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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.
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What is the most appropriate nursing intervention?
- A. Provide the rubella vaccine as ordered by the physician immediately.
- B. Inform the woman she should receive the vaccine in the hospital after delivery.
- C. Hold all immunizations until 1 month postpartum.
- D. Encourage the patient to decide whether or not to get the rubella vaccine prenatally.
Correct Answer: B
Rationale: The rubella vaccine is contraindicated during pregnancy and should be given post-delivery.
Which statement indicates that the woman understands the information?
- A. Blood pressure goes up toward the end of pregnancy.'
- B. My breathing will get deeper and a little faster.'
- C. I'll notice a decreased pigmentation in my skin.'
- D. There will be a curvature in the upper spine area.'
Correct Answer: B
Rationale: The pregnant woman breathes more deeply, and her respiratory rate may increase slightly.
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.
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 is the nurse's best response?
- A. You may notice the baby moving around the 4th or 5th month.'
- B. Quickening varies with every woman.'
- C. You'll feel something by the end of the first trimester.'
- D. The baby will be big enough for you to feel in your 8th month.'
Correct Answer: A
Rationale: Quickening, fetal movement felt by the mother, is first perceived at 16 to 20 weeks of gestation.