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What dietary adjustments could the nurse recommend?
- A. Increase intake of organ meats.
- B. Eat more green leafy vegetables.
- C. Choose more fresh fruits, particularly citrus fruits.
- D. Include molasses and whole-grain breads in the diet.
Correct Answer: B
Rationale: Green leafy vegetables are a good source of calcium for women who do not like milk.
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The nurse cautions the patient that, because of hormonal changes in late pregnancy, the pelvic joints relax.What does this result in?
- A. Waddling gait
- B. Joint instability
- C. Urinary frequency
- D. Back pain
- E. Aching in cervical spine
Correct Answer: A,B
Rationale: Relaxation of pelvic joints in late pregnancy causes a waddling gait and joint instability.
What is this woman's expected delivery date using N?¤gele's rule?
- A. 30-Apr-14
- B. 5-May-14
- C. 13-May-14
- D. 26-May-14
Correct Answer: C
Rationale: Using N?¤gele's rule, count back 3 months from August 5, 2013 (May 5, 2013), add 7 days (May 12, 2013), and adjust the year to 2014, resulting in May 12, 2014.
What is the nurse's initial action?
- A. Assess food intake.
- B. Weigh the patient again.
- C. Take the blood pressure.
- D. Notify the physician.
Correct Answer: C
Rationale: A 10-pound weight gain in 2 weeks may indicate pre-eclampsia, so blood pressure should be assessed first.
How would the nurse document the patient's obstetric history using the TPALM system?
- A. Gravida 2, para 20120
- B. Gravida 3, para 10011
- C. Gravida 3, para 10110
- D. Gravida 2, para 11110
Correct Answer: C
Rationale: The TPALM system records gravida (total pregnancies) and para (outcomes). The patient has 3 pregnancies (current, one son, one abortion), with 1 term birth, 0 preterm, 1 abortion, 1 living child, 0 multiple births.
How frequently will the nurse assist the patient to schedule these appointments?
- A. Every 3 weeks until the 6th month, then every 2 weeks until delivery
- B. Every 4 weeks until the 7th month, after which appointments will become more frequent
- C. Monthly until the 8th month
- D. Every 2 to 3 weeks for the entire pregnancy
Correct Answer: B
Rationale: Monthly visits are scheduled up to 28 weeks, then every 2 weeks through 36 weeks, and weekly thereafter.