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What is the purpose of administering Rh immunoglobulin (RhIg) to a postpartum person?
- A. to prevent Rh sensitization in future pregnancies
- B. to promote lactation in the birthing person
- C. to reduce the risk of bleeding in Rh-negative pregnancies
- D. to prevent infection and promote early bonding
Correct Answer: D
Rationale: The correct answer is D: to prevent infection and promote early bonding. Rh immunoglobulin (RhIg) is given to prevent Rh sensitization in Rh-negative individuals who have given birth to an Rh-positive baby. This prevents the mother from developing antibodies that could harm future pregnancies. The other choices are incorrect because RhIg does not promote lactation (B), reduce the risk of bleeding in Rh-negative pregnancies (C), or prevent Rh sensitization in future pregnancies (A). By preventing infection, RhIg helps protect the mother's health and promotes early bonding with the newborn.
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A patient asks the nurse when her infant’s heart will begin to pump blood. What will the nurse reply?
- A. By the end of week 3
- B. Beginning in week 8
- C. At the end of week 16
- D. Beginning in week 24
Correct Answer: A
Rationale: The fetal heart begins to pump by week 3 of gestation.
A nurse is caring for a laboring person who is experiencing irregular contractions. What is the priority intervention to address this issue?
- A. Administer tocolytics
- B. Administer analgesics
- C. Monitor fetal heart rate
- D. Increase oxytocin infusion
Correct Answer: A
Rationale: The correct answer is A: Administer tocolytics. Tocolytics help to inhibit uterine contractions and can be used to address irregular contractions during labor. This intervention helps to prevent preterm labor and promote fetal well-being. Administering analgesics (choice B) may help with pain management but does not address the underlying issue of irregular contractions. Monitoring fetal heart rate (choice C) is important but does not directly address the irregular contractions. Increasing oxytocin infusion (choice D) would worsen the situation by further stimulating contractions. Therefore, administering tocolytics is the priority intervention to address irregular contractions during labor.
A nurse is assisting a laboring person with a vacuum extraction. What is the most important nursing action to ensure a safe procedure?
- A. monitor fetal heart rate continuously
- B. prepare the person for a cesarean section
- C. monitor for signs of uterine rupture
- D. assist with positioning the person
Correct Answer: B
Rationale: The correct answer is B: prepare the person for a cesarean section. In the scenario of vacuum extraction, if there are complications or the procedure is unsuccessful, the person may need to undergo an emergency cesarean section. By preparing the person for this possibility, the nurse ensures timely intervention if needed, prioritizing the safety of both the person and the baby. Monitoring fetal heart rate continuously (A) is important but not the most crucial action in this case. Monitoring for signs of uterine rupture (C) is not directly related to vacuum extraction. Assisting with positioning (D) is important but not as critical as preparing for a potential cesarean section.
The nurse working in an outpatient obstetric office assesses four primigravid clients. Which of the client findings should the nurse highlight for the physician? Select all that apply.
- A. 17 weeks’ gestation; denies feeling fetal movement.
- B. 24 weeks’ gestation; fundal height at the umbilicus.
- C. 27 weeks’ gestation; salivates excessively.
- D. 34 weeks’ gestation; experiences uterine cramping.
Correct Answer: A
Rationale: Denial of fetal movement at 17 weeks and uterine cramping at 34 weeks are concerning findings that should be highlighted for further evaluation. Fundal height at the umbilicus at 24 weeks and excessive salivation at 27 weeks are within normal limits.
Put the embryonic/fetal characteristics in the correct order of occurrence from week 3 to week 36 of gestation. Put a comma and space between each answer choice (a, b, c, d, etc.)
- A. Subcutaneous fat is present.
- B. Bone marrow forms blood cells.
- C. Spinal cord and brain appear.
- D. Skull and jaw ossify.
Correct Answer: C
Rationale: Primitive spinal cord and brain appear at 3 weeks. Neural tube closes at 4 weeks. Skull and jaw ossify at 6 weeks. Spleen stops forming blood cells and bone marrow takes over at 29 weeks. Subcutaneous fat is present at 36 weeks. This sequence reflects the chronological progression of key developmental milestones.