Nokea
The nurse recognizes which behavior characteristic(s) of women in their first trimester of pregnancy?
- A. Showing off her sonogram photos
- B. Ambivalence about pregnancy
- C. Emotional and labile mood
- D. Focusing on her infant
- E. Fatigue
Correct Answer: A,B,C,E
Rationale: First trimester behaviors include showing sonogram photos, ambivalence, emotional lability, and fatigue.
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What dietary adjustments could the nurse recommend?
- A. Increase intake of organ meats.
- B. Eat more green leafy vegetables.
- C. Choose more fresh fruits, particularly citrus fruits.
- D. Include molasses and whole-grain breads in the diet.
Correct Answer: B
Rationale: Green leafy vegetables are a good source of calcium for women who do not like milk.
How frequently will the nurse assist the patient to schedule these appointments?
- A. Every 3 weeks until the 6th month, then every 2 weeks until delivery
- B. Every 4 weeks until the 7th month, after which appointments will become more frequent
- C. Monthly until the 8th month
- D. Every 2 to 3 weeks for the entire pregnancy
Correct Answer: B
Rationale: Monthly visits are scheduled up to 28 weeks, then every 2 weeks through 36 weeks, and weekly thereafter.
What is folic acid thought to decrease the incidence of in fetal development?
- A. Structural heart defects
- B. Craniofacial deformities
- C. Limb deformities
- D. Neural tube defects
Correct Answer: D
Rationale: Folic acid reduces the incidence of neural tube defects such as spina bifida and anencephaly.
What is the nurse's initial action?
- A. Assess food intake.
- B. Weigh the patient again.
- C. Take the blood pressure.
- D. Notify the physician.
Correct Answer: C
Rationale: A 10-pound weight gain in 2 weeks may indicate pre-eclampsia, so blood pressure should be assessed first.
The nurse assesses the progress from the announcement stage of fatherhood to the acceptance stage when the patient reports which actions by the father?
- A. Goes fishing every afternoon.
- B. Has revised his financial plan.
- C. Spends leisure time with his friends.
- D. Traded his sports car for a sedan.
- E. Helped select a crib.
Correct Answer: B,D,E
Rationale: Active planning, such as revising finances, trading cars, and selecting a crib, indicates the acceptance stage.