Preexisting medical conditions like diabetes, hypertension, and autoimmune diseases can impact pregnancy outcomes. What education can the nurse provide?

Correct Answer: C

Rationale: The correct answer is C: Maintaining glucose control can increase chances of conceiving. This is because uncontrolled diabetes can lead to complications during pregnancy, affecting both the mother and the baby. By educating the patient on the importance of managing their glucose levels, the nurse can help improve fertility outcomes. A: Your medical condition always gets worse during pregnancy - Incorrect. Medical conditions may not always worsen during pregnancy, and managing them properly can lead to positive outcomes. B: Nutrition changes cannot help with fertility - Incorrect. Nutrition plays a crucial role in fertility, and making appropriate dietary changes can improve the chances of conception. D: Autoimmune diseases only affect pregnancy, not infertility - Incorrect. Autoimmune diseases can impact fertility as well as pregnancy outcomes, so it is important to address these conditions when trying to conceive.

Correct Answer: A

Rationale: The correct answer is A: Provide a safe environment for the patient to further disclose their experience. This is the most appropriate action as it prioritizes the patient's safety and well-being. By creating a safe space, the nurse can encourage the patient to share more details about the violence they are experiencing. This can help the nurse assess the situation accurately and provide necessary support and resources. Choices B, C, and D are incorrect: B: Conversing with the patient's partner and asking why IPV is occurring is inappropriate as it may put the patient at further risk and breach confidentiality. C: Reporting the patient's accusations to other family members could worsen the situation and further endanger the patient. D: Proposing a plan to leave the abuser today may not be feasible or safe without proper assessment and planning.

Correct Answer: C

Rationale: The correct answer is C because the ductus venosus is a fetal vessel that connects the umbilical vein to the inferior vena cava, allowing oxygenated blood from the placenta to bypass the liver and flow directly to the fetal heart. Choice A is incorrect because the ductus arteriosus connects the pulmonary artery to the aorta. Choice B is incorrect as it refers to the foramen ovale, which is an opening between the right and left atria. Choice D is incorrect as it describes the ductus deferens, a part of the male reproductive system.

Correct Answer: B

Rationale: The correct answer is B because Braxton Hicks contractions are indeed irregular and typically painless contractions that occur throughout pregnancy. They are considered practice contractions and do not indicate the onset of labor. Choice A is incorrect as Braxton Hicks contractions are not regular or increasing in intensity. Choice C is incorrect because Braxton Hicks contractions do not signal the start of labor. Choice D is also incorrect as Braxton Hicks contractions are a normal part of pregnancy and do not require immediate medical attention.

Correct Answer: B

Rationale: The correct answer is B: Fetal heart rate of 90 beats/minute. A fetal heart rate of 90 bpm indicates fetal distress and requires immediate intervention to prevent potential complications. Decreased fetal heart rate can be a sign of fetal hypoxia or distress. The other choices are not as concerning in this context. A blood pressure of 100/60 mmHg is within normal range. The client reporting warmth in the lower extremities is a common side effect of epidural anesthesia. Contractions every 5 minutes may indicate progress in labor but do not require immediate intervention unless associated with fetal distress.