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Which foods should the nurse suggest for improving folic acid intake?
- A. Potatoes and grapes
- B. Cranberries and squash
- C. Apples and corn
- D. Oranges and spinach
Correct Answer: D
Rationale: Oranges and spinach are rich in folic acid, which is crucial for preventing neural tube defects during pregnancy.
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Transvaginal ultrasonography is often performed during the first trimester. What conditions may require this test? (Select all that apply.)
- A. Multifetal gestation
- B. Bicornuate uterus
- C. Presence and location of pregnancy
- D. Amniotic fluid volume
Correct Answer: C
Rationale: Transvaginal ultrasound is used to confirm fetal viability, assess multiple gestations, and check for uterine abnormalities.
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.
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.
A nurse is educating a pregnant patient about the signs of preterm labor. Which of the following should the nurse include in the teaching plan?
- A. Frequent, regular contractions every 10 minutes or less.
- B. Decreased fetal movement and back pain.
- C. Mild cramping and occasional vaginal spotting.
- D. Headaches and blurred vision, especially after physical activity.
Correct Answer: A
Rationale: The correct answer is A because frequent, regular contractions every 10 minutes or less are a classic sign of preterm labor, indicating the need for immediate medical attention. Decreased fetal movement and back pain (choice B) are not specific signs of preterm labor. Mild cramping and occasional vaginal spotting (choice C) could be normal in pregnancy or may indicate other issues, but they are not definitive signs of preterm labor. Headaches and blurred vision (choice D) are more indicative of preeclampsia, a separate condition from preterm labor. Therefore, choice A is the most accurate and specific sign to include in the teaching plan for preterm labor.
A nurse is assisting with a vaginal delivery. What is the most important action when the fetal head begins to crown?
- A. apply gentle downward pressure
- B. perform perineal massage
- C. perform a vaginal exam
- D. assist with breathing exercises
Correct Answer: A
Rationale: The correct answer is A: apply gentle downward pressure. This action helps prevent rapid delivery, reducing the risk of tearing and allowing the perineum to stretch gradually. It also helps control the delivery, ensuring a safe and controlled birth process. Performing perineal massage (B) is beneficial during the pushing stage but is not the most important action when the head crowns. Performing a vaginal exam (C) is unnecessary and may increase the risk of infection. Assisting with breathing exercises (D) is important during labor but not specifically when the head crowns.