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What is the nurse's first action?
- A. Ask if the patient has taken a sedative.
- B. Notify the physician.
- C. Turn the patient to her right side.
- D. Record the rate as a normal finding.
Correct Answer: D
Rationale: The FHR at term ranges from 110 to 120 beats/minute to 150 to 160 beats/minute, so 120 beats/minute is normal and should be recorded.
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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.
The nurse cautions the patient that, because of hormonal changes in late pregnancy, the pelvic joints relax.What does this result in?
- A. Waddling gait
- B. Joint instability
- C. Urinary frequency
- D. Back pain
- E. Aching in cervical spine
Correct Answer: A,B
Rationale: Relaxation of pelvic joints in late pregnancy causes a waddling gait and joint instability.
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 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.
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.