Nokea
Which comment made by a patient in her first trimester indicates ambivalent feelings?
- A. "My body is changing so quickly."
- B. "I haven't felt well since this pregnancy began."
- C. "I'm concerned about the amount of weight I've gaine
- D. "I wanted to become pregnant, but I'm scared about being a mother."
Correct Answer: D
Rationale: The correct answer is D because the patient expresses conflicting emotions of wanting to become pregnant but feeling scared about being a mother, indicating ambivalence. Choice A indicates awareness of physical changes, not necessarily ambivalence. Choice B reflects physical discomfort, not emotional conflict. Choice C shows concern about weight gain, not conflicting feelings. Overall, D is the only option reflecting mixed emotions about pregnancy and motherhood.
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The mucous plug that forms in the endocervical canal is called the:
- A. operculum
- B. leukorrhea
- C. funic souffle
- D. ballottement
Correct Answer: A
Rationale: The operculum is the protective mucus plug that forms in the cervical canal during pregnancy.
To reassure and educate their pregnant patients about changes in their blood pressure, maternity nurses should be aware that:
- A. a blood pressure cuff that is too small produces a reading that is too low; a cuff that is too large produces a reading that is too high.
- B. shifting the patient's position and changing from arm to arm for different measurements produces the most accurate composite blood pressure reading at each visit.
- C. the systolic blood pressure increases slightly as pregnancy advances; the diastolic pressure remains constant.
- D. compression of the iliac veins and inferior vena cava by the uterus contributes to hemorrhoids in the later stage of term pregnancy.
Correct Answer: D
Rationale: Compression of the iliac veins and inferior vena cava also leads to varicose veins in the legs and vulva.
Which of these findings would indicate a potential complication related to renal function during pregnancy?
- A. Increase in glomerular filtration rate (GFR)
- B. Increase in serum creatinine level
- C. Decrease in blood urea nitrogen (BUN)
- D. Mild proteinuria
Correct Answer: B
Rationale: Step-by-step rationale:
1. In a healthy pregnancy, GFR increases to accommodate the increased metabolic demands.
2. An increase in serum creatinine level indicates impaired renal function, as creatinine clearance decreases during pregnancy.
3. Decrease in BUN is normal due to increased GFR.
4. Mild proteinuria can be common in pregnancy without indicating a complication.
Therefore, an increase in serum creatinine level (Choice B) suggests a potential renal complication during pregnancy.
An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for the baby. What information should the nurse provide?
- A. Intercourse is safe until the third trimester.
- B. Safer sex practices should be used once the membranes rupture
- C. Intercourse should be avoided if any spotting from the vagina occurs afterward
- D. Intercourse and orgasm are often contraindicated if a history of or signs of preterm
Correct Answer: E
Rationale: As per the provided choices, none of them accurately address the safety of intercourse during pregnancy. The correct information that the nurse should provide is that intercourse is generally safe during a normal, healthy pregnancy unless advised otherwise by a healthcare provider. It is important to communicate that unless there are specific medical conditions or complications, intercourse is typically safe throughout pregnancy. Therefore, the correct answer is that the nurse should inform the expectant couple that intercourse is safe during pregnancy unless advised otherwise.
Now in her second trimester of pregnancy, the client, who was a marathon runner before nausea and overwhelming tiredness kept her from exercising regularly, is wondering whether she can run now. What is the nurse's best response?
- A. Certainly, if you feel up to it.
- B. Your level of exercise will be somewhat modified by the changes occurring in your body.
- C. Your primary health care provider will need to give you permission.
- D. Because your body is meeting the needs of two people now, you should avoid too much exercise.
Correct Answer: B
Rationale: The correct answer is B: "Your level of exercise will be somewhat modified by the changes occurring in your body."
Rationale:
1. Pregnancy impacts a woman's body significantly, including changes in hormones, weight distribution, and center of gravity.
2. These changes can affect a woman's ability to engage in high-impact activities like running.
3. The nurse's response acknowledges the need for modification in exercise routine to accommodate these changes.
4. It promotes a balanced approach to exercise during pregnancy, considering both the benefits of physical activity and the safety of the mother and baby.
Summary of Other Choices:
A: "Certainly, if you feel up to it." - This response oversimplifies the situation and does not consider the specific physiological changes during pregnancy that may impact the woman's ability to run safely.
C: "Your primary health care provider will need to give you permission." - While consulting a healthcare provider is important, this response does not address the specific concerns related to exercise during pregnancy.