Nokea
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.
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A patient asks the nurse when her infant’s heart will begin to pump blood. What will the nurse reply?
- A. By the end of week 3
- B. Beginning in week 8
- C. At the end of week 16
- D. Beginning in week 24
Correct Answer: A
Rationale: The fetal heart begins to pump by week 3 of gestation.
A patient in labor is undergoing an epidural block and develops hypotension. What should the nurse do first?
- A. Increase intravenous fluids
- B. Place the patient in a Trendelenburg position
- C. Administer oxygen via face mask
- D. Notify the physician immediately
Correct Answer: A
Rationale: The correct first action is to increase intravenous fluids (Choice A). This will help improve the patient's blood volume and subsequently increase blood pressure. Trendelenburg position (Choice B) is not recommended due to potential complications. Administering oxygen (Choice C) may be helpful but doesn't directly address the hypotension. Notifying the physician (Choice D) is important but addressing hypotension promptly is the priority. Increasing fluids helps address the underlying cause of hypotension in this scenario.
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.
What is the purpose of administering Rh immunoglobulin (RhIg) to a postpartum person?
- A. to prevent Rh sensitization in future pregnancies
- B. to promote lactation in the birthing person
- C. to reduce the risk of bleeding in Rh-negative pregnancies
- D. to prevent infection and promote early bonding
Correct Answer: D
Rationale: The correct answer is D: to prevent infection and promote early bonding. Rh immunoglobulin (RhIg) is given to prevent Rh sensitization in Rh-negative individuals who have given birth to an Rh-positive baby. This prevents the mother from developing antibodies that could harm future pregnancies. The other choices are incorrect because RhIg does not promote lactation (B), reduce the risk of bleeding in Rh-negative pregnancies (C), or prevent Rh sensitization in future pregnancies (A). By preventing infection, RhIg helps protect the mother's health and promotes early bonding with the newborn.
What is the primary goal of using a forceps-assisted delivery?
- A. to assist with fetal descent
- B. to provide immediate relief of shoulder dystocia
- C. to help expel the placenta
- D. to avoid unnecessary surgical interventions
Correct Answer: C
Rationale: The primary goal of using forceps in delivery is to help expel the placenta. Forceps are not typically used to assist with fetal descent, provide immediate relief of shoulder dystocia, or avoid unnecessary surgical interventions. Forceps are specifically designed to aid in the safe and efficient removal of the placenta after the baby has been delivered. This minimizes the risk of postpartum hemorrhage and other complications.