Nokea
A pregnant woman tells the nurse-midwife, 'I've heard that if I eat certain foods during my pregnancy, the baby will be a boy.' The nurse-midwife should explain that this is a myth, and that the sex of the baby is determined at what time?
- A. At the time of ejaculation
- B. At the time of fertilization
- C. At the time of implantation
- D. At the time of differentiation
Correct Answer: B
Rationale: The sex of a baby is determined at fertilization. Sperm cells carry either an X or Y chromosome, while the ovum only carries an X chromosome. If the sperm contributes an X chromosome, the baby will be female, and if it contributes a Y chromosome, the baby will be male.
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A pregnant client asks about the purpose of an ultrasound at 20 weeks' gestation. What is the best response?
- A. To confirm pregnancy viability.
- B. To check for genetic abnormalities.
- C. To assess fetal anatomy and growth.
- D. To determine the sex of the baby.
Correct Answer: C
Rationale: The 20-week ultrasound is primarily for assessing fetal anatomy, growth, and development.
The nurse is educating a client about exercises during pregnancy. What activity should be avoided?
- A. Swimming.
- B. Walking.
- C. Contact sports.
- D. Prenatal yoga.
Correct Answer: C
Rationale: Contact sports pose a risk of trauma to the mother and fetus and should be avoided during pregnancy.
Which of the following serve as maternal risk factors juice to having a baby who may suffer from birth trauma?
- A. Take her supplement after a meal Select all that apply.
- B. Take her supplement with full glass of tea
- C. Term delivery
- D. Scheduled cesarean delivery
Correct Answer: D
Rationale: Scheduled cesarean delivery serves as a maternal risk factor juice to having a baby who may suffer from birth trauma. Cesarean deliveries, especially scheduled ones without a medical indication, can increase the risk of birth trauma for the baby compared to a vaginal delivery. Birth trauma in infants can include injuries like bruises, fractures, and head trauma due to various factors during the delivery process. It is important to weigh the risks and benefits of delivery methods in consultation with healthcare providers to minimize the chances of birth trauma.
Medication that are contraindicated for management of PPH include SATA (Cytotec, Hemabate, Pitocin, Methergine all for PPH)
- A. Terbutaline (for preterm labor)
- B. Magnesium sulfate
- C. Methergine
- D. Pitocin
Correct Answer: A
Rationale: Terbutaline is used for the management of preterm labor, not postpartum hemorrhage (PPH). The medication that are contraindicated for the management of PPH include Cytotec, Hemabate, Pitocin, and Methergine. Terbutaline is not typically used for PPH as it is mainly utilized to delay preterm labor contractions and prevent premature birth.
What immediate action should a nurse take for a mother reporting a severe headache postpartum?
- A. Administer analgesics and monitor blood pressure
- B. Encourage the mother to rest
- C. Apply a cold compress to the mother's head
- D. Notify the healthcare provider immediately
Correct Answer: D
Rationale: A severe headache postpartum can indicate preeclampsia or other serious conditions requiring immediate action.