Nokea
What item represents a serving of meat?
- A. Deck of cards
- B. Paperback book
- C. Clenched fist
- D. Large tomato
Correct Answer: A
Rationale: A serving of meat is approximately the size of a deck of cards, which equates to about 3 ounces.
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What does optimal nursing care after an amniocentesis include?
- A. Pushing fluids by mouth
- B. Monitoring uterine activity
- C. Placing the patient in a supine position for 2 hours
- D. Applying a pressure dressing to the puncture site
Correct Answer: B
Rationale: Monitoring uterine activity after an amniocentesis is important to detect any contractions that may indicate complications.
The nurse is caring for a patient at 7 weeks gestation. The nurse suspects that a pregnant patient may have been using marijuana. With consent, the nurse confirms via urine drug screen. Which statement by the nurse is most appropriate?
- A. Did you smoke marijuana when pregnant with your other child?
- B. To avoid negative effects on your baby, you'll need to stop using marijuana during your last trimester.
- C. Using marijuana while pregnant can have a negative effect on the neurological development of your baby.
- D. Marijuana use while pregnant greatly increases your risk of miscarriage.
Correct Answer: C
Rationale: The correct answer is C: Using marijuana while pregnant can have a negative effect on the neurological development of your baby.
Rationale:
1. Marijuana use during pregnancy has been associated with adverse effects on the developing fetus, including potential negative impacts on neurological development.
2. The nurse's statement acknowledges the potential harm to the baby's neurological development, emphasizing the importance of avoiding marijuana during pregnancy.
3. This response focuses on providing essential information to the patient about the specific risks associated with marijuana use during pregnancy, highlighting the importance of making informed choices for the health of the baby.
Summary:
A: This choice makes assumptions about the patient's past behavior and does not provide essential information about the risks of marijuana use during pregnancy.
B: This choice focuses on the timing of stopping marijuana use rather than addressing the potential harm to the baby's neurological development.
D: This choice mentions miscarriage as a risk, which is not the primary concern associated with marijuana use during pregnancy.
The school nurse is counseling a group of adolescent girls. What does the nurse explain about sperm ejaculated near the cervix?
- A. They are destroyed by the acidic pH of the vagina.
- B. They survive up to 5 days and can cause pregnancy.
- C. They lose their motility in about 12 hours after intercourse.
- D. They are usually pushed out of the vagina by the muscular action of the vaginal wall.
Correct Answer: B
Rationale: Sperm ejaculated near the cervix can survive up to 5 days and cause pregnancy even before ovulation.
A 26-year-old pregnant woman who is 12 weeks gestation asks the nurse about the importance of folic acid. Which of the following is the best response by the nurse?
- A. Folic acid helps prevent birth defects of the spine and brain.
- B. Folic acid increases the chances of having a boy.
- C. Folic acid prevents nausea during pregnancy.
- D. Folic acid helps the placenta attach to the uterus.
Correct Answer: A
Rationale: The correct answer is A: Folic acid helps prevent birth defects of the spine and brain. Folic acid is crucial during pregnancy as it plays a key role in neural tube development, reducing the risk of neural tube defects like spina bifida. This is supported by research and guidelines.
B: Folic acid does not influence the gender of the baby, as it is determined by the father's sperm.
C: Folic acid does not directly prevent nausea during pregnancy; it is mainly for neural tube development.
D: Folic acid does not specifically help the placenta attach to the uterus; that process is regulated by other factors.
In summary, choice A is correct as it directly relates to the essential role of folic acid in preventing birth defects, while the other choices are unrelated or inaccurate in the context of folic acid's benefits during pregnancy.
The nurse is caring for a pregnant patient who is experiencing frequent contractions. The patient asks the nurse if the contractions are normal. Which response by the nurse is most appropriate?
- A. Contractions are common at this stage and are usually harmless.
- B. Frequent contractions are always a sign of labor starting.
- C. Frequent contractions may be a sign of preterm labor, and further evaluation is needed.
- D. You should drink more water to stop the contractions from happening.
Correct Answer: C
Rationale: The correct answer is C: Frequent contractions may be a sign of preterm labor, and further evaluation is needed. This response is appropriate because frequent contractions in a pregnant patient can indicate preterm labor, which requires immediate medical attention to prevent potential complications for both the mother and the baby. It is crucial to evaluate the situation to determine the cause of the contractions and take appropriate actions.
Explanation for other choices:
A: Contractions are common at this stage and are usually harmless - This is inaccurate as frequent contractions, especially in a pregnant patient, should not be dismissed as harmless without proper evaluation.
B: Frequent contractions are always a sign of labor starting - This is incorrect because frequent contractions do not always indicate the onset of labor, especially in the case of preterm labor.
D: You should drink more water to stop the contractions from happening - This is not an appropriate response as hydration may not necessarily stop contractions, especially if they are due to pre