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The nurse reminds the prenatal patient that she should add kcal to her daily intake to nourish the fetus.
Correct Answer: 300
Rationale: The recommended dietary intake increase is 300 kcal a day.
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What is the nurse's best response?
- A. You may notice the baby moving around the 4th or 5th month.'
- B. Quickening varies with every woman.'
- C. You'll feel something by the end of the first trimester.'
- D. The baby will be big enough for you to feel in your 8th month.'
Correct Answer: A
Rationale: Quickening, fetal movement felt by the mother, is first perceived at 16 to 20 weeks of gestation.
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.
What is the most appropriate nursing intervention?
- A. Provide the rubella vaccine as ordered by the physician immediately.
- B. Inform the woman she should receive the vaccine in the hospital after delivery.
- C. Hold all immunizations until 1 month postpartum.
- D. Encourage the patient to decide whether or not to get the rubella vaccine prenatally.
Correct Answer: B
Rationale: The rubella vaccine is contraindicated during pregnancy and should be given post-delivery.
What nursing interventions are appropriate for the prenatal patient in terms of prenatal care?
- A. Offer nutritional counseling.
- B. Reinforce responsibility of parenthood.
- C. Reduce risk factors.
- D. Improve health practices.
- E. Make financial arrangements for delivery.
Correct Answer: A,B,C,D
Rationale: Nutritional counseling, reinforcing parenthood responsibilities, reducing risk factors, and improving health practices are goals of prenatal care.
What is Chadwick's sign?
- A. Bluish or purplish discoloration of the vulva, vagina, and cervix
- B. Presence of early fetal movements
- C. Darkening of the areola and breast tenderness
- D. Palpation of the fetal outline
Correct Answer: A
Rationale: Chadwick's sign is the purplish or bluish discoloration of the cervix, vulva, and vagina.