Nokea
What nursing interventions are appropriate for the prenatal patient in terms of prenatal care?
- A. Offer nutritional counseling.
- B. Reinforce responsibility of parenthood.
- C. Reduce risk factors.
- D. Improve health practices.
- E. Make financial arrangements for delivery.
Correct Answer: A,B,C,D
Rationale: Nutritional counseling, reinforcing parenthood responsibilities, reducing risk factors, and improving health practices are goals of prenatal care.
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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.
What would the nurse explain as the cause of Chadwick's sign?
- A. Enlargement of the uterus
- B. Progesterone action on the breasts
- C. Increasing activity of the fetus
- D. Vascular congestion in the pelvic area
Correct Answer: D
Rationale: Chadwick's sign is caused by increased vascular congestion in the cervical and vaginal area.
The nurse cautions the patient that, because of hormonal changes in late pregnancy, the pelvic joints relax.What does this result in?
- A. Waddling gait
- B. Joint instability
- C. Urinary frequency
- D. Back pain
- E. Aching in cervical spine
Correct Answer: A,B
Rationale: Relaxation of pelvic joints in late pregnancy causes a waddling gait and joint instability.
What dietary adjustments could the nurse recommend?
- A. Increase intake of organ meats.
- B. Eat more green leafy vegetables.
- C. Choose more fresh fruits, particularly citrus fruits.
- D. Include molasses and whole-grain breads in the diet.
Correct Answer: B
Rationale: Green leafy vegetables are a good source of calcium for women who do not like milk.
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.