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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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.
A woman is in her seventh month of pregnancy. She has been reporting nasal congestion and occasional epistaxis. The nurse suspects that:
- A. this is a normal respiratory change in pregnancy caused by elevated levels of estrogen
- B. this is an abnormal cardiovascular change, and the nosebleeds are an ominous sign
- C. the woman is a victim of domestic violence and is being hit in the face by her partner
- D. the woman has been using cocaine intranasally
Correct Answer: A
Rationale: Elevated estrogen levels during pregnancy cause capillary engorgement in the respiratory tract, leading to nasal congestion and occasional epistaxis.
The penis is associated most with which system in the human body?
- A. The skeletal system
- B. The reproductive system
- C. The circulatory system
- D. The endocrine system
Correct Answer: B
Rationale: The penis is a primary organ of the male reproductive system, involved in sexual intercourse and urination.
Which physiologic findings related to gallbladder function may lead to the development of gallstones during pregnancy?
- A. Decrease in alkaline phosphatase levels compared with nonpregnant women
- B. Increase in albumin and total protein as a result of hemodilution
- C. Hypertonicity of gallbladder tissue
- D. Prolonged emptying time
Correct Answer: D
Rationale: The correct answer is D: Prolonged emptying time. During pregnancy, hormonal changes can lead to gallbladder stasis, causing bile to become concentrated and leading to the formation of gallstones. Prolonged emptying time indicates poor gallbladder motility, increasing the risk of gallstone formation.
A: Decrease in alkaline phosphatase levels is not directly related to gallstone formation during pregnancy.
B: Increase in albumin and total protein is a common finding in pregnancy due to hemodilution, but it is not directly linked to gallstone development.
C: Hypertonicity of gallbladder tissue is not a typical physiologic finding related to gallbladder function during pregnancy and is not a known risk factor for gallstone formation.
To reassure and educate pregnant patients about changes in their cardiovascular system, maternity nurses should be aware that:
- A. a pregnant woman experiencing disturbed cardiac rhythm, such as sinus arrhythmia requires close medical and obstetric observation, no matter how healthy she otherwise may appear.
- B. changes in heart size and position and increases in blood volume create auditory changes from 20 weeks to term.
- C. palpitations are twice as likely to occur in twin gestations.
- D. all of the above changes will likely occur.
Correct Answer: B
Rationale: Auscultatory changes should be discernible after 20 weeks of gestation.