The partner of a gravida accompanies her to her prenatal appointment. The nurse notes that the father of the baby has gained weight since she last saw him. Which of the following comments is most appropriate for the nurse to make to the father?
- A. I see that you are gaining weight right along with your partner.
- B. You and your partner will be able to go on a diet together after the baby is born.
- C. I can see that you are a bad influence on your partner’s eating habits.
- D. I am so glad to see that you are taking so much interest in your partner’s pregnancy.
Correct Answer: D
Rationale: This comment acknowledges the father's involvement positively without judgment. Commenting on weight gain or suggesting future diets could come across as insensitive or inappropriate.
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The component of development that programs the genetic code into the nucleus of the cell is ____________.
- A. DNA
- B. Plastoderm
- C. haploid
- D. Endoderm
Correct Answer: A
Rationale: DNA (deoxyribonucleic acid) contains the genetic instructions used in the development and functioning of all living organisms. It programs the genetic code into the nucleus of the cell for replication and expression.
A nurse midwife has advised a 39-week gestation gravid to take evening primrose oil 2,500 mg daily as a complementary therapy. This suggestion was made because evening primrose has been shown to perform which of the following actions?
- A. Relieve back strain.
- B. Improve development of colostrum.
- C. Ripen the cervix.
- D. Reduce the incidence of hemorrhoids.
Correct Answer: C
Rationale: Evening primrose oil is believed to help ripen the cervix in preparation for labor. It is not typically used to relieve back strain, improve colostrum development, or reduce hemorrhoids.
The nurse is caring for a pregnant patient who is concerned about preterm labor. Which of the following symptoms should the nurse instruct the patient to report immediately?
- A. Mild back pain and cramping
- B. Feeling of pelvic pressure
- C. Leaking of clear fluid from the vagina
- D. Increased fatigue during the day
Correct Answer: C
Rationale: The correct answer is C: Leaking of clear fluid from the vagina. This symptom could indicate premature rupture of membranes, which is a serious concern in preterm labor. Prompt reporting is crucial to prevent complications. A: Mild back pain and cramping are common in pregnancy and may not necessarily indicate preterm labor. B: Feeling of pelvic pressure can be normal in the third trimester. D: Increased fatigue is common in pregnancy and not a direct sign of preterm labor.
The nurse is assessing a pregnant patient who is 30 weeks gestation and reports severe lower back pain. What is the most appropriate intervention for the nurse to recommend?
- A. Instruct the patient to lie flat on her back to relieve pain.
- B. Encourage the patient to perform gentle stretching exercises and maintain good posture.
- C. Encourage the patient to rest in bed and avoid any physical activity.
- D. Recommend taking over-the-counter pain medication to alleviate discomfort.
Correct Answer: B
Rationale: The correct answer is B: Encourage the patient to perform gentle stretching exercises and maintain good posture. This option promotes active management of lower back pain in pregnancy by improving muscle strength and flexibility, reducing strain on the back. Stretching exercises can help alleviate discomfort and improve posture, which are important for managing back pain during pregnancy. Option A is incorrect as lying flat on the back is contraindicated in pregnancy due to the risk of supine hypotensive syndrome. Option C is incorrect as complete bed rest is not recommended for back pain management. Option D is incorrect as over-the-counter pain medication should be used judiciously during pregnancy and is not the first-line intervention for managing back pain.
A client is 35 weeks’ gestation.
- A. Nausea and vomiting.
- B. Maternal ambivalence.
- C. Fundal height 10 cm above the umbilicus.
- D. Use of three pillows for sleep comfort.
Correct Answer: D
Rationale: Using multiple pillows for sleep comfort is common in late pregnancy due to discomfort from the growing uterus. Nausea and vomiting are more common in early pregnancy, and maternal ambivalence is not specific to this stage.