Nokea
Which statement indicates that the woman understands the information?
- A. Blood pressure goes up toward the end of pregnancy.'
- B. My breathing will get deeper and a little faster.'
- C. I'll notice a decreased pigmentation in my skin.'
- D. There will be a curvature in the upper spine area.'
Correct Answer: B
Rationale: The pregnant woman breathes more deeply, and her respiratory rate may increase slightly.
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What does the nurse explain as the most likely cause of this symptom?
- A. Supine hypotension syndrome
- B. Gestational diabetes
- C. Pregnancy-induced hypertension
- D. Malnutrition
Correct Answer: A
Rationale: Supine hypotension syndrome occurs when lying on the back, causing dizziness due to aortocaval compression.
What is the nurse's initial action?
- A. Assess food intake.
- B. Weigh the patient again.
- C. Take the blood pressure.
- D. Notify the physician.
Correct Answer: C
Rationale: A 10-pound weight gain in 2 weeks may indicate pre-eclampsia, so blood pressure should be assessed first.
At what age is a woman who becomes pregnant for the first time described as an 'elderly primip'?
- A. After 25 years old
- B. After 28 years old
- C. After 30 years old
- D. After 35 years old
Correct Answer: D
Rationale: A woman over 35 who becomes pregnant for the first time is described as an 'elderly primip.'
What nursing interventions are appropriate for the prenatal patient in terms of prenatal care?
- A. Offer nutritional counseling.
- B. Reinforce responsibility of parenthood.
- C. Reduce risk factors.
- D. Improve health practices.
- E. Make financial arrangements for delivery.
Correct Answer: A,B,C,D
Rationale: Nutritional counseling, reinforcing parenthood responsibilities, reducing risk factors, and improving health practices are goals of prenatal care.
The nurse reminds the prenatal patient that she should add kcal to her daily intake to nourish the fetus.
Correct Answer: 300
Rationale: The recommended dietary intake increase is 300 kcal a day.