Nokea
Which spice is safe for nausea and vomiting during pregnancy?
- A. Ginger
- B. Sage
- C. Cloves
- D. Nutmeg
Correct Answer: A
Rationale: Ginger is widely recognized as a safe and effective complementary therapy for managing nausea and vomiting during pregnancy.
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A 22-year-old woman presents to the labor and delivery unit in labor at 39 weeks gestation. Her cervix is 6 cm dilated and 100% effaced. What should the nurse do next?
- A. Prepare for delivery
- B. Administer pain relief medications
- C. Continue to monitor contractions and fetal heart rate
- D. Perform a vaginal examination to check for fetal descent
Correct Answer: C
Rationale: The correct answer is C: Continue to monitor contractions and fetal heart rate. At 6 cm dilated and 100% effaced, the woman is in active labor, but delivery is not imminent. Monitoring contractions and fetal heart rate is crucial to ensure the progress of labor and fetal well-being. This step allows the nurse to assess for any signs of fetal distress or labor progression. Administering pain relief medications (B) can be considered based on the woman's pain level, but it is not the immediate priority. Preparing for delivery (A) is premature at this stage. Performing a vaginal examination (D) may not be necessary unless there are concerns about fetal descent or progress of labor.
A client enters the prenatal clinic. She states that she missed her period yesterday and used a home pregnancy test this morning. She states that the results were negative, but 'I still think I am pregnant.' Which of the following statements would be appropriate for the nurse to make at this time?
- A. Your period is probably just irregular.
- B. We could do a blood test to check.
- C. Home pregnancy test results are very accurate.
- D. My recommendation would be to repeat the test in one week.
Correct Answer: B
Rationale: A blood test is more accurate than a home pregnancy test, especially early in pregnancy. Repeating the test in a week is also an option, but a blood test provides more immediate and reliable results.
A pregnant patient at 32 weeks gestation reports occasional dizziness when standing up. What is the nurse's most appropriate recommendation?
- A. Encourage the patient to increase fluid intake and stand up slowly.
- B. Instruct the patient to lie down immediately and rest to prevent fainting.
- C. Advise the patient to avoid physical activity and rest as much as possible.
- D. Instruct the patient to take deep breaths and rise quickly to avoid dizziness.
Correct Answer: A
Rationale: The correct answer is A: Encourage the patient to increase fluid intake and stand up slowly. This recommendation is appropriate because occasional dizziness when standing up can be due to postural hypotension common in pregnancy. Increasing fluid intake helps maintain blood volume, and standing up slowly prevents sudden drops in blood pressure. Choice B is incorrect as lying down immediately may not address the underlying issue. Choice C is incorrect as complete rest may not be necessary. Choice D is incorrect as rising quickly can worsen dizziness.
A woman in labor is diagnosed with preeclampsia. What is the most important action for the nurse to take?
- A. Administer antihypertensive medications
- B. Monitor the patient's blood pressure regularly
- C. Administer magnesium sulfate to prevent seizures
- D. Perform an emergency cesarean section
Correct Answer: C
Rationale: The correct answer is C: Administer magnesium sulfate to prevent seizures. This is the most important action because preeclampsia can lead to eclampsia, which is characterized by seizures. Magnesium sulfate is the first-line treatment to prevent seizures in preeclamptic patients. Administering antihypertensive medications (A) may be necessary to control blood pressure, but preventing seizures takes precedence. Monitoring blood pressure (B) is important but not the most critical action. Performing an emergency cesarean section (D) may be necessary in severe cases but is not the initial priority.
A pregnant patient at 24 weeks gestation reports feeling fatigued and lightheaded. What is the nurse's first priority action?
- A. Encourage the patient to rest and drink fluids.
- B. Monitor the patient's blood pressure and assess for signs of anemia.
- C. Administer iron supplements to alleviate fatigue.
- D. Instruct the patient to avoid any physical activity until symptoms subside.
Correct Answer: B
Rationale: The correct answer is B. Monitoring the patient's blood pressure and assessing for signs of anemia is the first priority because fatigue and lightheadedness in pregnancy can be symptoms of anemia or other serious conditions. Anemia can lead to complications for both the mother and the baby. Encouraging rest and fluids (choice A) is important but should come after ruling out any potential serious conditions. Administering iron supplements (choice C) without proper assessment can be harmful if anemia is not the cause. Instructing the patient to avoid physical activity (choice D) without proper evaluation can delay necessary interventions.