Nokea
When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse would explain that this is most probably the result of which of the following?
- A. Thrombophlebitis
- B. Pregnancy-induced hypertension
- C. Pressure on blood vessels from the enlarging uterus
- D. The force of gravity pulling down on the uterus
Correct Answer: C
Rationale: Pressure of the growing uterus on blood vessels results in an increased risk for venous stasis in the lower extremities. Subsequently, edema and varicose vein formation may occur. Thrombophlebitis is an inflammation of the veins due to thrombus formation. Pregnancy-induced hypertension is not associated with these symptoms. Gravity plays only a minor role with these symptoms.
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What should nurses do to support migrant farm workers receiving prenatal care?
- A. Offer medication to prevent preterm labor.
- B. Reinforce that heavy lifting is safe during pregnancy.
- C. Evaluate occupational hazards and provide education.
- D. Refer all patients for mental health resources.
Correct Answer: C
Rationale: Migrant farm workers may face occupational hazards such as exposure to pesticides or physically demanding work. Nurses should assess these risks and educate patients on safety to promote a healthy pregnancy.
The nurse most accurately determines that the fetal heart sounds are heard by:
- A. Noting if the heart rate is greater than 140 BPM
- B. Placing the diaphragm of the Doppler on the mother abdomen
- C. Performing Leopold's maneuvers first to determine the location of the fetal heart
- D. Palpating the maternal radial pulse while listening to the fetal heart rate
Correct Answer: D
Rationale: The nurse simultaneously should palpate the maternal radial or carotid pulse and auscultate the fetal heart rate to differentiate the two. If the fetal and maternal heart rates are similar, this technique will avoid counting the maternal heart rate as the fetal heart rate.
A postpartum primipara asks the nurse, 'When can we have sexual intercourse again?' Which of the following would be the nurse's best response?
- A. Anytime you both want to.'
- B. As soon as choose a contraceptive method.'
- C. When the discharge has stopped and the incision is healed.'
- D. After your 6 weeks examination.'
Correct Answer: C
Rationale: The best response is to resume intercourse when the discharge has stopped and the incision is healed, typically around 4-6 weeks postpartum, to reduce infection risk and ensure healing. The other options are either too vague, premature, or overly restrictive.
The nurse caring for a pregnant client should be aware that the U.S. birth rate shows which trend?
- A. Births to unmarried women are more likely to have less favorable outcomes.
- B. Birth rates for women 40 to 44 years old are beginning to decline.
- C. Cigarette smoking among pregnant women continues to increase.
- D. The rates of maternal death owing to racial disparity are elevated in the United States.
Correct Answer: A
Rationale: Unmarried mothers, often younger, face higher risks of low-birth-weight infants. Birth rates for older women are rising, smoking is decreasing, and racial disparities in maternal death persist.
The nurse instructs a PP client that she would need to change her peripads after delivery when the nurse notes that the client's peripads were saturated after:
- A. One peripad per day
- B. Two peripads per day
- C. Three peripads per day
- D. Eight peripads per day
Correct Answer: D
Rationale: The normal amount of lochia may vary with the individual but should never exceed 4 to 8 peripads per day. The average number of peripads is 6 per day.