A pregnant patient is at 32 weeks gestation and complains of shortness of breath, swelling of the hands, and increased weight gain. What is the nurse's priority action?

Correct Answer: B

Rationale: The correct answer is B. At 32 weeks gestation, the patient's symptoms suggest possible preeclampsia, a serious condition characterized by high blood pressure and protein in the urine. Assessing blood pressure and checking for proteinuria are crucial for diagnosing and managing preeclampsia. Administering oxygen or preparing for a cesarean section is not the priority without proper assessment. Encouraging rest and elevation of legs may help with swelling, but addressing the potential preeclampsia is more urgent. Instructing the patient to drink fluids is not the priority as it does not address the underlying issue of preeclampsia.

Correct Answer: B

Rationale: The correct answer is B: "Labor can be unpredictable, and each birth is different." This response acknowledges the variability and individuality of labor experiences, providing reassurance to the patient. Labor outcomes depend on various factors such as maternal health, baby's position, and other unforeseen circumstances. Explanation: 1. A (Labor will likely be quick and easy, especially since this is your first pregnancy): This statement is incorrect because the duration and ease of labor are not solely determined by the patient's parity (number of pregnancies). Each labor is unique and may vary in length and intensity regardless of previous pregnancies. 2. C (You will probably need a cesarean section since you are at full term): This statement is incorrect as the majority of pregnant women deliver vaginally at full term. Cesarean section is not a predetermined outcome solely based on gestational age. 3. D (You may not feel any pain during labor because of modern pain relief options): This statement is incorrect because pain

Correct Answer: A

Rationale: The correct answer is A: Stand up slowly and make sure to drink plenty of fluids. When a pregnant patient feels dizzy when standing, it is likely due to postural hypotension. Standing up slowly helps prevent a sudden drop in blood pressure, which can cause dizziness. Drinking plenty of fluids helps maintain adequate blood volume and prevents dehydration, another common cause of dizziness during pregnancy. Sitting down immediately (B) may help temporarily but does not address the underlying issue. Lying flat on the back (C) can worsen symptoms by putting pressure on the vena cava, reducing blood flow to the brain. Taking deep breaths and elevating legs (D) may not be effective in addressing postural hypotension.

Correct Answer: B

Rationale: The correct answer is B because vitamin C enhances iron absorption. Iron supplements should be taken with a vitamin C source, such as orange juice, to maximize absorption and effectiveness in treating anemia. Iron absorption is hindered by calcium-rich foods and milk, so options A and D are incorrect. Option C is also incorrect as iron supplementation is crucial during pregnancy to prevent and treat anemia.

Correct Answer: A

Rationale: The correct answer is A: Assess the nature of the discharge for signs of infection. At 36 weeks gestation, increased vaginal discharge could be a sign of infection, such as bacterial vaginosis or yeast infection, which can lead to preterm labor. The nurse's priority is to assess for infection to prevent any potential harm to the mother and baby. By assessing the nature of the discharge, the nurse can determine if further evaluation or treatment is needed. Choice B is incorrect because instructing the patient to monitor the discharge at home does not address the potential seriousness of the situation. Choice C is incorrect as using panty liners only manages the symptom without addressing the underlying cause. Choice D is incorrect because providing education about normal pregnancy changes does not address the immediate need to rule out infection in this scenario.