Nokea
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.
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A woman who has just discovered she is pregnant states that the first day of her last menstrual period was July 10. What will be her expected date of birth (EDB)?
- A. April 10
- B. April 17
- C. May 10
- D. October 17
Correct Answer: B
Rationale: To determine the EDB (estimated date of birth), the woman should count from the first day of her last menstrual period. Count back 3 months and forward 7 days.
Where does implantation of the fertilized ovum usually occur?
- A. Lower uterine wall
- B. Side of the uterus
- C. Fundus of the uterus
- D. Body of the uterus
Correct Answer: C
Rationale: Implantation usually occurs in the fundus of the uterus.
What is the cause of frequent urination in early pregnancy?
- A. Increased fluid intake
- B. The fetus's kidneys functioning
- C. Retention of fluid
- D. Increased circulating volume
Correct Answer: D
Rationale: Early in the pregnancy, the increase in circulating volume and the enlarging uterus placing pressure on the bladder cause urinary frequency.
Why is the nurse concerned about a patient in her first trimester of pregnancy being exposed to German measles?
- A. The disease is capable of causing a spontaneous abortion.
- B. The disease is capable of causing birth defects.
- C. The disease is capable of causing high fever and convulsions.
- D. The disease is capable of interfering with placental implantation.
Correct Answer: B
Rationale: Rubella is a known teratogen, which can cause birth defects.
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.