Nokea
Which vitamin should be avoided in excess during pregnancy?
- A. Vitamin C
- B. Vitamin D
- C. Vitamin B2 (niacin)
- D. Vitamin B12 (cobalamin)
Correct Answer: B
Rationale: Vitamin D in excess can lead to hypercalcemia, which may harm the fetus. Other vitamins listed are generally safe when consumed in recommended amounts.
You may also like to solve these questions
What is the most appropriate nursing action when a laboring person requests pain relief during the first stage of labor?
- A. provide non-pharmacological pain relief
- B. administer epidural analgesia
- C. administer IV analgesics
- D. administer pain medication as requested
Correct Answer: B
Rationale: The correct answer is B: administer epidural analgesia. In the first stage of labor, epidural analgesia is the most appropriate option for pain relief as it provides effective and continuous pain management without compromising maternal and fetal well-being. Epidural analgesia allows the laboring person to remain alert and actively participate in the birthing process. Non-pharmacological pain relief methods may not provide sufficient pain relief during the intense contractions of the first stage of labor. Administering IV analgesics may not effectively manage the pain in the first stage and can have sedative effects on the laboring person and newborn. Administering pain medication as requested without considering the most appropriate option may not provide optimal pain relief and may not be in the best interest of the laboring person and their baby.
A pregnant patient at 28 weeks gestation is experiencing mild back pain. What should the nurse do first?
- A. Administer pain relief and recommend bed rest.
- B. Assess the patient's posture and recommend appropriate exercises.
- C. Encourage the patient to perform light physical activities to strengthen the back muscles.
- D. Instruct the patient to take deep breaths and rest until the pain subsides.
Correct Answer: B
Rationale: The correct answer is B because assessing the patient's posture and recommending appropriate exercises will help address the mild back pain effectively without compromising the safety of the pregnancy. By identifying any postural issues contributing to the pain and recommending suitable exercises, the nurse can promote musculoskeletal health and alleviate discomfort. Administering pain relief without addressing the underlying cause (choice A) may mask symptoms temporarily. Encouraging light physical activities (choice C) could worsen the pain if not tailored to the individual's needs. Instructing the patient to rest and take deep breaths (choice D) may not address the root cause of the back pain.
An 18-week gestation client telephones the obstetrician’s office stating, 'I’m really scared. I think I have breast cancer. My breasts are filled with tumors.' The nurse should base the response on which of the following?
- A. Breast cancer is often triggered by pregnancy.
- B. Nodular breast tissue is normal during pregnancy.
- C. The woman is exhibiting signs of a psychotic break.
- D. Anxiety attacks are especially common in the second trimester.
Correct Answer: B
Rationale: Nodular breast tissue is a normal change during pregnancy due to hormonal fluctuations. Breast cancer is not typically triggered by pregnancy, and anxiety attacks are not specifically common in the second trimester.
The nurse is interviewing a 38-week gestation Muslim woman.
- A. Do you plan to breastfeed your baby?
- B. What do you plan to name the baby?
- C. Which pediatrician do you plan to use?
- D. How do you feel about having an episiotomy?
Correct Answer: D
Rationale: Questions about episiotomy might be culturally sensitive or inappropriate without prior discussion of preferences, especially in certain cultural contexts like Islam.
What is the primary goal of fetal heart rate monitoring during the second stage of labor?
- A. to predict when to bear down during contractions
- B. to determine the strength of the uterine contractions
- C. to evaluate fetal well-being
- D. to monitor vital signs of the birthing person
Correct Answer: C
Rationale: The primary goal of fetal heart rate monitoring during the second stage of labor is to evaluate fetal well-being. This is crucial to ensure that the baby is tolerating labor and delivery well. Monitoring fetal heart rate helps identify any signs of distress or compromise in oxygen supply to the baby. It guides healthcare providers in making timely interventions if needed to prevent adverse outcomes. Choices A and B are incorrect because the primary goal is not about timing contractions or assessing uterine contractions strength. Choice D is incorrect as the focus is not on monitoring the vital signs of the birthing person but on assessing the well-being of the fetus.