A pregnant patient at 26 weeks gestation reports nausea and vomiting. What is the nurse's priority action?

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Maternal Fetal Monitoring Questions

Question 1 of 5

A pregnant patient at 26 weeks gestation reports nausea and vomiting. What is the nurse's priority action?

Correct Answer: C

Rationale: The correct answer is C because nausea and vomiting are common during pregnancy and can be alleviated by eating smaller, more frequent meals and avoiding greasy foods. This strategy helps maintain stable blood sugar levels and reduces gastric distress. Administering anti-nausea medications (A) should only be considered if conservative measures fail. Instructing the patient to eat larger meals less frequently (B) may worsen symptoms. Encouraging rest and avoiding physical activity (D) may be beneficial but addressing dietary factors is the priority in this case.

Question 2 of 5

The nurse is caring for a pregnant patient who is 32 weeks gestation and is concerned about the safety of taking prescription medications. Which response by the nurse is most appropriate?

Correct Answer: B

Rationale: The correct answer, B, is appropriate because it emphasizes the importance of consulting with a healthcare provider to ensure the safety of prescription medications during pregnancy. This step is crucial as healthcare providers can assess the risks versus benefits of medication use in pregnancy and provide personalized recommendations. Choice A is incorrect as some medications may be necessary for the health of the mother and baby. Choice C is incorrect as not all prescription medications are safe during pregnancy. Choice D is incorrect as the safety of prescription medications in pregnancy is not solely determined by whether they are over-the-counter or not. Consulting with a healthcare provider is the best course of action to ensure the well-being of both the mother and the baby.

Question 3 of 5

The nurse is teaching a pregnant patient about the importance of folic acid. Which statement by the patient indicates that the teaching has been effective?

Correct Answer: A

Rationale: Step 1: Folic acid is crucial for neural tube development in the fetus. Step 2: Spinal cord defects are a type of neural tube defect. Step 3: Statement A directly links folic acid to preventing spinal cord defects. Therefore, choice A is correct as it demonstrates an understanding of the specific benefit of folic acid during pregnancy. Choices B, C, and D are incorrect as they do not accurately reflect the primary role of folic acid in pregnancy.

Question 4 of 5

A nurse is caring for a postpartum person who is breastfeeding. What is the most important factor for successful breastfeeding?

Correct Answer: B

Rationale: The correct answer is B: proper positioning. Proper positioning is crucial for successful breastfeeding as it ensures the baby latches on effectively, leading to efficient milk transfer and preventing nipple pain or damage. Incorrect answers: A: frequent breastfeeding - While important, proper positioning is more critical for successful breastfeeding. C: supportive communication - While important for overall well-being, it is not the most crucial factor for successful breastfeeding. D: promote rest and hydration - While important for the postpartum person's health, proper positioning is key for successful breastfeeding.

Question 5 of 5

A pregnant patient at 28 weeks gestation reports dizziness and faintness when standing. What is the nurse's most appropriate recommendation?

Correct Answer: B

Rationale: The correct answer is B: Instruct the patient to increase fluid intake and stand slowly. This recommendation is appropriate because the patient is likely experiencing orthostatic hypotension due to the expanding uterus compressing blood vessels, leading to decreased blood flow to the brain when standing. Increasing fluid intake helps maintain blood volume, while standing slowly helps prevent sudden drops in blood pressure. A: Rising quickly can worsen dizziness by further decreasing blood flow to the brain. C: Resting in bed may not address the underlying issue of orthostatic hypotension and may lead to deconditioning. D: Avoiding standing for long periods may be impractical and may not address the need to maintain adequate blood volume and prevent sudden drops in blood pressure.

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