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When the young primigravida asks about how to adjust her diet for her pregnancy what should the nurse suggest the mother add to her diet?
- A. Leafy green vegetables and fruit
- B. Beef and poultry
- C. Foods high in sodium and potassium
- D. Bread and grains
Correct Answer: A
Rationale: A pregnant woman should eat foods containing roughage, such as raw fruits, vegetables, and cereals with bran.
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At what week of fetal development can the nurse expect to first hear fetal heart tones with an amplified stethoscope?
- A. 10
- B. 12
- C. 14
- D. 16
Correct Answer: D
Rationale: During week 16, the fetal heart can be heard with an amplified stethoscope.
The nurse instructor reminds the nursing student that the "Shiny Schultz" is a name given to the ___ side of the placenta.
Correct Answer: fetal
Rationale: The fetal side of the placenta is called the Shiny Schultz and the maternal side is called the Dirty Duncan.
During the final weeks of pregnancy urinary frequency may return due to the enlarged uterus compressing the bladder against the pelvic bones. What does the nurse suggest to aid in relieving the urinary frequency?
- A. Decrease fluid intake.
- B. Use the knee-chest position.
- C. Sleep on her side.
- D. Avoid fluid intake in evening.
Correct Answer: C
Rationale: The patient should decrease pressure on the bladder at night by sleeping on her side. Fluids should not be decreased unless directed by a health care provider.
The nurse assesses a reactive result to a nonstress test when the fetal heart rate increases ___ beats/min.
Correct Answer: 15
Rationale: The reactive criterion is that the fetal heart rate will increase 15 beats/min when stimulated in the nonstress test.
A patient has been diagnosed with a tubal pregnancy. What is the typical outcome of a tubal pregnancy?
- A. The patient will carry the pregnancy to term and have a cesarean delivery.
- B. The patient will have to remain in bed for the remainder of the pregnancy.
- C. The patient will spontaneously abort this ectopic pregnancy.
- D. The patient will require surgery to remove the zygote.
Correct Answer: D
Rationale: Any pregnancy where implantation occurs outside the uterine cavity is called ectopic. Tubal pregnancies usually must be resolved by surgical removal of the zygote.