Nokea
The nurse is teaching a woman how to use her basal body temperature (BBT) pattern as a tool to assist her in conceiving a child. Which temperature pattern indicates the occurrence of ovulation, and therefore, the best time for intercourse to ensure conception?
- A. Between the time the temperature falls and rises
- B. Between 36 and 48 hours after the temperature rises
- C. When the temperature falls and remains low for 36 hours
- D. Within 72 hours before the temperature falls
Correct Answer: A
Rationale: In most women, the BBT drops slightly 24 to 36 hours before ovulation and rises 24 to 72 hours after ovulation, when the corpus luteum of the ruptured ovary produces progesterone. Therefore, intercourse between the time of the temperature fall and rise (A) is the best time for conception.
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A client at 39-weeks gestation is admitted to the labor and delivery unit in active labor. The client's cervix is dilated 5 cm, 90% effaced, and the fetus is at 0 station. The client's membranes rupture spontaneously, and the fluid is greenish-brown. What action should the nurse take first?
- A. Assess the fetal heart rate pattern.
- B. Perform a vaginal examination.
- C. Prepare for an emergency cesarean section.
- D. Administer oxygen via face mask.
Correct Answer: A
Rationale: Greenish-brown amniotic fluid indicates meconium-stained fluid, and assessing the fetal heart rate pattern is critical to determine fetal well-being.
At the present time, which agency governs surrogate parenting?
- A. State law
- B. Federal law
- C. Individual court decision
- D. Protective child services
Correct Answer: C
Rationale: Surrogacy cases are decided individually in court, as there is no overarching state or federal law governing surrogacy.
Which guidance related to a healthy diet during pregnancy will the nurse provide to a patient in her 1st trimester?
- A. Every day you need to have at least 6 ounces of protein from sources such as meat, fish, eggs, beans, nuts, soybean products, and tofu.'
- B. High-dose vitamin A supplements will promote optimal vision while preventing a common cause of blindness in neonates.'
- C. Meals such as sushi with a cold deli salad made with raw sprouts combine high-fiber foods with protein sources to meet multiple nutritional needs.'
- D. Vitamin and mineral supplements can meet your nutrient needs if you have inadequate intake because of nausea or a sensation of fullness.'
Correct Answer: A
Rationale: Step 1: During pregnancy, protein is essential for the growth and development of the fetus, making option A correct.
Step 2: The other options are incorrect due to potential risks. High-dose vitamin A (Option B) can be harmful to the fetus.
Step 3: Consuming raw sprouts (Option C) poses a risk of foodborne illness, which can be dangerous during pregnancy.
Step 4: Relying solely on supplements (Option D) is not recommended as they may not provide all the necessary nutrients found in whole foods.
In summary, option A is correct as it emphasizes the importance of protein intake during pregnancy, while the other options pose potential risks or limitations in meeting nutritional needs.
Which is the most important reason for evaluating the pattern of weight gain in pregnancy?
- A. Prevents excessive adipose tissue deposits
- B. Determines cultural influences on the woman's diet
- C. Assesses the need to limit caloric intake in obese women
- D. Identifies potential nutritional problems or complications of pregnancy
Correct Answer: D
Rationale: The correct answer is D because evaluating the pattern of weight gain in pregnancy helps identify potential nutritional problems or complications. Monitoring weight gain can indicate if the woman is receiving adequate nutrition for fetal development, detect issues like gestational diabetes or pre-eclampsia, and ensure overall maternal and fetal health.
Incorrect choice analysis:
A: Preventing excessive adipose tissue deposits is important, but the primary reason for evaluating weight gain in pregnancy is to identify nutritional problems and complications.
B: Cultural influences on diet are relevant but not the most important reason for evaluating weight gain.
C: Limiting caloric intake in obese women is important, but evaluating weight gain is more about ensuring proper nutrition and detecting complications rather than focusing solely on caloric restriction.
ATI Maternal Newborn
- A. Teach the patient about MyPlate.
- B. Review the patient's current dietary intake.
- C. Instruct the patient to limit the intake of fatty foods.
- D. Caution the patient to avoid large doses of vitamins, especially those that are fat-soluble.
Correct Answer: B
Rationale: The correct answer is B because reviewing the patient's current dietary intake provides crucial information on their nutrition status and helps identify any deficiencies or excesses. This step allows for personalized dietary recommendations tailored to the patient's specific needs.
A: Teaching about MyPlate is a general recommendation but does not address the individual patient's dietary requirements.
C: Instructing to limit fatty foods is a generic recommendation and may not be appropriate for every patient.
D: Cautioning against large doses of fat-soluble vitamins is important, but it is not the initial step in assessing the patient's overall dietary intake.