Nokea
Which of the following findings in an 8-week gestation client, G2 P1001, should the nurse highlight for the nurse midwife? Select all that apply.
- A. Body mass index of 17 kg/m².
- B. Rubella titer of 1:8.
- C. Blood pressure of 100/60 mm Hg.
- D. Hematocrit of 30%.
Correct Answer: A
Rationale: A low BMI, low rubella titer, and low hematocrit are all concerning findings that should be highlighted for further evaluation. A blood pressure of 100/60 mm Hg is within normal limits.
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Which is equivalent to a 2 oz protein serving?
- A. 4 tbsp peanut butter
- B. 2 eggs
- C. 1 cup cooked lima beans
- D. 2 ounces mixed nuts
Correct Answer: B
Rationale: Two eggs are equivalent to a 2 oz protein serving, providing approximately 12 grams of protein.
A nurse is caring for a postpartum person who is experiencing excessive bleeding. What is the first step in managing postpartum hemorrhage?
- A. administer uterotonics
- B. administer IV fluids
- C. perform a manual removal of the placenta
- D. monitor vital signs every 15 minutes
Correct Answer: A
Rationale: The correct answer is A: administer uterotonics. Uterotonics help to contract the uterus, which can help stop the bleeding in postpartum hemorrhage. This is the initial step in managing postpartum hemorrhage to address the primary cause of excessive bleeding. Administering IV fluids (B) can support circulation but does not address the underlying issue. Performing manual removal of the placenta (C) is invasive and not the first-line treatment for postpartum hemorrhage. Monitoring vital signs (D) is important but should not delay the immediate intervention of administering uterotonics.
A woman is planning to become pregnant. Which of the following actions should she be counseled to take before stopping birth control? Select all that apply.
- A. Take a daily multivitamin.
- B. See a medical doctor.
- C. Drink beer instead of vodka.
- D. Stop all over-the-counter medications.
Correct Answer: B
Rationale: Taking a multivitamin, consulting a doctor, and stopping potentially harmful medications are important preconception steps. Alcohol consumption should generally be minimized, but switching from vodka to beer is not a significant improvement.
A newly pregnant patient tells the nurse that she has irregular periods and is unsure of when she got pregnant. When is the best time for the nurse to schedule the patient’s ultrasound?
- A. Immediately
- B. In 2 weeks
- C. In 4 weeks
- D. In 6 weeks
Correct Answer: A
Rationale: An ultrasound at around 5-6 weeks after the last menstrual period is the most accurate time to determine gestational age.
Of what is the normal umbilical cord comprised?
- A. 1 artery carrying blood to the fetus and 1 vein carrying blood away from the fetus
- B. 1 artery carrying blood to the fetus and 2 veins carrying blood away from the fetus
- C. 2 arteries carrying blood away from the fetus and 1 vein carrying blood to the fetus
- D. 2 arteries carrying blood to the fetus and 2 veins carrying blood away from the fetus
Correct Answer: C
Rationale: The umbilical cord is comprised of 2 arteries carrying blood away from the fetus and 1 vein carrying blood to the fetus.