Nokea
Young pregnant adolescents have increased nutritional needs as compared with pregnant adults. Which of the following foods would meet those needs?
- A. Banana.
- B. Cheeseburger.
- C. Strawberries.
- D. Rice.
Correct Answer: B
Rationale: Cheeseburgers provide protein, iron, and calcium, which are essential for the increased nutritional needs of pregnant adolescents.
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A client has just received synthetic prostaglandins for the induction of labor. The nurse plans to monitor the client for which of the following side effects?
- A. Nausea and uterine tetany.
- B. Hypertension and vaginal bleeding.
- C. Urinary retention and severe headache.
- D. Bradycardia and hypothermia.
Correct Answer: A
Rationale: Synthetic prostaglandins can cause nausea and uterine tetany, which are common side effects. The nurse should monitor for these and other potential complications.
A client asks the nurse to explain what luteinizing hormone (LH) does in the body. The nurse explains which of the following?
- A. It accelerates the growth and maturation of an egg in your ovary.'
- B. It enhances the potential for the sperm to fertilize the mature egg.'
- C. It promotes the movement of the egg through the fallopian tube.'
- D. It stimulates the monthly release of a mature egg from your ovary.'
Correct Answer: D
Rationale: LH surge triggers ovulation, the release of a mature egg from the ovary.
What is the term for a nonstress test in which there are two or more fetal heart rate accelerations of 15 or more beats per minute (BPM) with fetal movement in a 20-minute period?
- A. Positive
- B. Negative
- C. Reactive
- D. Nonreactive
Correct Answer: C
Rationale: The correct answer is C: Reactive. In a nonstress test, a reactive result is considered normal and indicates a healthy fetus. This is because it shows two or more fetal heart rate accelerations of 15 or more BPM with fetal movement in a 20-minute period, which signifies a responsive and healthy fetal heart rate pattern. The other choices are incorrect because:
A: Positive typically indicates a concerning result in medical contexts.
B: Negative signifies an abnormal result in this context.
D: Nonreactive suggests a lack of desired fetal heart rate accelerations with movement, which is not ideal.
The nurse is providing education to a patient at 16 weeks' gestation who is undecided about consenting to the quad screen. How can the nurse explain the purpose of the quad screen to the patient?
- A. It indicates the risk of the fetus for heart defects.
- B. It indicates the risk of the fetus for neural tube defects.
- C. It indicates the risk of the fetus for neural tube defects and chromosome abnormalities.
- D. It indicates the risk of the fetus for chromosome abnormalities.
Correct Answer: C
Rationale: The correct answer is C because the quad screen is a prenatal screening test that assesses the risk of the fetus for neural tube defects and chromosome abnormalities. At 16 weeks' gestation, this test helps identify potential issues early on, allowing for further diagnostic testing and appropriate interventions if needed. Choice A is incorrect because the quad screen does not specifically target heart defects. Choice B is incorrect as the quad screen does not solely focus on neural tube defects. Choice D is incorrect because the quad screen assesses both neural tube defects and chromosome abnormalities, not just chromosome abnormalities alone. Therefore, choice C is the most comprehensive and accurate explanation of the purpose of the quad screen for the patient at 16 weeks' gestation.
A nurse has just received report on 4 neonates in the newborn nursery. Which of the babies should the nurse assess first?
- A. Neonate whose mother is HIV positive.
- B. Neonate whose mother is group B streptococcus positive.
- C. Neonate whose mother’s labor was 12 hours long.
- D. Neonate whose mother gained 45 pounds during her pregnancy.
Correct Answer: B
Rationale: The neonate whose mother is group B streptococcus positive should be assessed first due to the risk of early-onset sepsis.