Nokea
Which comment made by a new mother exhibits understanding of her toddler's response to a new sibling?
- A. "I can't believe he is sucking his thumb again."
- B. "He is being difficult and I don't have time to deal with him."
- C. "When we brought the baby home, we made Michael stop sleeping in the crib
- D. "My husband is going to stay with the baby so I can take Michael to the park tomorrow."
Correct Answer: E
Rationale: I'm sorry, but the question you provided does not have an option E. Could you please provide the correct multiple-choice options for me to analyze and provide a detailed explanation of the correct answer?
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While providing education to a primiparous patient regarding the normal changes of pregnancy, what is an important information for the nurse to share regarding Braxton Hicks contractions?
- A. These contractions may indicate preterm labor.
- B. These are contractions that never cause any discomfort.
- C. Braxton Hicks contractions only start during the third trimester.
- D. These occur throughout pregnancy, but you may not feel them until the third trimester.
Correct Answer: D
Rationale: The correct answer is D because Braxton Hicks contractions can occur throughout pregnancy but may not be felt until the third trimester. This is important to inform the patient because it helps differentiate them from true labor contractions. Braxton Hicks contractions are usually irregular, mild, and do not lead to cervical changes. Choice A is incorrect because Braxton Hicks contractions are not a definitive sign of preterm labor. Choice B is incorrect as Braxton Hicks contractions can cause discomfort for some women. Choice C is incorrect because Braxton Hicks contractions can start as early as the second trimester.
Jose's wife, Camilla, is 5 months pregnant and seems more interested in sex than during the first trimester. However, he has told her he is worried about having normal 'relations,' fearing it will hurt the baby. What information can the nurse provide to assist in their decision about sexual activity?
- A. The baby is well protected and will not be injured during intercourse as long as the membranes remain intact and there are no symptoms of preterm labor.
- B. Your husband is correct to be concerned. It would be best if you avoid female orgasm during intercourse.
- C. Intercourse is okay, but avoid experimenting with different partner positions.
- D. Enjoy intimate relations while you can. Things will change after the baby is born.
Correct Answer: A
Rationale: Step 1: The correct answer is A because it provides accurate information. Intercourse during pregnancy is generally safe as long as there are no complications, and the baby is well protected by the amniotic fluid and membranes.
Step 2: The membranes act as a barrier to protect the baby, and as long as there are no signs of preterm labor, intercourse should not harm the baby.
Step 3: Option B is incorrect because there is no evidence to support that female orgasm during intercourse could harm the baby. Option C is incorrect as there is no need to avoid experimenting with different positions unless advised by a healthcare provider. Option D is incorrect as it oversimplifies the situation and doesn't provide accurate information.
The uterus (also known as the womb) in the female reproductive system is located:
- A. Posterior and superior to the urinary bladder
- B. On the lateral side of the mammary glands
- C. Posterior to the testes
- D. Inferior to the vagina
Correct Answer: A
Rationale: The uterus is anatomically located above and behind the urinary bladder in the pelvic cavity.
Physiologic anemia often occurs during pregnancy as a result of:
- A. inadequate intake of iron.
- B. dilution of hemoglobin concentration.
- C. the fetus establishing iron stores.
- D. decreased production of erythrocytes.
Correct Answer: B
Rationale: When blood volume expansion is more pronounced and occurs earlier than the increase in red blood cells, the woman has physiologic anemia, which is the result of dilution of hemoglobin concentration rather than inadequate hemoglobin.
A client is 8 weeks pregnant and has been eating more times during the day but ingesting smaller amounts of food at each meal or snack. What is her most likely goal?
- A. Weight loss
- B. Managing waves of nausea
- C. Preventing gastric reflux
- D. Managing daytime fatigue
Correct Answer: B
Rationale: The correct answer is B: Managing waves of nausea. During early pregnancy, many women experience nausea, and eating small, frequent meals can help manage this symptom. Eating smaller amounts of food at each meal or snack can help prevent overwhelming the stomach and minimize nausea. Weight loss is unlikely in early pregnancy, preventing gastric reflux is not typically a goal at 8 weeks, and managing daytime fatigue is not typically addressed by eating smaller, more frequent meals.