Nokea
Which of the following interventions is most appropriate for a postpartum person who has difficulty initiating breastfeeding?
- A. assist with hand expression
- B. administer pain relief
- C. offer additional support and education
- D. administer a breast pump
Correct Answer: B
Rationale: The correct answer is B: administer pain relief. Pain can be a common barrier to initiating breastfeeding. By providing pain relief, the postpartum person may feel more comfortable and be better able to initiate breastfeeding. Hand expression (A) may not address the underlying issue of pain. Offering additional support and education (C) may be beneficial but addressing pain is more urgent. Administering a breast pump (D) is not necessary at this stage unless there are specific indications.
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An antenatal client is informing the nurse of her prenatal signs and symptoms. Which of the following findings would the nurse determine are presumptive signs of pregnancy? Select all that apply.
- A. Amenorrhea.
- B. Breast tenderness.
- C. Quickening.
- D. Frequent urination.
Correct Answer: A
Rationale: Presumptive signs of pregnancy are subjective and include amenorrhea, breast tenderness, quickening, and frequent urination. Uterine growth is a probable sign of pregnancy.
What is the purpose of amniocentesis for a patient hospitalized at 34 weeks of gestation with pregnancy-induced hypertension?
- A. Determine if a metabolic disorder exists.
- B. Identify the sex of the fetus.
- C. Identify abnormal fetal cells.
- D. Determine fetal lung maturity.
Correct Answer: D
Rationale: At 34 weeks, amniocentesis is primarily used to assess fetal lung maturity, which is critical if early delivery is being considered.
A nurse is caring for a pregnant patient who is at 28 weeks gestation and has a history of hypertension. Which of the following interventions is the most appropriate to prevent complications?
- A. Encourage the patient to increase salt intake to raise blood pressure.
- B. Monitor the patient's blood pressure regularly and check for protein in the urine.
- C. Increase physical activity and exercise to reduce blood pressure.
- D. Limit fluid intake to prevent swelling and lower blood pressure.
Correct Answer: B
Rationale: The correct answer is B: Monitor the patient's blood pressure regularly and check for protein in the urine. This is the most appropriate intervention because the patient has a history of hypertension, which can lead to complications like preeclampsia. Regular blood pressure monitoring and urine protein checks are essential in detecting early signs of preeclampsia, allowing for timely intervention to prevent complications.
Choice A: Encouraging the patient to increase salt intake would worsen hypertension and increase the risk of complications.
Choice C: Increasing physical activity and exercise may not be safe for a pregnant patient with hypertension and can potentially raise blood pressure.
Choice D: Limiting fluid intake can lead to dehydration and is not recommended during pregnancy, especially with a history of hypertension.
The nurse is caring for a pregnant patient who is 37 weeks gestation and is experiencing contractions every 10 minutes. Which of the following should the nurse assess first?
- A. The patient's vital signs and fetal heart rate
- B. The patient's cervical dilation and effacement
- C. The patient's urinary output and fluid balance
- D. The patient's emotional status and support system
Correct Answer: B
Rationale: The correct answer is B: The patient's cervical dilation and effacement. At 37 weeks gestation with contractions every 10 minutes, assessing cervical dilation and effacement is crucial to determine if the patient is in active labor. This information will guide the nurse in determining the appropriate next steps for the patient's care, such as the need for further monitoring or interventions. Assessing vital signs and fetal heart rate (Choice A) is important but not the priority in this scenario. Urinary output and fluid balance (Choice C) are important considerations but not the immediate priority. Emotional status and support system (Choice D) are also important but not the first assessment to be made in this situation.
Which food can a lactose-intolerant pregnant woman consume for calcium?
- A. Turnip greens
- B. Green beans
- C. Cantaloupe
- D. Nectarines
Correct Answer: A
Rationale: Turnip greens are rich in calcium, making them a suitable alternative for lactose-intolerant individuals.