Nokea
When assessing the psychological adjustment of an 8-week gravida, which of the following would the nurse expect to see signs of?
- A. Ambivalence.
- B. Depression.
- C. Anxiety.
- D. Ecstasy.
Correct Answer: A
Rationale: Ambivalence is a common psychological response in early pregnancy as the client adjusts to the idea of being pregnant. Depression, anxiety, and ecstasy are less common at this stage.
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A woman in labor has a history of previous cesarean section. What is the most important factor to monitor for during this labor?
- A. Uterine rupture
- B. Maternal hypotension
- C. Fetal malpresentation
- D. Prolonged labor
Correct Answer: A
Rationale: The correct answer is A: Uterine rupture. The most important factor to monitor in a woman with a history of previous cesarean section is the risk of uterine rupture during labor. Uterine rupture is a serious complication that can lead to life-threatening hemorrhage for both the mother and the baby. Monitoring for signs such as sudden onset of severe abdominal pain, abnormal fetal heart rate patterns, and cessation of contractions is crucial. Maternal hypotension (Choice B) is important but not as critical as uterine rupture. Fetal malpresentation (Choice C) and prolonged labor (Choice D) are important factors to monitor but do not pose the same level of immediate risk as uterine rupture in this situation.
Which of the following is a risk factor for developing a cesarean section?
- A. Fetal malpresentation
- B. Spontaneous labor
- C. Low maternal age
- D. No previous pregnancies
Correct Answer: A
Rationale: The correct answer is A: Fetal malpresentation. This is a risk factor for cesarean section because the baby's position can impact the ability to deliver vaginally. If the baby is in a breech or transverse position, a cesarean section may be necessary to ensure a safe delivery.
Choice B, spontaneous labor, is not a risk factor for cesarean section as it is a natural part of childbirth. Choice C, low maternal age, is also not a risk factor as age alone does not determine the need for a cesarean section. Choice D, no previous pregnancies, is not a risk factor as it does not directly impact the likelihood of needing a cesarean section.
A pregnant patient at 34 weeks gestation is experiencing heartburn. Which of the following is the nurse's most appropriate recommendation?
- A. Take antacids regularly to manage heartburn.
- B. Lie down immediately after meals to aid digestion.
- C. Eat small, frequent meals and avoid spicy or greasy foods.
- D. Avoid drinking fluids during meals to prevent heartburn.
Correct Answer: C
Rationale: Rationale: Option C is the most appropriate recommendation because eating small, frequent meals and avoiding spicy or greasy foods can help reduce heartburn during pregnancy. Large meals can exacerbate heartburn, so smaller meals are easier to digest. Spicy and greasy foods can also trigger heartburn. Options A, B, and D are not recommended for managing heartburn during pregnancy. Taking antacids regularly can lead to potential risks for the developing fetus. Lying down immediately after meals can worsen heartburn due to increased intra-abdominal pressure, and avoiding fluids during meals may not necessarily prevent heartburn.
A nurse is caring for a pregnant patient who is at 16 weeks gestation and is concerned about varicose veins. Which of the following interventions should the nurse recommend?
- A. Wear tight compression stockings to reduce swelling.
- B. Elevate the legs and avoid prolonged periods of standing.
- C. Massage the affected area to improve circulation.
- D. Apply ice packs to the legs for 15 minutes every hour.
Correct Answer: B
Rationale: The correct answer is B: Elevate the legs and avoid prolonged periods of standing. Elevating the legs helps improve circulation and reduces pressure on the veins, which can help alleviate varicose veins. Prolonged standing can worsen varicose veins by increasing pressure on the lower extremities.
A: Wearing tight compression stockings can further constrict blood flow and should be avoided.
C: Massaging the affected area may not be recommended as it can potentially increase the risk of blood clots in pregnant women.
D: Applying ice packs is not recommended for varicose veins as it may not effectively address the underlying issue of poor circulation.
Which B vitamin should a vegan supplement?
- A. B1 (thiamine)
- B. B2 (niacin)
- C. B6 (pyridoxine)
- D. B12 (cobalamin)
Correct Answer: D
Rationale: Vitamin B12 is primarily found in animal products, so vegans are at risk of deficiency and should supplement with B12.