Nokea
What factor should the nurse consider when counseling a Chinese immigrant?
- A. Many Chinese eat little protein
- B. Many Chinese believe in eating cold foods
- C. Many Chinese are prone to anemia
- D. Many Chinese believe strawberries cause birth defects
Correct Answer: D
Rationale: Cultural beliefs, such as the idea that strawberries might cause birth defects, should be considered to provide culturally sensitive care.
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Which clinical conditions are associated with increased levels of alpha-fetoprotein (AFP)? (Select all that apply.)
- A. Down syndrome
- B. Molar pregnancy
- C. Twin gestation
- D. Incorrect gestational age assessment of a normal fetus—estimation is earlier in the pregnancy
Correct Answer: C
Rationale: Elevated AFP levels are seen in multiple gestations, miscalculated gestational age, and threatened abortion.
A nurse is educating a pregnant patient about preeclampsia. Which of the following statements by the patient indicates the need for further teaching?
- A. I should report sudden swelling in my hands, face, or feet.
- B. I should monitor my blood pressure and avoid excessive salt in my diet.
- C. I should expect occasional headaches and dizziness as normal symptoms of pregnancy.
- D. I should contact my healthcare provider if I experience sudden vision changes or severe headaches.
Correct Answer: C
Rationale: Rationale: Choice C is incorrect because headaches and dizziness are not considered normal symptoms of pregnancy, especially when accompanied by other signs of preeclampsia. Preeclampsia can cause headaches and dizziness due to high blood pressure. Choices A, B, and D are correct as they highlight important signs and symptoms of preeclampsia that the patient should report to their healthcare provider promptly.
The nurse is reading an article that states that the maternal mortality rate in the United States in the year 2000 was 17. Which of the following statements would be an accurate interpretation of the statement?
- A. There were 17 maternal deaths in the United States in 2,000 per 100,000 live births.
- B. There were 17 maternal deaths in the United States in 2,000 per 100,000 women of childbearing age.
- C. There were 17 maternal deaths in the United States in 2,000 per 100,000 pregnancies.
- D. There were 17 maternal deaths in the United States in 2,000 per 100,000 women in the country
Correct Answer: A
Rationale: Maternal mortality rates are typically expressed as the number of maternal deaths per 100,000 live births. This metric focuses specifically on deaths related to pregnancy or childbirth complications among women who have given birth, making option A the correct choice. Options B, C, and D refer to broader populations or less relevant denominators, which do not align with standard definitions of maternal mortality rates.
A nurse is caring for a laboring person who is experiencing irregular contractions. What is the priority intervention to address this issue?
- A. Administer tocolytics
- B. Administer analgesics
- C. Monitor fetal heart rate
- D. Increase oxytocin infusion
Correct Answer: A
Rationale: The correct answer is A: Administer tocolytics. Tocolytics help to inhibit uterine contractions and can be used to address irregular contractions during labor. This intervention helps to prevent preterm labor and promote fetal well-being. Administering analgesics (choice B) may help with pain management but does not address the underlying issue of irregular contractions. Monitoring fetal heart rate (choice C) is important but does not directly address the irregular contractions. Increasing oxytocin infusion (choice D) would worsen the situation by further stimulating contractions. Therefore, administering tocolytics is the priority intervention to address irregular contractions during labor.
The nurse is educating a class of expectant parents about fetal development. What is considered fetal age of viability?
- A. 14 weeks
- B. 20 weeks
- C. 25 weeks
- D. 30 weeks
Correct Answer: B
Rationale: By 20 weeks of gestation, the lungs have matured enough for the fetus to survive outside the uterus (age of viability).