Nokea
To reassure and educate pregnant patients about the functioning of their kidneys in eliminating waste products, maternity nurses should be aware that:
- A. increased urinary output makes pregnant women less susceptible to urinary infection.
- B. increased bladder sensitivity and then compression of the bladder by the enlarging uterus results in the urge to urinate even if the bladder is almost empty.
- C. renal (kidney) function is more efficient when the woman assumes a supine position.
- D. using diuretics during pregnancy can help keep kidney function regular.
Correct Answer: B
Rationale: First bladder sensitivity and then compression of the bladder by the uterus result in the urge to urinate more often.
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Which government department is responsible for overseeing the administration of the WIC program?
- A. Social Security Administration
- B. Department of Health and Human Services
- C. Department of Public Health
- D. Children's Bureau
Correct Answer: B
Rationale: The WIC (Women, Infants, and Children) program is administered by the Department of Health and Human Services, which oversees public health initiatives and services.
Which comment made by a new mother to her own mother is most likely to encourage the grandmother's participation in the infant's care?
- A. "Could you help me with the housework today?"
- B. "The baby is spitting up a lot. What should I do?"
- C. "I know you are busy, so I'll get John's mother to help me
- D. “The baby has a stomachache. I’ll call the nurse to find out what to do.
Correct Answer: B
Rationale: The correct answer is B because it directly involves the grandmother in the baby's care by seeking advice and guidance. Asking for help with a specific issue shows trust and respect for the grandmother's experience. Choice A is about housework, not infant care. Choice C suggests seeking help elsewhere. Choice D involves a healthcare professional, not the grandmother.
During a patient's physical examination, the nurse notes that the lower uterine segment is soft on palpation. The nurse would document this finding as:
- A. Hegar's sign
- B. McDonald's sign
- C. Chadwick's sign
- D. Goodell's sign
Correct Answer: A
Rationale: Hegar's sign refers to the softening and compressibility of the lower uterine segment, typically occurring around 6 weeks of gestation.
During sexual intercourse, the sperm cells then enter the uterus though the and travel to the egg tubes:
- A. Cervix
- B. Fallopian tubes
- C. Ovaries
- D. Mammary glands
Correct Answer: A
Rationale: Sperm enters the uterus through the cervix and travels to the fallopian tubes to reach the egg.
Which finding is a positive sign of pregnancy?
- A. Amenorrhea
- B. Breast changes
- C. Fetal movement felt by the woman
- D. Visualization of fetus by ultrasound
Correct Answer: B
Rationale: The correct answer is B: Breast changes. During pregnancy, hormonal changes cause breast enlargement, tenderness, and darkening of the areolas. This is considered a positive sign of pregnancy because it is a direct physiological response to the hormonal changes associated with pregnancy. Amenorrhea (choice A) is a common early sign of pregnancy but can also be due to other factors. Fetal movement (choice C) and visualization of fetus by ultrasound (choice D) are considered presumptive and probable signs of pregnancy, respectively, but not definitive positive signs like breast changes.