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What blood test is important for potential blood type incompatibility issues during pregnancy?
- A. complete blood count (CBC)
- B. blood glucose
- C. blood type and Rh factor
- D. blood lipid profile
Correct Answer: C
Rationale:
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The nurse is monitoring a pregnant client with severe preeclampsia. Which finding requires immediate intervention?
- A. Blood pressure of 140/90 mmHg.
- B. Urine output of 30 mL/hr.
- C. Complaints of headache and blurred vision.
- D. Weight gain of 1 pound in one week.
Correct Answer: C
Rationale: Headache and blurred vision are signs of worsening preeclampsia, indicating potential eclampsia.
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?
- A. Place the client in the lateral position.
- B. Increase the rate of maintenance IV infusion.
- C. Elevate the client's legs.
Correct Answer: A
Rationale: The priority action for a nurse to take when observing a slowing of the fetal heart rate after the start of a contraction, with the lowest rate occurring after the peak of the contraction, is to place the client in the lateral position. This position, specifically the left lateral position, can alleviate pressure on the vena cava, improve blood flow to the placenta, and help optimize fetal oxygenation. By changing the client's position, the nurse can potentially relieve the decelerations seen in the fetal heart rate and promote better oxygenation for the fetus. This intervention is effective and can be quickly implemented in a labor and delivery setting to support fetal well-being.
What population is disproportionately affected by human trafficking, particularly for sexual exploitation?
- A. older adults aged 65 and above
- B. males in their late 20s and 30s
- C. persons AFAB
- D. individuals with higher education levels
Correct Answer: C
Rationale:
The nurse is caring for a client at 38 weeks' gestation reporting decreased fetal movement. What is the priority action?
- A. Perform a nonstress test.
- B. Instruct the client to drink orange juice.
- C. Schedule an ultrasound.
- D. Notify the healthcare provider immediately.
Correct Answer: A
Rationale: A nonstress test is the first step to assess fetal well-being in cases of decreased fetal movement.
A pregnant client asks about the purpose of an ultrasound at 20 weeks' gestation. What is the best response?
- A. To confirm pregnancy viability.
- B. To check for genetic abnormalities.
- C. To assess fetal anatomy and growth.
- D. To determine the sex of the baby.
Correct Answer: C
Rationale: The 20-week ultrasound is primarily for assessing fetal anatomy, growth, and development.