When discussing toxoplasmosis infection during pregnancy what should the nurse caution the patient to avoid?
- A. Contacting with an infected person
- B. Emptying cat litter boxes bare-handed
- C. Having unprotected sex
- D. Eating excessive amounts of shellfish
Correct Answer: B
Rationale: A pregnant woman should wear gloves whenever having contact with cat feces as this is a possible source of toxoplasmosis infection.
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A woman who is 14 weeks' pregnant calls the clinic nurse to report that after a brief bleeding episode a week ago her uterus seems to have gotten smaller but her periods have not begun. The nurse assesses the indicators for a ___ abortion.
Correct Answer: missed
Rationale: A missed abortion is initiated by a bleeding episode in which the fetus is not expelled. The uterus begins to shrink, but periods do not resume.
What is a prominent feature of postpartum depression?
- A. Failure to thrive
- B. Rejection of the infant
- C. Inability to care for the baby
- D. Problems with the baby's father
Correct Answer: B
Rationale: A prominent feature of PPD is rejection of the infant.
A neonate is born with weak muscle tone froglike extremities and ears that fold easily. From these observations what gestational age should the nurse give this infant?
- A. Full term
- B. Small for gestational age
- C. Preterm
- D. Postterm
Correct Answer: C
Rationale: Preterm infant posture is froglike, the muscle tone is weak, and the ears are easily folded.
What symptom no matter what stage of pregnancy should be reported immediately?
- A. Backache
- B. Urinary frequency
- C. Vaginal bleeding
- D. Uterine tightening
Correct Answer: C
Rationale: Women should be instructed to contact their health care provider if any bleeding occurs during pregnancy.
Why do alcohol and illegal drugs endanger the fetus?
- A. Both are absorbed into the bloodstream.
- B. Both affect the mother.
- C. Both cross the placental barrier.
- D. Both increase the heart rate of the fetus.
Correct Answer: C
Rationale: Alcohol and illicit drugs cross the placental barrier and affect the fetus.
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