A patient (gravida 3, para 2, at 40.6 weeks' gestation) asks, Is there anything we can do to start labor besides medication? I'm so ready to have this baby.” Which response is appropriate by the nurse?

Correct Answer: C

Rationale: The correct answer is C because brisk walking can help stimulate contractions by using gravity to encourage the baby's descent. This physical activity can engage the baby's head on the cervix, promoting the release of oxytocin, a hormone that triggers labor. This is a non-invasive and natural method that can be safe for most pregnant individuals. Choice A is incorrect because there are non-medication methods like brisk walking that can help start labor. Choice B is incorrect as amniocentesis is not typically used to initiate labor but to assess lung maturity. Choice D is incorrect as it mentions medication for labor induction, which was not the patient's initial inquiry about non-medication options.

Correct Answer: C

Rationale: The correct answer is C because newborns lack appropriate intestinal flora to synthesize vitamin K. This is important as newborns are at risk of vitamin K deficiency bleeding due to insufficient stores at birth. Choice A is incorrect because vitamin K primarily plays a role in coagulation, not platelet production. Choice B is incorrect as newborns can produce vitamin K but are deficient in intestinal flora. Choice D is incorrect because vitamin K is synthesized by gut bacteria, not in bone marrow.

Correct Answer: C

Rationale: The correct answer is C: Hepatitis B. This is important because Hepatitis B is a bloodborne virus that can be transmitted from mother to newborn during childbirth, leading to serious health complications. The other choices, A (Rubeola) and B (Hepatitis A), are not typically transmitted from mother to newborn during childbirth. Choice D (HIV/AIDS) can also be transmitted from mother to newborn during childbirth, but assessing for Hepatitis B is especially crucial due to the high risk of transmission and potential long-term consequences for the newborn.

Correct Answer: C

Rationale: The correct answer is C because assessing patient reliability in taking an oral pill daily is crucial for the effectiveness of progestin-only pills. This type of contraceptive requires strict adherence to daily dosing. Option A is incorrect because prior childbirth does not impact eligibility for progestin-only pills. Option B is incorrect as regular periods are not a requirement for this contraceptive method. Option D is irrelevant as smoking history is not a determining factor for using progestin-only pills.

Correct Answer: B

Rationale: The correct answer is B: The patient should be using some form of contraception to avoid pregnancy. Rationale: 1. Perimenopause does not guarantee the cessation of ovulation, so pregnancy is still possible. 2. Irregular periods increase the difficulty of predicting ovulation. 3. Pregnancy at an older age carries increased risks for both the mother and the baby. 4. Contraception is essential until menopause is confirmed. Incorrect Choices: A: Hormone therapy addresses menopausal symptoms, not contraception. C: Dual-energy x-ray absorptiometry scan is for bone density, not pregnancy prevention. D: Incomplete option, not relevant to the scenario.