Nokea
Which fetal structures are well-formed by the end of the first trimester? Select all that apply.
- A. Genitals
- B. Heart
- C. Fingers
- D. Kidneys
Correct Answer: D
Rationale: By the end of the first trimester, genitals, heart, fingers, and kidneys are well-formed, but alveoli develop later in gestation.
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A nurse is caring for a postpartum person who is at risk for infection. What is the most important intervention to reduce the risk of infection?
- A. administer antibiotics
- B. apply a sterile dressing
- C. perform a vaginal exam
- D. administer pain relief
Correct Answer: A
Rationale: Correct Answer: A (administer antibiotics)
Rationale:
1. Administering antibiotics targets potential infection-causing pathogens directly.
2. Antibiotics help prevent the spread of infection within the body.
3. Prophylactic antibiotics are commonly used postpartum for high-risk individuals.
4. This intervention directly addresses the root cause of infection risk.
Summary:
B: Applying a sterile dressing is important for wound care but doesn't target systemic infection risk.
C: Performing a vaginal exam can introduce pathogens and increase infection risk.
D: Administering pain relief is important for comfort but doesn't directly reduce infection risk.
A third-trimester client is being seen for routine prenatal care.
- A. Blood glucose.
- B. Blood pressure.
- C. Fetal heart rate.
- D. Urine protein.
Correct Answer: A
Rationale: Routine assessments in the third trimester include monitoring blood glucose, blood pressure, fetal heart rate, and urine protein to ensure maternal and fetal health.
When analyzing the need for health teaching of a prenatal multigravida, the nurse should ask which of the following questions?
- A. What are the ages of your children?
- B. What is your marital status?
- C. Do you ever drink alcohol?
- D. Do you have any allergies?
Correct Answer: C
Rationale: Asking about alcohol consumption is directly related to health teaching needs, as it can impact fetal development. The other questions, while important, are not directly related to health teaching.
Which food is the best source of iron?
- A. Raisins
- B. Hamburger
- C. Broccoli
- D. Molasses
Correct Answer: B
Rationale: Hamburger is rich in heme iron, which is more easily absorbed by the body compared to non-heme sources like raisins or molasses.
A pregnant patient with a history of anemia is asking the nurse about managing iron deficiency. Which of the following statements by the nurse would be most appropriate?
- A. Iron supplements should be taken with milk for better absorption.
- B. Iron supplements should be taken with a source of vitamin C to enhance absorption.
- C. Iron supplements should be avoided during the second trimester.
- D. Iron supplements should be taken at night before bed.
Correct Answer: B
Rationale: The correct answer is B: Iron supplements should be taken with a source of vitamin C to enhance absorption. Iron absorption is increased in the presence of vitamin C. Vitamin C helps convert iron into a more absorbable form. This is crucial for managing iron deficiency anemia in pregnant patients.
Incorrect choices:
A: Iron supplements should not be taken with milk as calcium in milk can hinder iron absorption.
C: Iron supplements are safe to take throughout pregnancy, and avoiding them during the second trimester is not recommended.
D: There is no specific recommendation to take iron supplements at night before bed; it can be taken at any time of the day.