Nokea
Transvaginal ultrasonography is often performed during the first trimester. What conditions may require this test? (Select all that apply.)
- A. Multifetal gestation
- B. Bicornuate uterus
- C. Presence and location of pregnancy
- D. Amniotic fluid volume
Correct Answer: C
Rationale: Transvaginal ultrasound is used to confirm fetal viability, assess multiple gestations, and check for uterine abnormalities.
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A father experiencing couvade syndrome is likely to exhibit which of the following symptoms/behaviors? Select all that apply.
- A. Heartburn.
- B. Promiscuity.
- C. Hypertension.
- D. Bloating.
Correct Answer: C
Rationale: Couvade syndrome involves sympathetic pregnancy symptoms in fathers, such as heartburn, bloating, and abdominal discomfort. Promiscuity is not typically associated with this condition.
The nurse is caring for a 23-year-old patient who arrives at the clinic for a pregnancy test. The test confirms the patient is pregnant. The patient states, 'I do not need to stop smoking my electronic cigarette because it will not harm my baby.' Which is the best response by the nurse?
- A. You are correct. Electronic cigarettes are not harmful during pregnancy.
- B. Tobacco products, including electronic cigarettes, should not be used during pregnancy due to risking nicotine toxicity.
- C. According to the FDA, although electronic cigarettes are safe for you, they can cause harm to the fetus during pregnancy.
- D. Electronic cigarettes are considered harmful only in the first trimester.
Correct Answer: B
Rationale: The correct answer is B: Tobacco products, including electronic cigarettes, should not be used during pregnancy due to risking nicotine toxicity.
Rationale:
1. Nicotine from electronic cigarettes can cross the placenta, affecting fetal development.
2. Nicotine exposure during pregnancy is associated with adverse outcomes like low birth weight and preterm birth.
3. The best practice during pregnancy is to avoid all tobacco products, including electronic cigarettes.
Summary:
A: Incorrect. Electronic cigarettes can harm the fetus due to nicotine exposure.
C: Incorrect. FDA does not consider electronic cigarettes safe during pregnancy.
D: Incorrect. Harm from electronic cigarettes is not limited to the first trimester.
Which foods should the nurse suggest for improving folic acid intake?
- A. Potatoes and grapes
- B. Cranberries and squash
- C. Apples and corn
- D. Oranges and spinach
Correct Answer: D
Rationale: Oranges and spinach are rich in folic acid, which is crucial for preventing neural tube defects during pregnancy.
During a prenatal visit, a gravid client is complaining of ptyalism. Which of the following nursing interventions is appropriate?
- A. Encourage the woman to brush her teeth carefully.
- B. Advise the woman to have her blood pressure checked regularly.
- C. Encourage the woman to wear supportive hosiery.
- D. Advise the woman to avoid eating rare meat.
Correct Answer: A
Rationale: Ptyalism (excessive salivation) can lead to oral hygiene issues, so encouraging careful tooth brushing is appropriate. Blood pressure checks, wearing supportive hosiery, and avoiding rare meat address other concerns but are unrelated to ptyalism.
Which food is best for constipation relief?
- A. Pasta
- B. Rice
- C. Yogurt
- D. Celery
Correct Answer: D
Rationale: Celery is high in fiber and water, making it an effective choice for relieving constipation.