Which food is best for constipation relief?
- A. Pasta
- B. Rice
- C. Yogurt
- D. Celery
Correct Answer: D
Rationale: Celery is high in fiber and water, making it an effective choice for relieving constipation.
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A nurse is providing prenatal education to a patient who is 22 weeks gestation. Which of the following topics should be emphasized at this stage of pregnancy?
- A. Signs and symptoms of preterm labor
- B. Signs of gestational diabetes
- C. Breastfeeding education
- D. Postpartum care
Correct Answer: A
Rationale: The correct answer is A: Signs and symptoms of preterm labor. At 22 weeks gestation, it is crucial to educate the patient about potential signs of preterm labor to help prevent premature birth and ensure the well-being of the baby. Symptoms such as regular contractions, abdominal cramping, backache, and vaginal bleeding should be discussed. This topic is time-sensitive and requires immediate action if observed.
Summary of other choices:
B: Signs of gestational diabetes - While important, monitoring for gestational diabetes typically occurs later in pregnancy, usually around 24-28 weeks.
C: Breastfeeding education - Important, but not as time-sensitive as preterm labor education.
D: Postpartum care - Relevant but more appropriate for later stages of pregnancy or after birth, not specifically at 22 weeks gestation.
A pregnant woman states, “My husband hopes I will give him a boy because we have three girls.” What will the nurse explain to this woman?
- A. The sex chromosome of the fertilized ovum determines the gender of the child.
- B. When the sperm and ovum are united, there is a 75% chance the child will be a girl.
- C. When the pH of the female reproductive tract is acidic, the child will be a girl.
- D. If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is produced.
Correct Answer: D
Rationale: When a Y-bearing sperm fertilizes an ovum, a male child is produced.
A woman who has had multiple cesarean sections is in labor. What is the most important complication to monitor for?
- A. Uterine rupture
- B. Precipitous labor
- C. Maternal hypotension
- D. Fetal malpresentation
Correct Answer: A
Rationale: Correct Answer: A: Uterine rupture
Rationale:
1. History of multiple cesarean sections increases the risk of uterine rupture.
2. Uterine rupture is a life-threatening complication for both mother and baby.
3. Signs include sudden severe abdominal pain, fetal distress, and hemodynamic instability.
4. Immediate intervention is crucial to prevent adverse outcomes.
Summary:
B: Precipitous labor - Quick labor is not specifically associated with multiple cesarean sections.
C: Maternal hypotension - Important but not the most critical complication in this scenario.
D: Fetal malpresentation - While important, it is not the most immediate concern compared to uterine rupture.
A nurse is assisting with a vaginal birth. What is the most appropriate nursing action when the head crowns during delivery?
- A. apply gentle pressure to the fetal head
- B. prepare for delivery of the placenta
- C. assist with shoulder delivery
- D. apply gentle pressure to the perineum
Correct Answer: A
Rationale: The correct answer is A: apply gentle pressure to the fetal head. This action helps prevent rapid delivery, reducing the risk of perineal tearing and promoting controlled delivery of the baby. Applying pressure also helps prevent the baby from being born too quickly, reducing the risk of umbilical cord compression and potential birth injuries.
Choices B, C, and D are incorrect because at the moment the head crowns, the priority is to assist with the controlled delivery of the baby's head. Delivering the placenta (B) and assisting with shoulder delivery (C) are steps that come after the baby's head is delivered. Applying pressure to the perineum (D) is not recommended as it may increase the risk of perineal tearing.
The following four changes occur during pregnancy. Which of them usually increases the father’s interest and involvement in the pregnancy?
- A. Learning the results of the pregnancy test.
- B. Attending childbirth education classes.
- C. Hearing the fetal heartbeat.
- D. Meeting the obstetrician or midwife.
Correct Answer: C
Rationale: Hearing the fetal heartbeat is a significant moment that often increases the father’s interest and involvement in the pregnancy. The other options may also increase involvement but are less impactful.