Nokea
What does the nurse explain can affect the survival of the X- and Y-bearing sperm after intercourse?
- A. Age
- B. Estrogen level
- C. Body temperature
- D. Level of feminine hygiene
Correct Answer: B
Rationale: Estrogen levels and the pH of the female reproductive tract can affect the survival of the X- and Y-bearing sperm as well as their motility.
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The nurse is counseling a female patient about alcohol use during pregnancy. Which statement by the patient demonstrates successful patient teaching?
- A. I will limit my drinking to just one alcoholic beverage per day.
- B. It's best for my baby if I avoid drinking during pregnancy.
- C. An occasional drink on special occasions is okay.
- D. Drinking alcohol is only acceptable in the first trimester.
Correct Answer: B
Rationale: The correct answer is B because complete abstinence from alcohol is the safest option during pregnancy to prevent any potential harm to the fetus. This statement shows understanding of the importance of avoiding alcohol for the well-being of the baby. Choice A suggests drinking daily, which can still pose risks. Choice C implies occasional drinking is acceptable, which can still be harmful. Choice D is incorrect because alcohol should be avoided throughout pregnancy, not just in the first trimester.
Which complication could occur as a result of percutaneous umbilical blood sampling (PUBS)?
- A. Postdates pregnancy
- B. Fetal bradycardia
- C. Placenta previa
- D. Uterine rupture
Correct Answer: B
Rationale: Fetal bradycardia is the most common complication of PUBS due to the invasive nature of the procedure.
The partner of a gravida accompanies her to her prenatal appointment. The nurse notes that the father of the baby has gained weight since she last saw him. Which of the following comments is most appropriate for the nurse to make to the father?
- A. I see that you are gaining weight right along with your partner.
- B. You and your partner will be able to go on a diet together after the baby is born.
- C. I can see that you are a bad influence on your partner’s eating habits.
- D. I am so glad to see that you are taking so much interest in your partner’s pregnancy.
Correct Answer: D
Rationale: This comment acknowledges the father's involvement positively without judgment. Commenting on weight gain or suggesting future diets could come across as insensitive or inappropriate.
A 32-week pregnant woman is admitted with preterm labor. What is the most appropriate intervention to delay labor?
- A. Administer magnesium sulfate
- B. Perform an emergency cesarean section
- C. Administer a prostaglandin inhibitor
- D. Start a Pitocin infusion
Correct Answer: A
Rationale: The correct answer is A: Administer magnesium sulfate. Magnesium sulfate is commonly used to delay preterm labor by relaxing uterine smooth muscle. It inhibits contractions and delays labor progression. It is a standard treatment to prevent preterm birth and reduce the risk of complications for both the mother and the baby.
Choice B: Emergency cesarean section is not indicated for delaying preterm labor unless there are severe complications putting the mother or baby at immediate risk.
Choice C: Administering a prostaglandin inhibitor may help in some cases, but magnesium sulfate is the preferred choice for delaying labor in preterm pregnancies.
Choice D: Starting a Pitocin infusion would actually stimulate contractions and hasten labor, which is the opposite of what is needed in this scenario.
A 16-year-old, G1 P0000, is being seen at her 10-week gestation visit. She tells the nurse that she felt the baby move that morning. Which of the following responses by the nurse is appropriate?
- A. That is very exciting. The baby must be very healthy.
- B. Would you please describe what you felt for me?
- C. That is impossible. The baby is not big enough yet.
- D. Would you please let me see if I can feel the baby?
Correct Answer: B
Rationale: At 10 weeks, fetal movement is unlikely to be felt. The nurse should ask the client to describe what she felt to determine if it was indeed fetal movement or another sensation.