Which statements about amniotic fluid are correct? Select all that apply.
- A. Provides fetal nutrition
- B. Cushions the fetus from injury
- C. Enables the fetus to grow
- D. Enables the fetus to practice swallowing
Correct Answer: D
Rationale: Amniotic fluid cushions the fetus, enables growth, maintains a stable thermal environment, and allows the fetus to practice swallowing.
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The nurse is caring for a pregnant patient who is 34 weeks gestation and is concerned about the safety of using herbal remedies. What is the nurse's most appropriate response?
- A. Herbal remedies are always safe during pregnancy as long as they are natural.
- B. You should avoid all herbal remedies during pregnancy without consulting your healthcare provider.
- C. Herbal remedies are only unsafe during the first trimester of pregnancy.
- D. Herbal remedies are safe as long as they are purchased from a reputable source.
Correct Answer: B
Rationale: The correct answer is B because pregnant patients should avoid all herbal remedies without consulting their healthcare provider. During pregnancy, there can be potential risks associated with herbal remedies, as their safety and efficacy are not well studied. It is crucial for healthcare providers to assess the individual patient's medical history and current health status before recommending any herbal remedies.
Choice A is incorrect because not all herbal remedies are safe during pregnancy, regardless of being natural. Choice C is incorrect because herbal remedies can pose risks throughout pregnancy, not just in the first trimester. Choice D is incorrect because the safety of herbal remedies cannot be guaranteed solely by purchasing them from a reputable source. Consulting a healthcare provider is essential to ensure the safety of both the mother and the baby.
What complication can result from untreated respiratory distress in the newborn?
- A. Esophageal atresia
- B. Gastric dilation
- C. Cold stress
- D. Reopening of the foramen ovale
Correct Answer: D
Rationale: Respiratory distress can cause increased pressure in the right ventricle, causing reopening of the foramen ovale.
A gravid woman who recently emigrated from mainland China is being seen at her first prenatal visit. She was never vaccinated in her home country. An injection to prevent which of the following communicable diseases should be administered to the woman during her pregnancy?
- A. Influenza.
- B. Mumps.
- C. Rubella.
- D. Varicella.
Correct Answer: A
Rationale: Influenza vaccination is safe and recommended during pregnancy to protect both the mother and fetus. Vaccines for Mumps, Rubella, and Varicella are live attenuated vaccines and are contraindicated during pregnancy.
A pregnant woman is scheduled to undergo chorionic villus sampling (CVS) based on genetic family history. Which medication does the nurse anticipate will be administered?
- A. Magnesium sulfate
- B. Prostaglandin suppository
- C. RhoGAM if the patient is Rh-negative
- D. Betamethasone
Correct Answer: C
Rationale: Rh-negative women undergoing CVS require RhoGAM to prevent Rh sensitization.
The nurse midwife tells a client that the baby is growing and that ballottement was evident during the vaginal examination. How should the nurse explain what the nurse midwife means by ballottement?
- A. The nurse midwife saw that the mucous plug was intact.
- B. The nurse midwife felt the baby rebound after being pushed.
- C. The nurse midwife palpated the fetal parts through the uterine wall.
- D. The nurse midwife assessed that the baby is head down.
Correct Answer: B
Rationale: Ballottement is the rebound of the fetus when it is pushed during a vaginal examination, indicating fetal movement and growth.