Nokea
What should a nurse instruct the patient to do before assessing fundal height?
- A. Press her lower back against the examination table.
- B. Empty her bladder.
- C. Take a deep breath and hold it.
- D. Bear down.
Correct Answer: B
Rationale: The bladder should be emptied before the measurement of the fundal height.
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The nurse assesses a reactive result to a nonstress test when the fetal heart rate increases ___ beats/min.
Correct Answer: 15
Rationale: The reactive criterion is that the fetal heart rate will increase 15 beats/min when stimulated in the nonstress test.
A patient has been diagnosed with a tubal pregnancy. What is the typical outcome of a tubal pregnancy?
- A. The patient will carry the pregnancy to term and have a cesarean delivery.
- B. The patient will have to remain in bed for the remainder of the pregnancy.
- C. The patient will spontaneously abort this ectopic pregnancy.
- D. The patient will require surgery to remove the zygote.
Correct Answer: D
Rationale: Any pregnancy where implantation occurs outside the uterine cavity is called ectopic. Tubal pregnancies usually must be resolved by surgical removal of the zygote.
A woman asks the nurse about the safety of sexual intercourse during her pregnancy. Which response by the nurse is the most correct?
- A. "Sexual activity should be avoided after the first trimester."
- B. "Sexual activity should be ceased in the case of vaginal bleeding."
- C. "Sexual activity should be avoided in the second trimester."
- D. "Sexual activity should be limited to activity that does not include intercourse."
Correct Answer: B
Rationale: Sexual intercourse can be enjoyed throughout pregnancy unless it is contraindicated by other conditions. In the case of vaginal bleeding, sexual activity should cease until the cause of the bleeding is determined by the health care provider.
During which gestational week can a primigravida expect to first feel fetal movement?
- A. 8
- B. 10
- C. 16
- D. 20
Correct Answer: C
Rationale: At about 16 to 18 weeks, the sensation of the first movement is felt.
What do the arteries in the umbilical cord carry?
- A. Nutrients to the fetus from the placenta
- B. Oxygenated blood to perfuse the placenta
- C. Antibodies from the fetus to the mother
- D. Deoxygenated blood back to the placenta
Correct Answer: D
Rationale: The arteries of the umbilical cord are unique in that they carry deoxygenated blood back to the placenta.