Encouraging avoidance of all forms of exercise (B) is not recommended as moderate exercise is beneficial during pregnancy. Reviewing newborn care practices and breastfeeding options (C) is important but not the priority at this stage.
The nurse who will care for a patient in labor receives a report and is told that the patient's status is as follows: 4 cm, 50%, and +1 station. What should be the nurse's interpretation of this information?
- A. The cervix is effaced 4 cm, is dilated to 50%, and is 1 cm below the ischial spines.
- B. The cervix is dilated 4 cm, is effaced to 50%, and is 1 cm above the ischial spines.
- C. The cervix is dilated 4 cm, is effaced to 50%, and is 1 cm below the ischial spines.
- D. The cervix is effaced 4 cm, is dilated to 50%, and is 1 cm above the ischial spines.
Correct Answer: C
Rationale: The correct interpretation is C because in labor progress, cervical dilation (4 cm) refers to how much the cervix has opened, effacement (50%) indicates the thinning of the cervix, and station (+1) describes the descent of the baby's head in relation to the ischial spines. Therefore, the nurse should understand that the cervix is dilated 4 cm, effaced 50%, and the baby's head is 1 cm below the ischial spines, which is indicative of progressing labor.
Choice A is incorrect because it incorrectly describes the station as being 1 cm below the ischial spines instead of above. Choice B is incorrect as it inaccurately states that the cervix is effaced to 50% rather than dilated. Choice D is incorrect because it states that the cervix is effaced 4 cm, which is not a correct representation of effacement.
A nurse is caring for a pregnant patient at 32 weeks gestation who is experiencing severe leg cramps. What is the nurse's most appropriate intervention?
- A. Encourage the patient to perform gentle stretching exercises and elevate the legs.
- B. Instruct the patient to take calcium supplements to prevent cramps.
- C. Apply heat or cold packs to the affected area to reduce pain.
- D. Administer pain medications to alleviate discomfort.
Correct Answer: A
Rationale: The correct answer is A because gentle stretching exercises help relieve muscle tension and improve circulation, alleviating leg cramps. Elevating the legs can also help reduce swelling and promote blood flow. Choice B is incorrect because while calcium is essential for muscle function, it is not the primary intervention for acute leg cramps. Choice C may provide temporary relief but does not address the underlying cause of the cramps. Choice D should be avoided in pregnancy unless absolutely necessary due to potential risks to the fetus.