Be- tions before finding one that works.

Correct Answer: C

Rationale: Option C is the most appropriate statement to make to the client because it addresses the reality of sexually transmitted infections (STIs). Many STIs can be transmitted even when the infected individual is not experiencing any symptoms. This is an important point to communicate to prevent the spread of the infection to other sexual partners. It emphasizes the need for practicing safe sex measures and getting tested regularly, regardless of the presence of symptoms. It is important for the client to understand that they can still be a carrier of the infection even if they are not displaying any noticeable symptoms.

Correct Answer: A

Rationale: A. Assess maternal vital signs: With the delivery of a baby with macrosomia (greater than 4,000 g), the mother is at risk for postpartum hemorrhage due to uterine atony, retained placental fragments, or lacerations. Therefore, assessing maternal vital signs is crucial in detecting any signs of hemorrhage promptly.

Correct Answer: C

Rationale: In the context of pharmacology, understanding the emotional and physical changes in pregnancy is crucial as it can impact medication efficacy and safety. The correct answer, option C, states that physical and emotional changes are normal, aligning with the principles of HypnoBirthing which emphasizes a natural and calm approach to childbirth. Option A is incorrect because it promotes the misconception that fear is necessary for learning, which is not the case in the context of HypnoBirthing where fear is seen as a hindrance to the birthing process. Option B is incorrect as HypnoBirthing actually teaches techniques to help women relax despite the physical changes in pregnancy. Option D is incorrect as HypnoBirthing promotes letting go of anxiety through relaxation and mindfulness practices. Educationally, understanding the normalcy of physical and emotional changes in pregnancy is essential for healthcare providers, especially in pharmacology, to provide holistic care and support to pregnant individuals. By recognizing these changes as part of the natural process, healthcare professionals can better assist in managing any related symptoms or concerns, and tailor pharmacological interventions accordingly.

Correct Answer: D

Rationale: When assessing fetal well-being in a prenatal clinic, it is important to focus on factors directly related to the fetus. Fetal heart tones provide crucial information about the baby's heart rate and rhythm, indicating how well the fetus is doing. Fetal movement is another essential indicator of fetal well-being, as it shows signs of good neurological function and reactivity. Finally, measuring fundal height (the distance from the top of the uterus to the pubic bone) helps assess fetal growth and development. These three aspects - fetal heart tones, fetal movement, and fundal height - provide a comprehensive evaluation of the baby's well-being and development during pregnancy.

Correct Answer: D

Rationale: The correct action for the nurse to perform first when observing the umbilical cord protruding from the vagina during the first stage of labor is to insert a gloved hand into the vagina to relieve pressure on the cord. This is crucial to prevent compression of the cord, which could compromise oxygenation to the fetus. By gently lifting the presenting part off the cord, the nurse can help maintain blood flow and prevent fetal distress. Once the pressure on the cord is relieved, additional interventions such as preparing the client for immediate birth, covering the cord with a sterile, moist saline dressing, or positioning the client in knee-chest position may be necessary depending on the clinical situation. But the priority is to relieve pressure on the umbilical cord promptly to ensure the well-being of the fetus.