Nokea
When analyzing the need for health teaching of a prenatal multigravida, the nurse should ask which of the following questions?
- A. What are the ages of your children?
- B. What is your marital status?
- C. Do you ever drink alcohol?
- D. Do you have any allergies?
Correct Answer: C
Rationale: Asking about alcohol consumption is directly related to health teaching needs, as it can impact fetal development. The other questions, while important, are not directly related to health teaching.
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The nurse is reviewing fetal circulation with a pregnant patient and explains that blood circulates through the placenta to the fetus. What vessel(s) carry blood to the fetus?
- A. One umbilical vein
- B. Two umbilical veins
- C. One umbilical artery
- D. Two umbilical arteries
Correct Answer: A
Rationale: The umbilical vein transports richly oxygenated blood from the placenta to the fetus.
A nurse is assisting with a vaginal delivery. What is the most important intervention when the head begins to crown?
- A. apply gentle downward pressure
- B. apply upward pressure
- C. assist with positioning
- D. assist with perineal massage
Correct Answer: A
Rationale: The correct answer is A: apply gentle downward pressure. This intervention helps prevent rapid delivery to avoid perineal tearing and allows controlled stretching of the perineum. Applying upward pressure (B) can increase the risk of tearing. Positioning (C) is important but not the most critical at this stage. Perineal massage (D) is typically done before crowning, not during.
After nutrition counseling, a woman, G3 P1101, proclaims that she certainly can’t eat any strawberries during her pregnancy. Which of the following is the likely reason for this statement?
- A. The woman is allergic to strawberries.
- B. Strawberries have been shown to cause birth defects.
- C. The woman believes in old wives’ tales.
- D. The premature baby died because the woman ate strawberries.
Correct Answer: A
Rationale: Food allergies are a plausible reason for avoiding strawberries. There is no scientific evidence linking strawberries to birth defects or premature death. Old wives’ tales might exist but are less likely the primary reason here.
A patient is being discharged after giving birth to a healthy baby. The nurse educates the patient about safe sleep practices for the infant. Which of the following statements by the patient indicates the need for further teaching?
- A. I will always place my baby on their back to sleep.
- B. I will let my baby sleep in the same bed with me to make sure they are safe.
- C. I will avoid placing pillows and soft bedding in my baby's crib.
- D. I will encourage tummy time when my baby is awake.
Correct Answer: B
Rationale: Correct Answer: B
Rationale: Co-sleeping increases the risk of sudden infant death syndrome (SIDS) and suffocation. Placing the baby in a separate crib reduces these risks.
Incorrect Choices:
A: Placing the baby on their back to sleep is the recommended position to reduce the risk of SIDS.
C: Avoiding pillows and soft bedding in the crib reduces the risk of suffocation.
D: Tummy time is important for infant development when the baby is awake.
The nurse is caring for a pregnant patient who is 26 weeks gestation and has a history of gestational diabetes. Which of the following actions is most important for the nurse to monitor during this pregnancy?
- A. Blood glucose levels and fetal growth
- B. Urine protein levels and blood pressure
- C. Maternal weight gain and diet
- D. Fetal heart rate and activity patterns
Correct Answer: A
Rationale: The correct answer is A: Blood glucose levels and fetal growth. Monitoring blood glucose levels is crucial in managing gestational diabetes to prevent complications for both the mother and baby. High blood glucose levels can lead to macrosomia (excessive fetal growth). Monitoring fetal growth is important to ensure the baby is growing appropriately.
Choice B is incorrect because urine protein levels and blood pressure are typically monitored for preeclampsia, not specifically for a patient with gestational diabetes. Choice C is incorrect because while maternal weight gain and diet are important factors, monitoring blood glucose levels takes precedence in managing gestational diabetes. Choice D is incorrect because while fetal heart rate and activity patterns are important, monitoring blood glucose levels is more crucial in this scenario due to the patient's history of gestational diabetes.