Nokea
The nurse is interviewing a 38-week gestation Muslim woman.
- A. Do you plan to breastfeed your baby?
- B. What do you plan to name the baby?
- C. Which pediatrician do you plan to use?
- D. How do you feel about having an episiotomy?
Correct Answer: D
Rationale: Questions about episiotomy might be culturally sensitive or inappropriate without prior discussion of preferences, especially in certain cultural contexts like Islam.
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What is true about dizygotic twins?
- A. Fertilized egg divided rapidly
- B. Two ova were expelled
- C. Share one placenta
- D. Same sex and blood type
Correct Answer: B
Rationale: Dizygotic twins result from the fertilization of two separate ova, leading to genetically distinct siblings.
What is the primary purpose of assessing cervical dilation during labor?
- A. to assess the progress of labor
- B. to identify the need for interventions
- C. to assess for complications
- D. to monitor fetal position
Correct Answer: A
Rationale: The primary purpose of assessing cervical dilation during labor is to evaluate the progress of labor. Cervical dilation indicates how far the labor has advanced and helps determine if the labor is proceeding normally. Monitoring dilation helps healthcare providers make informed decisions about the timing of interventions and the overall management of labor. It does not directly assess the need for interventions (choice B), complications (choice C), or fetal position (choice D). These factors can be assessed through other means, but the main focus of assessing cervical dilation is to track the progression of labor.
Which vitamin should be avoided in excess during pregnancy?
- A. Vitamin C
- B. Vitamin D
- C. Vitamin B2 (niacin)
- D. Vitamin B12 (cobalamin)
Correct Answer: B
Rationale: Vitamin D in excess can lead to hypercalcemia, which may harm the fetus. Other vitamins listed are generally safe when consumed in recommended amounts.
The nurse is caring for a pregnant patient who is at 32 weeks gestation and reports experiencing frequent heartburn. Which of the following interventions is most appropriate for the nurse to recommend?
- A. Lie down immediately after meals to help with digestion.
- B. Eat smaller meals more frequently throughout the day.
- C. Drink large amounts of water after meals to dilute stomach acid.
- D. Avoid eating spicy foods and take antacids regularly.
Correct Answer: B
Rationale: The correct answer is B: Eat smaller meals more frequently throughout the day. This intervention is appropriate because smaller, more frequent meals can help reduce the pressure on the stomach, decrease acid reflux, and alleviate heartburn symptoms in pregnant patients. By eating smaller meals, the pregnant patient can prevent the stomach from becoming overly full and reduce the likelihood of stomach acid regurgitating into the esophagus. This approach promotes better digestion, minimizes discomfort, and supports the overall well-being of the patient and the fetus.
Other choices are incorrect:
A: Lying down immediately after meals can worsen heartburn by allowing stomach acid to flow back into the esophagus.
C: Drinking large amounts of water after meals can further distend the stomach and exacerbate heartburn symptoms.
D: Although avoiding spicy foods and taking antacids may provide temporary relief, they do not address the root cause of the issue and may not be as effective as adopting a dietary change like eating smaller, more frequent meals
What advice should the nurse give regarding herbal supplements during pregnancy?
- A. Herbals are safe because they're natural
- B. Licorice and cat’s claw are safe
- C. The FDA has approved herbals for pregnancy
- D. Discuss everything with a healthcare provider
Correct Answer: D
Rationale: Herbal supplements may pose risks during pregnancy, and their safety is not well-established. Consulting a healthcare provider is essential.