Nokea
What is true of family-centered care? (Select one that does not apply.)
- A. The nurse's role is to enter into a partnership with the family.
- B. The health care professionals are the primary decision makers.
- C. The family's involvement during pregnancy and birth is seen as constructive necessary for bonding and support.
- D. Families contribute their ability to accept and maintain control over the health care of family members.
Correct Answer: B
Rationale: Family-centered care emphasizes collaboration between healthcare providers and families, recognizing the family's crucial role in patient care and decision-making.
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An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for the baby. What information should the nurse provide?
- A. Intercourse is safe until the third trimester.
- B. Safer sex practices should be used once the membranes rupture
- C. Intercourse should be avoided if any spotting from the vagina occurs afterward
- D. Intercourse and orgasm are often contraindicated if a history of or signs of preterm
Correct Answer: E
Rationale: As per the provided choices, none of them accurately address the safety of intercourse during pregnancy. The correct information that the nurse should provide is that intercourse is generally safe during a normal, healthy pregnancy unless advised otherwise by a healthcare provider. It is important to communicate that unless there are specific medical conditions or complications, intercourse is typically safe throughout pregnancy. Therefore, the correct answer is that the nurse should inform the expectant couple that intercourse is safe during pregnancy unless advised otherwise.
Which finding is a positive sign of pregnancy?
- A. Amenorrhea
- B. Breast changes
- C. Fetal movement felt by the woman
- D. Visualization of fetus by ultrasound
Correct Answer: B
Rationale: The correct answer is B: Breast changes. During pregnancy, hormonal changes cause breast enlargement, tenderness, and darkening of the areolas. This is considered a positive sign of pregnancy because it is a direct physiological response to the hormonal changes associated with pregnancy. Amenorrhea (choice A) is a common early sign of pregnancy but can also be due to other factors. Fetal movement (choice C) and visualization of fetus by ultrasound (choice D) are considered presumptive and probable signs of pregnancy, respectively, but not definitive positive signs like breast changes.
A first-time mother at 18 weeks of gestation comes for her regularly scheduled prenatal visit. The patient tells the nurse that she is afraid that she is going into premature labor because she is beginning to have regular contractions. The nurse explains that this is the Braxton Hicks sign and teaches the patient that this type of contraction:
- A. is painless.
- B. increases with walking.
- C. causes cervical dilation.
- D. impedes oxygen flow to the fetus.
Correct Answer: A
Rationale: The correct answer is A: is painless. Braxton Hicks contractions are practice contractions that are usually painless and irregular. They do not lead to cervical dilation or impede oxygen flow to the fetus. By educating the patient that these contractions are normal and not a cause for concern, the nurse can help alleviate the patient's fears. Choices B, C, and D are incorrect because Braxton Hicks contractions do not increase with walking, cause cervical dilation, or impact oxygen flow to the fetus. It is important for the patient to understand the difference between Braxton Hicks contractions and true labor contractions to avoid unnecessary anxiety and stress.
The fallopian tubes are:
- A. Hollow, muscular, pear-shaped organs located posterior and superior to the urinary bladder
- B. A pair of muscular tubes that extend from the left and right superior corners of the uterus to the edge of the ovaries
- C. The lower, narrow part of the uterus (womb), forming a canal that opens into the vagina, which leads to the outside of the body
Correct Answer: B
Rationale: The fallopian tubes transport eggs from the ovaries to the uterus and are the site of fertilisation.
Male infertility can be caused by:
- A. Vasectomy
- B. Low sperm count
- C. Sexual dysfunction
- D. All of the above
Correct Answer: D
Rationale: Male infertility may result from various factors, including vasectomy, low sperm count, or sexual dysfunction.