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.
The nurse explains that the birth weight of monozygotic twins is frequently below average. What is the most likely cause?
- A. Inadequate space in the uterus
- B. Inadequate blood supply
- C. Inadequate maternal health
- D. Inadequate placental nutrition
Correct Answer: D
Rationale: The single placenta may not be able to provide adequate nutrition to two fetuses.
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.
A nurse is caring for a pregnant patient at 32 weeks gestation who is experiencing severe leg cramps. What is the nurse's most appropriate intervention?
- A. Encourage the patient to perform gentle stretching exercises and elevate the legs.
- B. Instruct the patient to take calcium supplements to prevent cramps.
- C. Apply heat or cold packs to the affected area to reduce pain.
- D. Administer pain medications to alleviate discomfort.
Correct Answer: A
Rationale: The correct answer is A because gentle stretching exercises help relieve muscle tension and improve circulation, alleviating leg cramps. Elevating the legs can also help reduce swelling and promote blood flow. Choice B is incorrect because while calcium is essential for muscle function, it is not the primary intervention for acute leg cramps. Choice C may provide temporary relief but does not address the underlying cause of the cramps. Choice D should be avoided in pregnancy unless absolutely necessary due to potential risks to the fetus.
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.