Nokea
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.
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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.
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.
How early might fetal heart tones be detected with an electronic Doppler device?
- A. 4 weeks
- B. 8 weeks
- C. 10 weeks
- D. 14 weeks
Correct Answer: C
Rationale: The fetal heartbeat can be detected as early as 10 weeks of pregnancy using a Doppler device.
What is the nurse's initial action?
- A. Assess food intake.
- B. Weigh the patient again.
- C. Take the blood pressure.
- D. Notify the physician.
Correct Answer: C
Rationale: A 10-pound weight gain in 2 weeks may indicate pre-eclampsia, so blood pressure should be assessed first.
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.