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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.
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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.
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 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.
How does the need for prenatal care and counseling for adolescents differ from other age populations?
- A. A pregnant adolescent is experiencing two major life transitions at the same time.
- B. Adolescents who get pregnant are more likely to have other chronic health problems.
- C. Adolescents are at greater risk for multifetal pregnancies.
- D. At this age, a pregnant adolescent will accept the nurse's advice.
Correct Answer: A
Rationale: The pregnant adolescent must cope with adolescence and parenthood simultaneously.
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.