Nokea
What is folic acid thought to decrease the incidence of in fetal development?
- A. Structural heart defects
- B. Craniofacial deformities
- C. Limb deformities
- D. Neural tube defects
Correct Answer: D
Rationale: Folic acid reduces the incidence of neural tube defects such as spina bifida and anencephaly.
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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 does the nurse explain as the most likely cause of this symptom?
- A. Supine hypotension syndrome
- B. Gestational diabetes
- C. Pregnancy-induced hypertension
- D. Malnutrition
Correct Answer: A
Rationale: Supine hypotension syndrome occurs when lying on the back, causing dizziness due to aortocaval compression.
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 would the nurse explain as the cause of Chadwick's sign?
- A. Enlargement of the uterus
- B. Progesterone action on the breasts
- C. Increasing activity of the fetus
- D. Vascular congestion in the pelvic area
Correct Answer: D
Rationale: Chadwick's sign is caused by increased vascular congestion in the cervical and vaginal area.
What lab test can the nurse anticipate the physician will order?
- A. Endovaginal ultrasound
- B. Pap test
- C. Complete blood count
- D. Hemoglobin electrophoresis
Correct Answer: D
Rationale: Hemoglobin electrophoresis identifies sickle cell trait or disease, indicated by a family history.