Nokea
The school nurse is counseling a group of adolescent girls. What does the nurse explain about sperm ejaculated near the cervix?
- A. They are destroyed by the acidic pH of the vagina.
- B. They survive up to 5 days and can cause pregnancy.
- C. They lose their motility in about 12 hours after intercourse.
- D. They are usually pushed out of the vagina by the muscular action of the vaginal wall.
Correct Answer: B
Rationale: Sperm ejaculated near the cervix can survive up to 5 days and cause pregnancy even before ovulation.
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What response is appropriate regarding sushi consumption during pregnancy?
- A. Fish is healthy
- B. Sushi is too salty
- C. Raw fish is high in mercury
- D. Fish should be cooked
Correct Answer: D
Rationale: Cooking fish destroys harmful bacteria and parasites, reducing the risk of foodborne illnesses during pregnancy.
The nurse asks a 31-week gestation client to lie on the examining table during a prenatal examination.
- A. Orthopneic.
- B. Lateral-recumbent.
- C. Sims'.
- D. Semi-Fowler’s.
Correct Answer: B
Rationale: The lateral-recumbent position reduces pressure on the inferior vena cava and is safer for pregnant women compared to other positions.
A woman provides the nurse with the following obstetrical history: Delivered a son, now 7 years old, at 28 weeks’ gestation; delivered a daughter, now 5 years old, at 39 weeks’ gestation; had a miscarriage 3 years ago, and had a first-trimester abortion 2 years ago. She is currently pregnant. Which of the following portrays an accurate picture of this woman’s gravidity and parity?
- A. G4 P2121.
- B. G4 P1212.
- C. G5 P1122.
- D. G5 P2211.
Correct Answer: D
Rationale: Gravidity includes all pregnancies (live births, miscarriages, abortions, and current pregnancy). Parity reflects live births. This woman has had 5 pregnancies (2 live births, 1 miscarriage, 1 abortion, and 1 current pregnancy), making her G5 P2211.
A nurse is assisting with a vaginal delivery. What is the most important nursing intervention when the fetal head begins to crown?
- A. apply gentle downward pressure
- B. perform perineal massage
- C. administer pain relief
- D. administer IV fluids
Correct Answer: A
Rationale: The correct answer is A: apply gentle downward pressure. This intervention helps prevent rapid expulsion of the baby, reducing the risk of perineal tears and minimizing maternal discomfort. It also helps control the delivery process, ensuring a safe and controlled birth.
Incorrect Choices:
B: Perineal massage is not indicated at the crowning stage as it may interfere with the natural birthing process.
C: Administering pain relief should have been addressed earlier in labor and is not a priority at this stage.
D: Administering IV fluids is important for hydration but is not the most critical intervention when the fetal head is crowning.
A pregnant person in the first stage of labor experiences rupture of membranes. What is the nurse's priority action?
- A. Administer an epidural for pain relief.
- B. Start an IV line and administer antibiotics.
- C. Document the FHR and time and characteristics of the amniotic fluid.
- D. Prepare for immediate delivery.
Correct Answer: C
Rationale: The correct answer is C because documenting the fetal heart rate (FHR) and characteristics of amniotic fluid is crucial to assess fetal well-being and monitor for signs of distress. This information helps guide further management decisions. Administering an epidural (A) is not the priority at this stage. Starting an IV line and administering antibiotics (B) may be needed later but not the immediate priority. Preparing for immediate delivery (D) is premature without assessing the fetal status first.