Nokea
What alternative could the nurse suggest to someone practicing pica?
- A. Replace laundry starch with salt
- B. Replace ice with frozen fruit juice
- C. Replace soap with cream cheese
- D. Replace soil with uncooked pie crust
Correct Answer: B
Rationale: Replacing ice with frozen fruit juice provides a safer alternative while satisfying the craving for cold substances.
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A pregnant patient is at 24 weeks gestation and reports feeling nauseous after eating. What is the most appropriate recommendation for the nurse to make?
- A. Instruct the patient to take over-the-counter anti-nausea medications.
- B. Encourage the patient to eat smaller, more frequent meals and avoid greasy foods.
- C. Recommend the patient rest in bed to alleviate symptoms.
- D. Advise the patient to reduce fluid intake to prevent nausea.
Correct Answer: B
Rationale: The correct answer is B: Encourage the patient to eat smaller, more frequent meals and avoid greasy foods. This recommendation helps manage nausea during pregnancy by preventing the stomach from becoming too full, which can exacerbate symptoms. Eating smaller, more frequent meals helps maintain stable blood sugar levels and prevents hunger, which can trigger nausea. Avoiding greasy foods reduces the likelihood of indigestion and discomfort.
Explanation of why the other choices are incorrect:
A: Instructing the patient to take over-the-counter anti-nausea medications may not be suitable during pregnancy without consulting a healthcare provider due to potential risks to the fetus.
C: Recommending the patient to rest in bed may provide temporary relief but does not address the underlying cause of nausea and may not be practical for managing symptoms throughout the day.
D: Advising the patient to reduce fluid intake may lead to dehydration, which is particularly concerning during pregnancy. Adequate hydration is important for both the mother and the developing fetus.
A nurse is caring for a postpartum person who is experiencing a boggy uterus. What is the priority intervention?
- A. perform uterine massage
- B. encourage early ambulation
- C. assist with positioning
- D. perform a pelvic exam
Correct Answer: A
Rationale: The correct answer is A: perform uterine massage. This is the priority intervention for a boggy uterus to prevent postpartum hemorrhage by promoting uterine contraction and reducing bleeding. Uterine massage helps the uterus to firm up and expel clots. Early ambulation (B) and positioning (C) can support recovery but do not directly address the boggy uterus. Performing a pelvic exam (D) is not necessary for managing a boggy uterus and may even exacerbate bleeding.
A nurse is assessing a pregnant patient at 28 weeks gestation who reports occasional dizziness and fainting. What should the nurse assess first?
- A. The patient's blood pressure and hydration status
- B. The fetal heart rate and activity levels
- C. The patient's hemoglobin and hematocrit levels
- D. The patient's weight gain and diet history
Correct Answer: A
Rationale: The correct answer is A: The patient's blood pressure and hydration status. This is the priority because dizziness and fainting can be signs of hypotension or dehydration, which can be dangerous during pregnancy. Checking blood pressure and hydration status will help determine if these symptoms are related to these issues.
B: Assessing fetal heart rate and activity levels is important but not the priority in this scenario as the patient's symptoms are more likely related to her own health rather than the fetus.
C: Checking hemoglobin and hematocrit levels is important for assessing anemia but is not the immediate concern in a patient experiencing dizziness and fainting.
D: Weight gain and diet history are important aspects of prenatal care but are not the priority when dealing with symptoms of dizziness and fainting.
A 37-week gravid client states that she noticed a 'white liquid' leaking from her breasts during a recent shower.
- A. Advise the woman that she may have a galactocele.
- B. Encourage the woman to pump her breasts to stimulate an adequate milk supply.
- C. Assess the liquid because a breast discharge is diagnostic of a mammary infection.
- D. Reassure the mother that this is normal in the third trimester.
Correct Answer: D
Rationale: In the third trimester, colostrum production can cause a white liquid to leak from the breasts. This is a normal physiological response as the body prepares for breastfeeding.
A nurse is caring for a postpartum person with a diagnosis of uterine atony. What is the most appropriate first action to take?
- A. perform fundal massage
- B. administer a uterotonic medication
- C. perform a vaginal exam
- D. monitor vital signs
Correct Answer: A
Rationale: The correct first action is to perform fundal massage. This helps stimulate uterine contractions, which can help control bleeding due to uterine atony. The massage should be done gently but firmly to prevent further complications. Administering uterotonic medication (choice B) can be done after fundal massage. Performing a vaginal exam (choice C) can increase the risk of infection and should be avoided initially. Monitoring vital signs (choice D) is important but addressing the uterine atony should be the priority to prevent further complications.