Nokea
The nurse is educating a pregnant patient on the importance of prenatal vitamins. Which statement by the patient indicates the need for further teaching?
- A. Prenatal vitamins will help ensure my baby is getting the nutrients it needs.
- B. I will take prenatal vitamins every day as prescribed by my doctor.
- C. I will stop taking prenatal vitamins if I feel nauseous.
- D. Prenatal vitamins should be taken throughout the entire pregnancy.
Correct Answer: C
Rationale: The correct answer is C because stopping prenatal vitamins if feeling nauseous is incorrect. Nausea is common during pregnancy, but it's important to continue taking prenatal vitamins to ensure the baby receives essential nutrients. Choices A, B, and D are correct as they emphasize the importance of prenatal vitamins for the baby's health and the need to take them daily throughout the entire pregnancy.
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The nurse is educating a pregnant patient about the signs of preterm labor. Which of the following should the nurse include in the teaching plan?
- A. Frequent, regular contractions every 10 minutes or less.
- B. Decreased fetal movement and back pain.
- C. Mild cramping and occasional vaginal spotting.
- D. Headaches and blurred vision, especially after physical activity.
Correct Answer: A
Rationale: Step 1: Frequent, regular contractions every 10 minutes or less are a key sign of preterm labor, indicating the uterus is contracting and potentially dilating prematurely.
Step 2: This pattern of contractions can lead to preterm delivery and requires immediate medical attention to prevent complications for both the mother and the baby.
Step 3: Decreased fetal movement and back pain (Option B) are not specific signs of preterm labor but can indicate other issues that need evaluation.
Step 4: Mild cramping and occasional vaginal spotting (Option C) can be normal in pregnancy and may not always indicate preterm labor.
Step 5: Headaches and blurred vision (Option D) are more indicative of conditions like preeclampsia rather than preterm labor.
Which B vitamin should a vegan supplement?
- A. B1 (thiamine)
- B. B2 (niacin)
- C. B6 (pyridoxine)
- D. B12 (cobalamin)
Correct Answer: D
Rationale: Vitamin B12 is primarily found in animal products, so vegans are at risk of deficiency and should supplement with B12.
Which is an opioid medication administered by the intrathecal or epidural route that can provide prolonged pain relief but does not interfere with movement or sensation?
- A. Meperidine
- B. Preservative-free morphine (Duramorph)
- C. Fentanyl
- D. Remifentanil
Correct Answer: B
Rationale: The correct answer is B: Preservative-free morphine (Duramorph). When administered intrathecally or epidurally, preservative-free morphine can provide prolonged pain relief by acting on opioid receptors in the spinal cord without affecting movement or sensation due to its selective action at the spinal level. Meperidine (A) is not commonly used for epidural or intrathecal administration. Fentanyl (C) and remifentanil (D) are potent opioids that may affect movement and sensation when administered via these routes.
When assessing the psychological adjustment of an 8-week gravida, which of the following would the nurse expect to see signs of?
- A. Ambivalence.
- B. Depression.
- C. Anxiety.
- D. Ecstasy.
Correct Answer: A
Rationale: Ambivalence is a common psychological response in early pregnancy as the client adjusts to the idea of being pregnant. Depression, anxiety, and ecstasy are less common at this stage.
What change occurs at the same time as quickening?
- A. Fetal heart begins to beat
- B. Lanugo covers the body
- C. Kidneys secrete urine
- D. Fingernails begin to form
Correct Answer: C
Rationale: Quickening typically coincides with the onset of fetal kidney function and urine secretion.