Which is a positive sign of pregnancy?
- A. Positive pregnancy test
- B. Positive Chadwick sign
- C. Ultrasonic tracing of the fetus
- D. Positive Goodell sign
Correct Answer: C
Rationale: A positive sign of pregnancy is an ultrasonic tracing of the fetus. A positive pregnancy test, positive Chadwick sign, and positive Goodell sign are all probable signs of pregnancy.
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Early in the first trimester a woman complains of morning sickness. What does the nurse suggest to aid with the discomfort?
- A. Eating something with a high-fat content
- B. Eating dry crackers before getting up
- C. Eating three well-balanced meals
- D. Getting rest and taking antiemetics
Correct Answer: B
Rationale: A remedy for morning sickness is to eat a few dry crackers before getting up.
Which of the following demonstrate culturally competent care of the pregnant patient?
- A. Discuss beliefs with the patient and incorporate them in the plan of care.
- B. Prohibit visits from anyone other than immediate family members.
- C. Require the patient's participation in every aspect of the health care system.
- D. Maintain the patient's modesty at all times.
- E. Strive to maintain a harmonious environment for the patient.
Correct Answer: A,D,E
Rationale: The nurse should discuss the patient's cultural beliefs and incorporate as many as possible into the plan of care. Modesty is important in almost all cultures, and the nurse should take measures to ensure the patient's modesty. Absence of a stressful environment is important for a positive outcome for both mother and baby, and the nurse should strive to alleviate stress and maintain a harmonious environment. Many cultures will foster relationships, and visits from extended family members may be important. The patient may not participate in all aspects of the health care system due to cultural issues.
The nurse assesses a reactive result to a nonstress test when the fetal heart rate increases ___ beats/min.
Correct Answer: 15
Rationale: The reactive criterion is that the fetal heart rate will increase 15 beats/min when stimulated in the nonstress test.
Which of the following discomforts of a pregnant woman should be reported to the health care provider at the first occurrence?
- A. Leg cramps
- B. Pelvic discomfort
- C. Vaginal bleeding
- D. Urinary frequency
Correct Answer: C
Rationale: Vaginal bleeding at any time during pregnancy should be reported to the health care provider. Leg cramps, pelvic discomfort, and urinary frequency are common discomforts of pregnancy and not a cause for immediate concern.
How long does the embryonic stage of pregnancy typically last?
- A. 3 weeks
- B. 4 weeks
- C. 6 weeks
- D. 8 weeks
Correct Answer: D
Rationale: The embryonic stage encompasses the first 8 weeks.
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