Nokea
Which food should the nurse advise a pregnant woman to avoid?
- A. Bologna
- B. Cantaloupe
- C. Asparagus
- D. Popcorn
Correct Answer: A
Rationale: Bologna is a processed meat that may contain harmful bacteria like Listeria, posing risks during pregnancy.
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What is the most common complication of a cesarean birth?
- A. infection
- B. hemorrhage
- C. urinary retention
- D. scar tissue
Correct Answer: A
Rationale: The correct answer is A: infection. Infection is the most common complication of a cesarean birth due to the incision made during the procedure, which can introduce bacteria. Infections can lead to various complications if not treated promptly. Hemorrhage (B) can occur but is less common than infection. Urinary retention (C) and scar tissue (D) are potential complications of cesarean birth but are not as common as infection.
What is the primary purpose of a vaginal examination during the second stage of labor?
- A. to assess fetal descent
- B. to evaluate uterine progress
- C. to assess cervical dilation
- D. to assess fetal position
Correct Answer: B
Rationale: The correct answer is B because during the second stage of labor, the primary purpose of a vaginal examination is to evaluate uterine progress. This is important to determine the effectiveness of contractions and the progression of labor. Assessing fetal descent (A) is typically done during the first stage of labor. Assessing cervical dilation (C) is important throughout labor but is not the primary purpose during the second stage. Assessing fetal position (D) can also be important but is not the primary focus during the second stage.
Which statements about amniotic fluid are correct? Select all that apply.
- A. Provides fetal nutrition
- B. Cushions the fetus from injury
- C. Enables the fetus to grow
- D. Enables the fetus to practice swallowing
Correct Answer: D
Rationale: Amniotic fluid cushions the fetus, enables growth, maintains a stable thermal environment, and allows the fetus to practice swallowing.
A client asks the nurse what was meant when the physician told her she had a positive Chadwick’s sign. Which of the following information about the finding would be appropriate for the nurse to convey at this time?
- A. It is a purplish stretch mark on your abdomen.
- B. It means that you are having heart palpitations.
- C. It is a bluish coloration of your cervix and vagina.
- D. It means the doctor heard abnormal sounds when you breathed in.
Correct Answer: C
Rationale: Chadwick’s sign is a bluish coloration of the cervix and vagina due to increased blood flow, which is a common early sign of pregnancy.
A patient who was admitted to the delivery room undergoes an ultrasound, which reveals that the sacrum is the presenting part; the lie is longitudinal, with both the hips and knees in flexion. Which describes this fetal presentation?
- A. Cephalic
- B. Complete breech
- C. Frank breech
- D. Footling breech
Correct Answer: C
Rationale: The correct answer is A: Cephalic. In this presentation, the sacrum is the presenting part, indicating the baby is head down, which is characteristic of a cephalic presentation. Additionally, the lie is longitudinal, further supporting the cephalic presentation. The flexion of both hips and knees is also consistent with the normal positioning of a baby in the cephalic presentation.
Summary of other choices:
B: Complete breech - In a complete breech presentation, the baby is bottom down with both hips and knees flexed, but the sacrum would not be the presenting part.
C: Frank breech - In a frank breech presentation, the baby's buttocks are the presenting part with the legs extended and the feet near the head.
D: Footling breech - In a footling breech presentation, one or both feet are the presenting part, with the hips and knees extended, not flexed as described in the scenario.