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What information should the nurse include when planning to educate this woman?
- A. Exercise elevates the mother's temperature and improves fetal circulation.
- B. Exercise increases catecholamines, which can prevent preterm labor.
- C. A regular schedule of moderate exercise during pregnancy is beneficial.
- D. Pregnant women should limit water intake during exercise.
Correct Answer: C
Rationale: Moderate exercise several times a week is advised during pregnancy.
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What is Chadwick's sign?
- A. Bluish or purplish discoloration of the vulva, vagina, and cervix
- B. Presence of early fetal movements
- C. Darkening of the areola and breast tenderness
- D. Palpation of the fetal outline
Correct Answer: A
Rationale: Chadwick's sign is the purplish or bluish discoloration of the cervix, vulva, and vagina.
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.
What nursing interventions are appropriate for the prenatal patient in terms of prenatal care?
- A. Offer nutritional counseling.
- B. Reinforce responsibility of parenthood.
- C. Reduce risk factors.
- D. Improve health practices.
- E. Make financial arrangements for delivery.
Correct Answer: A,B,C,D
Rationale: Nutritional counseling, reinforcing parenthood responsibilities, reducing risk factors, and improving health practices are goals of prenatal care.
What recommendations would the nurse offer to alleviate this symptom?
- A. Eat three well-balanced meals per day and limit snacks.
- B. Drink a full glass of fluid at the beginning of each meal.
- C. Have crackers handy at the bedside, and eat a few before getting out of bed.
- D. Eat a bland diet and avoid concentrated sweets.
Correct Answer: C
Rationale: Eating dry toast or crackers before getting out of bed can alleviate nausea during pregnancy.
The nurse recognizes which behavior characteristic(s) of women in their first trimester of pregnancy?
- A. Showing off her sonogram photos
- B. Ambivalence about pregnancy
- C. Emotional and labile mood
- D. Focusing on her infant
- E. Fatigue
Correct Answer: A,B,C,E
Rationale: First trimester behaviors include showing sonogram photos, ambivalence, emotional lability, and fatigue.