Nokea
Which of the following is true about the use of a birthing ball during labor?
- A. It is contraindicated for patients with high blood pressure
- B. It promotes pelvic mobility and can help reduce pain
- C. It should only be used during the second stage of labor
- D. It is only effective in early labor
Correct Answer: B
Rationale: The correct answer is B because a birthing ball promotes pelvic mobility, which can help reduce pain during labor by encouraging movement and optimal positioning of the baby. It is not contraindicated for patients with high blood pressure unless specifically advised by a healthcare provider. It can be used throughout labor, not just during the second stage, and is effective at various stages, not just in early labor.
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What is the purpose of performing an amniotomy during labor?
- A. to induce labor and promote cervical dilation
- B. to reduce the risk of infection
- C. to augment labor and prevent prolonged labor
- D. to prevent fetal infection
Correct Answer: C
Rationale: Performing an amniotomy during labor is done to augment labor by releasing amniotic fluid, which can help progress labor by increasing uterine contractions and encouraging the descent of the baby's head. This can help prevent prolonged labor and facilitate a smoother delivery process. Options A, B, and D are incorrect because inducing labor, reducing the risk of infection, and preventing fetal infection are not the primary purposes of performing an amniotomy.
A nurse is caring for a postpartum person who is at risk for infection. What is the most important intervention to reduce the risk of infection?
- A. administer antibiotics
- B. apply a sterile dressing
- C. perform a vaginal exam
- D. administer pain relief
Correct Answer: A
Rationale: Correct Answer: A (administer antibiotics)
Rationale:
1. Administering antibiotics targets potential infection-causing pathogens directly.
2. Antibiotics help prevent the spread of infection within the body.
3. Prophylactic antibiotics are commonly used postpartum for high-risk individuals.
4. This intervention directly addresses the root cause of infection risk.
Summary:
B: Applying a sterile dressing is important for wound care but doesn't target systemic infection risk.
C: Performing a vaginal exam can introduce pathogens and increase infection risk.
D: Administering pain relief is important for comfort but doesn't directly reduce infection risk.
The partner of a gravida accompanies her to her prenatal appointment. The nurse notes that the father of the baby has gained weight since she last saw him. Which of the following comments is most appropriate for the nurse to make to the father?
- A. I see that you are gaining weight right along with your partner.
- B. You and your partner will be able to go on a diet together after the baby is born.
- C. I can see that you are a bad influence on your partner’s eating habits.
- D. I am so glad to see that you are taking so much interest in your partner’s pregnancy.
Correct Answer: D
Rationale: This comment acknowledges the father's involvement positively without judgment. Commenting on weight gain or suggesting future diets could come across as insensitive or inappropriate.
A pregnant patient with a history of anemia is asking the nurse about managing iron deficiency. Which of the following statements by the nurse would be most appropriate?
- A. Iron supplements should be taken with milk for better absorption.
- B. Iron supplements should be taken with a source of vitamin C to enhance absorption.
- C. Iron supplements should be avoided during the second trimester.
- D. Iron supplements should be taken at night before bed.
Correct Answer: B
Rationale: The correct answer is B: Iron supplements should be taken with a source of vitamin C to enhance absorption. Iron absorption is increased in the presence of vitamin C. Vitamin C helps convert iron into a more absorbable form. This is crucial for managing iron deficiency anemia in pregnant patients.
Incorrect choices:
A: Iron supplements should not be taken with milk as calcium in milk can hinder iron absorption.
C: Iron supplements are safe to take throughout pregnancy, and avoiding them during the second trimester is not recommended.
D: There is no specific recommendation to take iron supplements at night before bed; it can be taken at any time of the day.
A patient in active labor starts to complain of circumoral numbness and tingling in her fingertips. What should the nurse do?
- A. Increase intravenous fluids.
- B. Give the woman pain medication.
- C. Obtain an arterial blood gas.
- D. Encourage the woman to slow down her breathing.
Correct Answer: D
Rationale: The correct answer is D: Encourage the woman to slow down her breathing. Circumoral numbness and tingling in the fingertips are symptoms of hyperventilation, which can occur during labor due to increased anxiety. Slowing down breathing helps to correct the imbalance of oxygen and carbon dioxide levels, alleviating the symptoms. Increasing IV fluids (A) is not indicated for hyperventilation. Pain medication (B) does not address the root cause. Obtaining an arterial blood gas (C) is not necessary unless the symptoms persist after addressing hyperventilation.