Nokea
The nurse is reading an article that states that the maternal mortality rate in the United States in the year 2000 was 17. Which of the following statements would be an accurate interpretation of the statement?
- A. There were 17 maternal deaths in the United States in 2,000 per 100,000 live births.
- B. There were 17 maternal deaths in the United States in 2,000 per 100,000 women of childbearing age.
- C. There were 17 maternal deaths in the United States in 2,000 per 100,000 pregnancies.
- D. There were 17 maternal deaths in the United States in 2,000 per 100,000 women in the country
Correct Answer: A
Rationale: Maternal mortality rates are typically expressed as the number of maternal deaths per 100,000 live births. This metric focuses specifically on deaths related to pregnancy or childbirth complications among women who have given birth, making option A the correct choice. Options B, C, and D refer to broader populations or less relevant denominators, which do not align with standard definitions of maternal mortality rates.
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The nurse is educating a class of expectant parents about fetal development. What is considered fetal age of viability?
- A. 14 weeks
- B. 20 weeks
- C. 25 weeks
- D. 30 weeks
Correct Answer: B
Rationale: By 20 weeks of gestation, the lungs have matured enough for the fetus to survive outside the uterus (age of viability).
The nurse is providing anticipatory guidance to a woman in her second trimester regarding signs/symptoms that are within normal limits during the latter half of the pregnancy.
- A. During the third trimester I may experience frequent urination.
- B. During the third trimester I may experience heartburn.
- C. During the third trimester I may experience nagging backaches.
- D. During the third trimester I may experience persistent headache.
Correct Answer: A
Rationale: Frequent urination, heartburn, and backaches are common during the third trimester due to the growing uterus putting pressure on the bladder and digestive system, as well as changes in posture. Persistent headaches are not normal and should be reported.
The nurse is assisting a couple to develop decisions for their birth plan. Which of the following decisions should be considered nonnegotiable by the parents?
- A. Whether or not the father will be present during labor.
- B. Whether or not the woman will have an episiotomy.
- C. Whether or not the woman will be able to have an epidural.
- D. Whether or not the father will be able to take pictures of the delivery.
Correct Answer: A
Rationale: The decision regarding the father's presence during labor is deeply personal and should respect the parents' wishes. Medical interventions like episiotomy or epidural can involve clinical judgment, but the presence of a partner is entirely up to the parents.
The nurse’s role in diagnostic testing is to provide which of the following?
- A. Advice to the couple
- B. Information about the tests
- C. Reassurance about fetal safety
- D. Assistance with decision making
Correct Answer: B
Rationale: The nurse's role is to provide all necessary information regarding a procedure to enable the couple to make an informed decision.
A pregnant woman informs the nurse that her last normal menstrual period was on September 20, 2012. Using Nagele’s rule, the nurse calculates the client’s estimated date of delivery as:
- A. May 30, 2013.
- B. June 20, 2013.
- C. June 27, 2013.
- D. July 3, 2013.
Correct Answer: C
Rationale: Using Nagele’s rule (adding 7 days to the first day of the last menstrual period, subtracting 3 months, and adding 1 year), the calculated EDD is June 27, 2013.