Which food can a lactose-intolerant pregnant woman consume for calcium?
- A. Turnip greens
- B. Green beans
- C. Cantaloupe
- D. Nectarines
Correct Answer: A
Rationale: Turnip greens are rich in calcium, making them a suitable alternative for lactose-intolerant individuals.
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A 35-week pregnant woman presents with ruptured membranes. What is the priority intervention?
- A. Check for cord prolapse
- B. Monitor for fetal distress
- C. Administer antibiotics
- D. Perform a vaginal exam to assess cervical dilation
Correct Answer: A
Rationale: The correct answer is A: Check for cord prolapse. This is the priority intervention because with ruptured membranes, there is a risk of umbilical cord prolapse, which can lead to fetal compromise. Checking for cord prolapse allows for quick identification and immediate intervention to prevent potential harm to the baby.
Choice B is incorrect as monitoring for fetal distress is important but not the immediate priority when cord prolapse is a concern. Choice C, administering antibiotics, may be necessary but does not address the immediate risk of cord prolapse. Choice D, performing a vaginal exam, can increase the risk of infection and should be avoided until cord prolapse is ruled out.
What is the most common site for fertilization?
- A. Lower segment of the uterus
- B. Outer third of the fallopian tube near the ovary
- C. Upper portion of the uterus
- D. Area of the fallopian tube farthest from the ovary
Correct Answer: B
Rationale: Fertilization takes place in the outer third of the fallopian tube, which is closest to the ovary.
A pregnant woman who is 20 weeks gestation asks about the risk of consuming caffeine during pregnancy. Which of the following responses is most appropriate?
- A. It is safe to consume up to 200 mg of caffeine per day during pregnancy.
- B. You should avoid caffeine completely during pregnancy.
- C. Moderate caffeine consumption is okay, but avoid drinking coffee in the afternoon.
- D. Caffeine has no impact on your pregnancy, so you can drink it as desired.
Correct Answer: A
Rationale: The correct answer is A because current guidelines suggest that consuming up to 200 mg of caffeine per day is considered safe during pregnancy. This amount is unlikely to harm the developing fetus. Excessive caffeine intake has been associated with an increased risk of miscarriage and low birth weight.
Option B is incorrect as complete avoidance of caffeine is not necessary, but rather moderation is key. Option C is partially correct in emphasizing moderation but the recommendation to avoid coffee in the afternoon is not supported by evidence. Option D is incorrect as caffeine does have an impact on pregnancy, and unrestricted consumption is not advisable.
A nurse is caring for a laboring person who is in the first stage of labor. What is the most important assessment to perform during this stage?
- A. assess fetal heart rate
- B. monitor contractions
- C. check blood pressure
- D. assist with breathing exercises
Correct Answer: A
Rationale: The correct answer is A: assess fetal heart rate. During the first stage of labor, monitoring the fetal heart rate is crucial as it indicates the well-being of the baby. Changes in fetal heart rate can signal distress and prompt intervention. Monitoring contractions is important but assessing fetal well-being takes precedence. Checking blood pressure is important but not the most critical in this stage. Assisting with breathing exercises can help manage pain, but assessing fetal heart rate is more crucial for ensuring the baby's safety.
A pregnant patient at 28 weeks gestation reports lightheadedness and fainting when standing up. What is the most likely cause of these symptoms?
- A. Dehydration and electrolyte imbalance
- B. Increased blood volume and decreased blood pressure
- C. Iron-deficiency anemia
- D. Hyperglycemia from gestational diabetes
Correct Answer: B
Rationale: The correct answer is B: Increased blood volume and decreased blood pressure. At 28 weeks gestation, the pregnant patient's blood volume significantly increases to support the developing fetus, causing a relative decrease in blood pressure when standing up (orthostatic hypotension). This can lead to lightheadedness and fainting. Dehydration and electrolyte imbalance (choice A) can contribute to these symptoms but are less likely in a pregnant patient. Iron-deficiency anemia (choice C) can cause similar symptoms but is less common at 28 weeks gestation. Hyperglycemia from gestational diabetes (choice D) typically presents with other symptoms like excessive thirst and urination, rather than lightheadedness and fainting.