Nokea
What alternative vitamin C source should the nurse suggest?
- A. Barley and brown rice
- B. Strawberries and potatoes
- C. Buckwheat and lentils
- D. Wheat flour and figs
Correct Answer: B
Rationale: Strawberries and potatoes are excellent sources of vitamin C, providing alternatives to citrus fruits.
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Which statement accurately describes the importance of birthing person position changes during the second stage of labor?
- A. Position changes have an impact on fetal descent.
- B. Position changes can lead to support person stress.
- C. Fetal descent is solely determined by uterine contractions.
- D. Maintaining a supine position is the safest option.
Correct Answer: A
Rationale: The correct answer is A because position changes during the second stage of labor can indeed impact fetal descent. Different positions such as upright, squatting, or on hands and knees can help utilize gravity to aid in the descent of the baby through the birth canal. This can potentially speed up labor and reduce the risk of complications.
Explanation of why the other choices are incorrect:
B: Position changes are not intended to lead to support person stress, but rather to optimize the birthing process.
C: Fetal descent is influenced by a combination of factors, including uterine contractions and maternal positioning.
D: Maintaining a supine position is not always the safest option as it can compress blood vessels, potentially reducing blood flow to the baby.
A pregnant patient at 34 weeks gestation is experiencing heartburn. Which of the following is the nurse's most appropriate recommendation?
- A. Take antacids regularly to manage heartburn.
- B. Lie down immediately after meals to aid digestion.
- C. Eat small, frequent meals and avoid spicy or greasy foods.
- D. Avoid drinking fluids during meals to prevent heartburn.
Correct Answer: C
Rationale: Rationale: Option C is the most appropriate recommendation because eating small, frequent meals and avoiding spicy or greasy foods can help reduce heartburn during pregnancy. Large meals can exacerbate heartburn, so smaller meals are easier to digest. Spicy and greasy foods can also trigger heartburn. Options A, B, and D are not recommended for managing heartburn during pregnancy. Taking antacids regularly can lead to potential risks for the developing fetus. Lying down immediately after meals can worsen heartburn due to increased intra-abdominal pressure, and avoiding fluids during meals may not necessarily prevent heartburn.
A nurse is assessing a postpartum person's pain level following a cesarean section. What is the most appropriate intervention for pain management?
- A. administer IV fluids
- B. administer narcotics
- C. perform gentle uterine massage
- D. perform gentle fundal massage
Correct Answer: C
Rationale: The correct answer is C: perform gentle uterine massage. This intervention is appropriate as it helps to stimulate uterine contractions, which can reduce postpartum bleeding and pain. Uterine massage also helps to promote involution of the uterus, aiding in the recovery process. Administering IV fluids (A) may be necessary but does not directly address pain management. Administering narcotics (B) may provide pain relief but should be used judiciously due to potential side effects. Performing gentle fundal massage (D) is not recommended as it may cause discomfort and is not as effective in managing post-cesarean pain compared to uterine massage.
What change occurs at the same time as quickening?
- A. Fetal heart begins to beat
- B. Lanugo covers the body
- C. Kidneys secrete urine
- D. Fingernails begin to form
Correct Answer: C
Rationale: Quickening typically coincides with the onset of fetal kidney function and urine secretion.
The results of a contraction stress test (CST) are positive. Which intervention is necessary based on this test result?
- A. Repeat the test in 1 week so that results can be trended based on this baseline result.
- B. Contact the health care provider to discuss birth options for the patient.
- C. Send the patient out for a meal and repeat the test to confirm that the results are valid.
- D. Ask the patient to perform a fetal kick count assessment for the next 30 minutes and then reassess the patient.
Correct Answer: B
Rationale: A positive CST is an abnormal finding that may indicate fetal compromise, requiring immediate discussion of birth options.