Nokea
Which situation best describes a man trying on fathering behaviors?
- A. Reading books on newborn care
- B. Spending more time with his siblings
- C. Coaching a little league baseball team
- D. Exhibiting physical symptoms related to pregnancy
Correct Answer: A
Rationale: The correct answer is A because reading books on newborn care demonstrates the man actively seeking knowledge and preparing for fatherhood. This choice reflects a deliberate effort to understand and engage in fathering behaviors. Spending time with siblings (B) may improve his relationship skills but does not necessarily indicate specific fathering behaviors. Coaching a little league team (C) involves mentoring and leadership but does not directly relate to fathering. Exhibiting physical symptoms of pregnancy (D) is biologically impossible and irrelevant to fathering behaviors. Ultimately, actively seeking knowledge through reading shows the man's commitment to learning how to be a father.
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The patient has just learned that she is pregnant and overhears the gynecologist saying that she has a positive Chadwick's sign. When the patient asks the nurse what this means, how would the nurse respond?
- A. "Chadwick's sign signifies an increased risk of blood clots in pregnant women
- B. “That sign means the cervix has softened as the result of tissue changes that
naturally occur with pregnancy.” - C. "This means that a mucus plug has formed in the cervical canal to help protect you from uterine infection."
- D. "This sign occurs normally in pregnancy, when estrogen causes increased blood flow in the area of the cervix."
Correct Answer: C
Rationale: The correct answer is C. Chadwick's sign refers to the bluish discoloration of the cervix, vagina, and labia due to increased blood flow, a result of pregnancy hormones. The mucus plug forming in the cervical canal indicates protection from uterine infections, a crucial function during pregnancy. This response directly correlates Chadwick's sign with its physiological significance, showing the nurse's knowledge and ability to educate the patient effectively. Other choices are incorrect because they do not accurately describe Chadwick's sign or its implications in pregnancy.
The ovaries are:
- A. Located in the male reproductive system
- B. A pair of small glands about the size and shape of almonds
- C. Long tubes connecting the vagina to the cervix
- D. Large elongated muscles found in the female bladder
Correct Answer: B
Rationale: The ovaries are small, almond-shaped glands responsible for producing eggs and hormones like estrogen and progesterone.
Numerous changes in the integumentary system occur during pregnancy. Which change persists after birth?
- A. Epulis
- B. Chloasma
- C. Telangiectasia
- D. Striae gravidarum
Correct Answer: D
Rationale: Striae gravidarum, or stretch marks, persist after pregnancy, although they may fade over time. Other changes like epulis and chloasma typically resolve postpartum.
Cardiovascular system changes occur during pregnancy. Which finding would be considered normal for a woman in her second trimester?
- A. Less audible heart sounds (S , S ) 1 2
- B. Increased pulse rate
- C. Increased blood pressure
- D. Decreased red blood cell (RBC) production
Correct Answer: B
Rationale: The correct answer is B: Increased pulse rate. During the second trimester of pregnancy, it is normal for a woman's heart rate to increase due to the increased blood volume and cardiac output needed to support the growing fetus. This physiological change helps meet the increased metabolic demands of both the mother and the baby.
A: Less audible heart sounds (S1, S2) is incorrect because heart sounds are typically more audible during pregnancy due to the increased blood flow and volume in the cardiovascular system.
C: Increased blood pressure is incorrect because blood pressure tends to decrease slightly during the second trimester before rising again in the third trimester.
D: Decreased red blood cell (RBC) production is incorrect because RBC production actually increases during pregnancy to support the increased oxygen-carrying capacity required for the mother and the fetus.
During pregnancy, oxygen and nutrients diffuse across the from the mother to the foetus:
- A. Placenta
- B. Kidneys
- C. Lungs
- D. Cervix
Correct Answer: A
Rationale: The placenta facilitates the exchange of oxygen, nutrients, and waste products between the mother and fetus.