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The nurse is teaching a pregnant patient about signs of possible pregnancy complications. Which should the nurse include in the teaching plan? (Select all that apply.)
- A. Report watery vaginal discharge
- B. Report puffiness of the face or around the eyes.
- C. Report any bloody show when you go into labor.
- D. Report visual disturbances, such as spots before the eyes.
Correct Answer: A
Rationale: The correct answer is A: Report watery vaginal discharge. This is important as it could indicate premature rupture of membranes, which can lead to infection or preterm labor. Puffiness of the face or around the eyes (B) could be a sign of preeclampsia, not just a pregnancy complication. Bloody show during labor (C) is a normal sign of labor progression. Visual disturbances like spots (D) are more commonly associated with conditions like preeclampsia rather than general pregnancy complications.
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Which comment made by a patient in her first trimester indicates ambivalent feelings?
- A. "My body is changing so quickly."
- B. "I haven't felt well since this pregnancy began."
- C. "I'm concerned about the amount of weight I've gaine
- D. "I wanted to become pregnant, but I'm scared about being a mother."
Correct Answer: D
Rationale: The correct answer is D because the patient expresses conflicting emotions of wanting to become pregnant but feeling scared about being a mother, indicating ambivalence. Choice A indicates awareness of physical changes, not necessarily ambivalence. Choice B reflects physical discomfort, not emotional conflict. Choice C shows concern about weight gain, not conflicting feelings. Overall, D is the only option reflecting mixed emotions about pregnancy and motherhood.
What is true of family-centered care? (Select one that does not apply.)
- A. The nurse's role is to enter into a partnership with the family.
- B. The health care professionals are the primary decision makers.
- C. The family's involvement during pregnancy and birth is seen as constructive necessary for bonding and support.
- D. Families contribute their ability to accept and maintain control over the health care of family members.
Correct Answer: B
Rationale: Family-centered care emphasizes collaboration between healthcare providers and families, recognizing the family's crucial role in patient care and decision-making.
A woman is at 14 weeks of gestation. The nurse would expect to palpate the fundus at which level?
- A. Not palpable above the symphysis at this time
- B. Slightly above the symphysis pubis
- C. At the level of the umbilicus
- D. Slightly above the umbilicus
Correct Answer: B
Rationale: In normal pregnancies, the uterus grows at a predictable rate. It may be palpated above the symphysis pubis sometime between the 12th and 14th weeks of pregnancy.
The musculoskeletal system adapts to the changes that occur during pregnancy. A woman can expect to experience what change?
- A. Her center of gravity will shift backwar
- B. She will have increased lordosis.
- C. She will have increased abdominal muscle tone
- D. She will notice decreased mobility of her pelvic joints
Correct Answer: B
Rationale: The correct answer is B: She will have increased lordosis. During pregnancy, the increased weight of the growing uterus causes the center of gravity to shift forward, leading to an increased curvature of the lower back known as lordosis. This change helps to maintain balance and support the added weight.
A: Her center of gravity will shift backward - This is incorrect as the center of gravity shifts forward during pregnancy due to the growing uterus.
C: She will have increased abdominal muscle tone - This is incorrect as abdominal muscles may actually stretch and weaken during pregnancy to accommodate the growing baby.
D: She will notice decreased mobility of her pelvic joints - This is incorrect as hormonal changes during pregnancy can actually lead to increased mobility of pelvic joints to prepare for childbirth.
A client at 10 weeks gestation is being seen by the nurse. The client reports that she has nausea and vomiting each morning. Which is the nurse's best response?
- A. Drink a large glass of milk before you get out of bed.
- B. Eat crackers before you get out of bed.
- C. Eat dinner before 6:00 p.m. every night.
- D. Eat small meals during the day.
Correct Answer: B
Rationale: The correct answer is B: Eat crackers before you get out of bed. This is the best response because eating crackers before getting out of bed can help alleviate nausea and vomiting associated with morning sickness in early pregnancy. The crackers can help stabilize blood sugar levels and settle the stomach. Drinking a large glass of milk (choice A) may exacerbate nausea for some individuals. Eating dinner before 6:00 p.m. (choice C) is not directly related to morning sickness. Eating small meals during the day (choice D) is generally a good strategy, but specifically eating crackers before getting out of bed is more effective for morning sickness.