Nokea
The nurse receives a phone call from a pregnant person at 36 weeks’ gestation stating they have noticed some thin pink lines on the lower abdomen and wants to know if this is normal. The nurse recognizes the pregnant person is asking about what skin condition?
- A. linea nigra
- B. striae gravidarum
- C. palmar erythema
- D. pruritis
Correct Answer: B
Rationale: The correct answer is B: striae gravidarum. This skin condition consists of thin pink lines on the lower abdomen, commonly known as stretch marks, and is common during pregnancy due to rapid stretching of the skin. Linea nigra (A) is a dark line that appears vertically on the abdomen, palmar erythema (C) is redness on the palms, and pruritis (D) is itching which are not relevant to the description given.
You may also like to solve these questions
A new mother asks the nurse about the 'white substance' covering her infant. The nurse explains that the purpose of vernix caseosa is to:
- A. Protect the fetal skin from amniotic fluid.
- B. Promote normal peripheral nervous system development.
- C. Allow transport of oxygen and nutrients across the amnion.
- D. Regulate fetal temperature.
Correct Answer: A
Rationale: Vernix caseosa protects the fetal skin from prolonged exposure to amniotic fluid.
The upper uterus is the best place for the fertilized ovum to implant due to which anatomical adaptation?
- A. Maternal blood flow is lower.
- B. Placenta attaches most firmly.
- C. Uterine endometrium is softer.
- D. Developing baby is best nourishe
Correct Answer: D
Rationale: The correct answer is D because the upper uterus provides the developing baby with the best nourishment due to increased blood flow and nutrient supply. This area allows for optimal growth and development of the fetus. Maternal blood flow is higher in the upper uterus, not lower (A). While the placenta attaches firmly in the upper uterus, it is not the main reason for the implantation site (B). The uterine endometrium is softer in the lower uterus, not the upper, making choice C incorrect. In summary, the upper uterus is ideal for implantation due to increased nourishment for the developing baby, making choice D the correct answer.
The nurse works in a urologist’s office. A male patient is scheduled for routine fertility testing. For which test does the nurse refrain from making preparation?
- A. STI screening
- B. Hormonal levels
- C. Sexual functioning
- D. Ejaculate analysis
Correct Answer: C
Rationale: The correct answer is C: Sexual functioning. The nurse should refrain from making preparation for sexual functioning testing because this is not typically part of routine fertility testing. The focus of routine fertility testing for a male patient in a urologist's office would be on assessing sperm health and quality, which includes tests like semen analysis (choice D). STI screening (choice A) may be necessary to rule out any infections that could affect fertility, and hormonal levels (choice B) are important to assess the endocrine system's role in fertility. However, sexual functioning testing is not directly related to assessing fertility issues in this context.
In presenting to obstetric nurses interested in genetics, the genetic nurse identifies the primary risk(s) associated with genetic testing as:
- A. Anxiety and altered family relationships.
- B. Denial of insurance benefits.
- C. High false-positive results associated with genetic testing.
- D. Ethnic and socioeconomic disparity associated with genetic testing.
Correct Answer: B
Rationale: Some types of genetic testing are expensive and are not covered by insurance benefits.
The nurse is educating the pregnant person on the effects of the placenta hormones. What information does the nurse include in the teaching about relaxin? Select all that apply.
- A. makes the ligaments softer and more flexible
- B. helps decrease peripheral vascular resistance
- C. plays a role in the appearance of the linea nigra
- D. helps the skin stretch
Correct Answer: C
Rationale: The correct answer is C because relaxin plays a role in the appearance of the linea nigra during pregnancy. Linea nigra is a dark line that runs from the belly button to the pubic bone caused by hormonal changes. Choices A, B, and D are incorrect. Relaxin primarily affects the cervix and pelvic ligaments, making them softer and more flexible to prepare for childbirth, but it does not help decrease peripheral vascular resistance or directly aid in skin stretching.