Nokea
When should the nurse begin discharge planning?
- A. When the patient is ready
- B. Close to the time of discharge
- C. Upon admission to the hospital
- D. After an order is written/prescribed
Correct Answer: C
Rationale: Discharge planning begins the moment a patient is admitted to a health care facility.
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A laboring woman, G4 P3003, who was 6 cm dilated 1 hour ago cries, 'Hurry. I have to go to the bathroom to have a bowel movement.' The nurse notes that there is an increase in bloody show. Which of the following actions by the nurse is appropriate?
- A. Assess cervical dilation.
- B. Help the woman to the bathroom.
- C. Ask the woman if she needs pain medicine.
- D. Check the fetal heart rate.
Correct Answer: A
Rationale: The urge to have a bowel movement and increased bloody show could indicate that the woman is entering the second stage of labor. The nurse should assess cervical dilation to confirm.
In a prenatal education class, the nurse is reviewing the importance of using relaxation techniques during labor. Which patient statement will the nurse need to correct?
- A. We will practice relaxation techniques only in a quiet setting so I can focus.'
- B. Relaxation is important during labor because it will help me conserve my energy.'
- C. If I relax in between contractions, my baby will get more oxygen during labor.'
- D. My partner and I will practice relaxation throughout the remainder of my pregnancy.'
Correct Answer: A
Rationale: The correct answer is A because relaxation techniques should be practiced not just in quiet settings but also during labor, regardless of the environment. This is important to help manage pain and promote a smoother labor process. Choice B is correct as relaxation can indeed help conserve energy. Choice C is incorrect as oxygenation to the baby is not directly related to the mother's relaxation between contractions. Choice D is also incorrect as relaxation techniques should be practiced specifically during labor as well, not just throughout the pregnancy.
A mother questions the nurse about when the newborn screening tests for inborn diseases will be performed. Which of the following is an appropriate response by the nurse?
- A. The doctor took blood from the baby's umbilical cord at birth.
- B. A sample of the baby's first urine and first stool were sent for testing.
- C. A vial of blood was drawn and sent when the baby was admitted to the nursery.
- D. Blood from the baby's heel was sent after the baby had been fed a few times.
Correct Answer: D
Rationale: Newborn screening tests are typically done by collecting blood from the baby's heel after the baby has been fed a few times to ensure accurate results.
The nurse documents a woman’s gravidity and parity as G6 P3214. Which of the following obstetric histories is consistent with this notation?
- A. The woman is currently pregnant, has 3 living children.
- B. The woman is currently pregnant, had 2 full-term pregnancies.
- C. The woman is not currently pregnant, had 4 preterm babies.
- D. The woman is not currently pregnant, had 1 abortion.
Correct Answer: A
Rationale: G6 indicates the woman is currently pregnant for the 6th time, and P3214 indicates 3 term births, 2 preterm births, 1 abortion, and 4 living children.
Young pregnant adolescents have increased nutritional needs as compared with pregnant adults. Which of the following foods would meet those needs?
- A. Banana.
- B. Cheeseburger.
- C. Strawberries.
- D. Rice.
Correct Answer: B
Rationale: Cheeseburgers provide protein, iron, and calcium, which are essential for the increased nutritional needs of pregnant adolescents.