Nokea
Which dairy product should the client avoid during pregnancy?
- A. Vanilla yogurt
- B. Parmesan cheese
- C. Gorgonzola cheese
- D. Chocolate milk
Correct Answer: C
Rationale: Gorgonzola cheese is a soft, mold-ripened cheese that may contain Listeria, posing a risk during pregnancy.
You may also like to solve these questions
Transvaginal ultrasonography is often performed during the first trimester. What conditions may require this test? (Select all that apply.)
- A. Multifetal gestation
- B. Bicornuate uterus
- C. Presence and location of pregnancy
- D. Amniotic fluid volume
Correct Answer: C
Rationale: Transvaginal ultrasound is used to confirm fetal viability, assess multiple gestations, and check for uterine abnormalities.
A client makes the following statement after finding out that her pregnancy test is positive, 'This is not a good time. I am in college and the baby will be due during final exams!' Which of the following responses by the nurse would be most appropriate at this time?
- A. I’m absolutely positive that everything will turn out all right.
- B. I suggest that you e-mail your professors to set up an alternate plan.
- C. It sounds like you’re feeling a little overwhelmed right now.
- D. You and the baby’s father will find a way to get through the pregnancy.
Correct Answer: C
Rationale: Acknowledging the client's feelings of being overwhelmed is the most supportive response. Offering solutions or reassurance without first addressing the client's emotions may not be as effective.
How long should clamping of the cord be delayed in an uncomplicated delivery to increase the newborn's hemoglobin levels and improve circulation?
- A. 30–60 seconds
- B. 15–30 seconds
- C. 30 seconds
- D. Delayed cord clamping is not recommended.
Correct Answer: A
Rationale: The correct answer is A (30-60 seconds) for delayed cord clamping in an uncomplicated delivery. Delaying cord clamping for 30-60 seconds allows more blood to flow from the placenta to the baby, increasing the baby's hemoglobin levels and improving circulation. This extra blood transfer can provide the baby with essential nutrients and oxygen, reducing the risk of anemia and improving overall health outcomes.
Choice B (15-30 seconds) may not provide enough time for sufficient blood transfer compared to the optimal window of 30-60 seconds.
Choice C (30 seconds) is within the recommended range, but 30-60 seconds is considered more beneficial for maximizing blood flow to the newborn.
Choice D (Delayed cord clamping is not recommended) is incorrect as delayed cord clamping has been shown to have various benefits for newborns when done in uncomplicated deliveries.
During a prenatal visit, a gravid client is complaining of ptyalism. Which of the following nursing interventions is appropriate?
- A. Encourage the woman to brush her teeth carefully.
- B. Advise the woman to have her blood pressure checked regularly.
- C. Encourage the woman to wear supportive hosiery.
- D. Advise the woman to avoid eating rare meat.
Correct Answer: A
Rationale: Ptyalism (excessive salivation) can lead to oral hygiene issues, so encouraging careful tooth brushing is appropriate. Blood pressure checks, wearing supportive hosiery, and avoiding rare meat address other concerns but are unrelated to ptyalism.
What are late FHR decelerations caused by?
- A. Altered cerebral blood flow
- B. Umbilical cord compression
- C. Uteroplacental insufficiency
- D. Meconium fluid
Correct Answer: C
Rationale: The correct answer is C: Uteroplacental insufficiency. Late FHR decelerations are caused by decreased blood flow and oxygen delivery to the fetus due to impaired uteroplacental circulation. This can result from conditions like placental abruption or placental insufficiency. Altered cerebral blood flow (A) is more related to early decelerations. Umbilical cord compression (B) typically causes variable decelerations. Meconium fluid (D) can lead to fetal distress but is not the primary cause of late decelerations.