A pregnant patient with a BMI of 35 is concerned about health effects she and her baby may face during pregnancy. During routine testing, the patient tested negative for sexually transmitted illnesses (STIs) and indicated that she is in a committed, long-term relationship with the child's father. Which of the following is accurate?

Correct Answer: C

Rationale: Rationale: 1. Pregnancy with a high BMI increases the risk of wound infection post-delivery due to delayed wound healing and increased tissue trauma. 2. Negative STI test and committed relationship decrease risks of neonatal blindness and birth injury. 3. Wound infection risk is directly related to BMI and not affected by STI status or relationship status. Summary: A: Incorrect - No connection between STI status or relationship status with neonatal blindness. B: Incorrect - No direct relation between STI status or relationship status with birth injury risk. D: Incorrect - Preeclampsia risk is not influenced by STI status or relationship status.

Correct Answer: B

Rationale: The correct answer is B. The rationale is that stopping prenatal vitamins if feeling nauseous can deprive the baby of essential nutrients crucial for proper development. Nausea is common during pregnancy, and it's important to continue taking prenatal vitamins to ensure the baby receives necessary nutrients. Choices A, C, and D all demonstrate understanding of the importance of prenatal vitamins in supporting the baby's growth and preventing birth defects.

Correct Answer: C

Rationale: The correct answer is C. The loss of the mucous plug does not necessarily indicate that labor is starting right away. It can happen days to weeks before labor begins. A: Regular contractions every 10 minutes suggest labor progression. B: A bloody show can indicate the onset of labor. D: Water breaking is a sign of labor and requires immediate medical attention. Therefore, the patient needs further teaching on the timing and significance of losing the mucous plug.

Correct Answer: A

Rationale: The correct answer is A because decreased fetal movement could indicate a potential problem. Drinking a cold beverage and lying down can stimulate the baby to move, allowing the patient to count fetal movements. This can help assess the baby's well-being. Choice B is incorrect as waiting can delay necessary intervention. Choice C is incorrect as decreased fetal movement should not be dismissed without assessment. Choice D is incorrect as immediate action is needed but calling the doctor alone may not provide immediate relief or guidance.

Correct Answer: B

Rationale: The correct answer is B: Encourage the patient to take deep breaths and sit down immediately. This action is appropriate because the patient is experiencing symptoms of hypotension, which can lead to decreased blood flow to the brain causing faintness and lightheadedness. By encouraging the patient to take deep breaths and sit down immediately, the nurse is helping to increase oxygen intake and improve circulation, which can alleviate the symptoms. Explanation for why the other choices are incorrect: A: Instructing the patient to lie on her back can actually worsen symptoms as it can lead to a decrease in blood flow to the brain. C: Instructing the patient to stand up slowly is not appropriate as the patient is already feeling faint and lightheaded. This can increase the risk of falling and injury. D: Asking the patient to eat something sweet may not address the underlying cause of the symptoms, which is likely related to hypotension. It is important to address the immediate