Nokea
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.
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At what age is a woman who becomes pregnant for the first time described as an 'elderly primip'?
- A. After 25 years old
- B. After 28 years old
- C. After 30 years old
- D. After 35 years old
Correct Answer: D
Rationale: A woman over 35 who becomes pregnant for the first time is described as an 'elderly primip.'
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.
At what gestational age can the fetal heartbeat be auscultated with a specially adapted stethoscope or fetoscope?
- A. 4 weeks
- B. 12 weeks
- C. 18 weeks
- D. 24 weeks
Correct Answer: C
Rationale: The fetal heartbeat can be heard with a fetoscope between the 18th and 20th weeks of pregnancy.
What is the appropriate term for this sign?
- A. Chadwick's
- B. Hegar's
- C. McDonald's
- D. Goodell's
Correct Answer: D
Rationale: Goodell's sign describes a softened cervix and vagina, a probable sign of 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.