A patient in her third trimester of pregnancy is asking about safe travel. Which statement should the nurse provide regarding safe travel during pregnancy?

Correct Answer: D

Rationale: The correct answer is D: "If you are traveling by car, stop to walk every 1 to 2 hours." This is the best advice because it promotes circulation and reduces the risk of blood clots during long car rides. Walking helps prevent stiffness and discomfort. A: "Only travel by car during pregnancy" is incorrect because other modes of transportation can be safe as well. B: "Avoid use of the seat belt during the third trimester" is incorrect as wearing a seat belt is crucial for the safety of both the mother and the baby in case of an accident. C: "You can travel by plane until your 38th week of gestation" is incorrect as most airlines have restrictions on flying after 36 weeks due to the risk of preterm labor.

Correct Answer: D

Rationale: Rationale for Answer D (G5 T1 P1 A2 L2): - G (Gravida): The patient is in her fifth pregnancy - T (Term births): She has had one infant at 38 weeks' gestation - P (Preterm births): She has had one infant at 32 weeks' gestation - A (Abortions): She has had two spontaneous abortions in the first trimester - L (Living children): She has 2 living children Summary of other choices: - A: Incorrect as it states 2 living children, which is not accurate - B: Incorrect as it only accounts for one abortion and one living child - C: Incorrect as it indicates no living children, which is not true based on the given information Therefore, Answer D is the correct option based on the patient's obstetric history.

Correct Answer: D

Rationale: The correct answer is D because relaxing in a hot tub for 30 minutes a day, several days a week can increase the body temperature, which is harmful during the first trimester and can lead to birth defects. Choice A is not a risk factor as it promotes a healthy sexual relationship. Choice B is beneficial as moderate exercise is recommended during pregnancy. Choice C is not necessarily a risk factor unless it involves exposure to harmful substances or excessive stress.

Correct Answer: C

Rationale: Rationale: C is correct because when a patient with an IUD in place has a positive pregnancy test, the IUD should be removed to avoid complications such as ectopic pregnancy, miscarriage, or infection. Leaving the IUD in place can increase the risk of adverse outcomes for both the mother and the fetus. Removing the IUD allows for safer management of the pregnancy and reduces potential harm. Summary: A: Incorrect. Fetal damage is not inevitable, and a therapeutic abortion is not the immediate action required in this situation. B: Incorrect. Hormonal analyses are not the priority when a positive pregnancy test with an IUD in place is detected. D: Incorrect. Leaving the IUD in place can lead to complications and is not the recommended course of action.

Correct Answer: B

Rationale: The correct answer is B (2 weeks) because for a healthy primigravida at 28 weeks gestation, it is recommended to schedule prenatal visits every 2 weeks during the third trimester. This frequency allows for closer monitoring of both the mother and the baby's well-being as they near the delivery date. Option A (1 week) is too frequent and unnecessary for a healthy pregnancy at this stage. Option C (3 weeks) and Option D (4 weeks) are too far apart and may not provide adequate monitoring and support during the critical final weeks of pregnancy.