Nokea
What lab test can the nurse anticipate the physician will order?
- A. Endovaginal ultrasound
- B. Pap test
- C. Complete blood count
- D. Hemoglobin electrophoresis
Correct Answer: D
Rationale: Hemoglobin electrophoresis identifies sickle cell trait or disease, indicated by a family history.
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The nurse reminds the prenatal patient that she should add kcal to her daily intake to nourish the fetus.
Correct Answer: 300
Rationale: The recommended dietary intake increase is 300 kcal a day.
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.
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 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.
A woman who is 36 weeks pregnant tells the nurse she plans to take a 12-hour flight to Hawaii.What would the nurse recommend that the patient do during the flight?
- A. Wear tight-fitting clothing to promote venous return.
- B. Eat a large meal before boarding the flight.
- C. Request a seat with greater leg room.
- D. Drink at least 4 ounces of water every hour.
- E. Get up and walk around the plane frequently.
Correct Answer: C,D,E
Rationale: Adequate hydration, frequent position changes, and movement reduce the risk of thromboembolism.