Nokea
The vessels comprising the umbilical cord are cushioned and protected by a substance called _____________ _____________.
- A. Wharton’s jelly
- B. Endoderm
- C. jelly
- D. haploid
Correct Answer: A
Rationale: Wharton’s jelly is a gelatinous substance surrounding the blood vessels in the umbilical cord. It cushions and protects the vessels from compression and damage during pregnancy.
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Which feature would be absent in a 41-week gestation fetus?
- A. Fingernails
- B. Eyelashes
- C. Lanugo
- D. Milia
Correct Answer: C
Rationale: Lanugo, the fine hair covering the fetus, typically sheds before term, making it absent in a 41-week gestation fetus.
A patient in labor is requesting an epidural but has a history of a previous back surgery. What is the most important assessment before proceeding with the epidural?
- A. History of spinal surgery or deformity
- B. Fetal heart rate
- C. Perform a vaginal exam to assess for fetal position
- D. Administer Pitocin
Correct Answer: C
Rationale: The correct answer is C: Perform a vaginal exam to assess for fetal position. This is important because the position of the fetus can affect the safety and efficacy of administering an epidural in a patient with a history of back surgery. If the fetus is in a breech position or in any other position that could complicate the epidural placement, alternative pain management options may need to be considered.
A: History of spinal surgery or deformity is important but assessing the fetal position takes precedence in this scenario.
B: Fetal heart rate monitoring is essential during labor but not the most important assessment before proceeding with the epidural in this case.
D: Administering Pitocin is unrelated to the assessment needed before proceeding with the epidural.
A 20-year-old client states that the at-home pregnancy test that she took this morning was positive. Which of the following comments by the nurse is appropriate at this time?
- A. Congratulations, you and your family must be so happy.
- B. Have you told the baby’s father yet?
- C. How do you feel about the results?
- D. Please tell me when your last menstrual period was.
Correct Answer: C
Rationale: It is important to assess the client's emotional response to the pregnancy test result before providing further guidance or congratulations.
A pregnant patient at 30 weeks gestation is complaining of severe heartburn. What should the nurse recommend?
- A. Lie down after meals to improve digestion.
- B. Drink a large amount of water after eating.
- C. Eat smaller meals more frequently and avoid lying down after meals.
- D. Take antacids regularly to relieve heartburn.
Correct Answer: C
Rationale: The correct answer is C: Eat smaller meals more frequently and avoid lying down after meals. This is the best recommendation for the pregnant patient experiencing severe heartburn at 30 weeks gestation. Eating smaller meals more frequently can help reduce the amount of stomach acid produced, thus decreasing the likelihood of heartburn. Avoiding lying down after meals can prevent stomach acid from flowing back into the esophagus, further reducing heartburn symptoms.
Rationale for why other choices are incorrect:
A: Lying down after meals can worsen heartburn by allowing stomach acid to flow back into the esophagus.
B: Drinking a large amount of water after eating may worsen heartburn by increasing stomach pressure and pushing stomach acid back up.
D: Taking antacids regularly may provide temporary relief but is not addressing the root cause of the heartburn and may not be safe for long-term use during pregnancy.
Which of the following findings in an 8-week gestation client, G2 P1001, should the nurse highlight for the nurse midwife? Select all that apply.
- A. Body mass index of 17 kg/m².
- B. Rubella titer of 1:8.
- C. Blood pressure of 100/60 mm Hg.
- D. Hematocrit of 30%.
Correct Answer: A
Rationale: A low BMI, low rubella titer, and low hematocrit are all concerning findings that should be highlighted for further evaluation. A blood pressure of 100/60 mm Hg is within normal limits.