Nokea
Why is pregnancy planning important for women of childbearing age?
- A. Much organogenesis occurs before the missed period
- B. Insurance preapproval is required
- C. No more than 3 pregnancies are recommended
- D. Pregnancies less than 2 years apart stress the cardiovascular system
Correct Answer: A
Rationale: Organogenesis occurs early in pregnancy, often before a missed period, making early intervention critical for fetal health.
You may also like to solve these questions
The nurse takes the history of a client, G2 P1001, at her first prenatal visit. Which of the following statements would indicate that the client should be referred to a genetic counselor?
- A. My first child has cerebral palsy.
- B. My first child has hypertension.
- C. My first child has asthma.
- D. My first child has cystic fibrosis.
Correct Answer: D
Rationale: Cystic fibrosis is a genetic condition, and a history of it in a previous child would warrant a referral to a genetic counselor. Cerebral palsy, hypertension, and asthma are not typically genetic conditions.
The nurse asks a 31-week gestation client to lie on the examining table during a prenatal examination.
- A. Orthopneic.
- B. Lateral-recumbent.
- C. Sims'.
- D. Semi-Fowler’s.
Correct Answer: B
Rationale: The lateral-recumbent position reduces pressure on the inferior vena cava and is safer for pregnant women compared to other positions.
The clinic nurse is obtaining a health history on a newly pregnant patient. Which is an indication for fetal diagnostic procedures if present in the health history?
- A. Maternal diabetes
- B. Weight gain of 25 lb
- C. Maternal age older than 30 years
- D. Previous infant weighing more than 3000 g at birth
Correct Answer: A
Rationale: Maternal diabetes is a risk factor in pregnancy due to possible impairment of placental perfusion, necessitating fetal diagnostic procedures.
Which is fetal tachycardia likely caused by?
- A. Compression of the umbilical cord
- B. Maternal infection
- C. Compression of the fetal head
- D. Maternal hypertension
Correct Answer: B
Rationale: The correct answer is B: Maternal infection. Maternal infection can lead to fetal tachycardia due to the transfer of inflammatory mediators from the mother to the fetus, causing an increase in the fetal heart rate. This physiological response is a common indicator of fetal distress in utero.
A: Compression of the umbilical cord can lead to fetal distress, but it typically manifests as bradycardia rather than tachycardia.
C: Compression of the fetal head can cause fetal distress, but it is more likely to result in decelerations in heart rate rather than tachycardia.
D: Maternal hypertension can lead to complications during pregnancy, but it is not typically associated with fetal tachycardia.
A multigravid client is 22 weeks pregnant. Which of the following symptoms would the nurse expect the client to exhibit?
- A. Nausea.
- B. Dyspnea.
- C. Urinary frequency.
- D. Leg cramping.
Correct Answer: D
Rationale: Leg cramping is a common complaint during the second trimester. Nausea is more common in the first trimester, and dyspnea and urinary frequency are more common in the third trimester.