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Which aspect of fetal diagnostic testing is most important to expectant parents?
- A. Safety of the fetus
- B. Duration of the test
- C. Cost of the procedure
- D. Physical discomfort caused by the procedure
Correct Answer: A
Rationale: Expectant parents are usually most concerned about the safety of the fetus when undergoing diagnostic testing.
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A nurse is assisting a postpartum person with breastfeeding. What is the most important factor for successful breastfeeding?
- A. frequent breastfeeding
- B. proper latch
- C. positioning
- D. administer oxytocin
Correct Answer: B
Rationale: The correct answer is B: proper latch. A proper latch is crucial for successful breastfeeding as it ensures the baby is effectively extracting milk from the breast, preventing nipple soreness and ensuring an adequate milk supply. Without a proper latch, the baby may not receive enough milk, leading to issues such as poor weight gain and frustration for both the baby and the person breastfeeding. Frequent breastfeeding (choice A) is important, but without a proper latch, it may not be effective. Positioning (choice C) is also important, but proper latch takes precedence. Administering oxytocin (choice D) is not necessary for successful breastfeeding and may have side effects.
Which spice is safe for nausea and vomiting during pregnancy?
- A. Ginger
- B. Sage
- C. Cloves
- D. Nutmeg
Correct Answer: A
Rationale: Ginger is widely recognized as a safe and effective complementary therapy for managing nausea and vomiting during pregnancy.
A pregnant patient at 32 weeks gestation reports difficulty breathing, especially when lying flat. What should the nurse recommend first?
- A. Administer oxygen and prepare the patient for delivery.
- B. Instruct the patient to lie on her left side to reduce pressure on the diaphragm.
- C. Encourage the patient to rest in an upright position and monitor symptoms.
- D. Instruct the patient to take deep breaths and elevate the legs.
Correct Answer: C
Rationale: The correct answer is C because encouraging the patient to rest in an upright position helps improve lung expansion and oxygenation, relieving the difficulty in breathing. By monitoring symptoms, the nurse can assess for any worsening signs or the need for further intervention.
A: Administering oxygen and preparing for delivery is premature without assessing the patient further.
B: Lying on the left side may alleviate pressure on the diaphragm but does not address the underlying cause of difficulty breathing.
D: Instructing to take deep breaths and elevate legs may not be beneficial and could potentially worsen the symptoms.
An 18-week gestation client telephones the obstetrician’s office stating, 'I’m really scared. I think I have breast cancer. My breasts are filled with tumors.' The nurse should base the response on which of the following?
- A. Breast cancer is often triggered by pregnancy.
- B. Nodular breast tissue is normal during pregnancy.
- C. The woman is exhibiting signs of a psychotic break.
- D. Anxiety attacks are especially common in the second trimester.
Correct Answer: B
Rationale: Nodular breast tissue is a normal change during pregnancy due to hormonal fluctuations. Breast cancer is not typically triggered by pregnancy, and anxiety attacks are not specifically common in the second trimester.
A patient with a history of hypertension is admitted to the labor and delivery unit. Which of the following is most important to monitor for during labor?
- A. Hypotension
- B. Precipitous delivery
- C. Preeclampsia
- D. Increased bleeding risk
Correct Answer: C
Rationale: The correct answer is C: Preeclampsia. Preeclampsia is a serious condition characterized by high blood pressure and protein in the urine, which can lead to complications for both the mother and baby during labor. Monitoring for signs of preeclampsia is crucial to ensure timely intervention and prevent adverse outcomes.
A: Hypotension is not typically a major concern in a patient with a history of hypertension during labor.
B: Precipitous delivery refers to an unusually fast labor, which can be managed but is not the most important issue to monitor for in this case.
D: Increased bleeding risk may be a concern, but preeclampsia poses a more immediate threat to the patient's health and requires closer monitoring.