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.

Correct Answer: A

Rationale: The correct answer is A: Count fetal movements and report a decrease of more than 10 movements per day. This recommendation is evidence-based and aligns with guidelines for monitoring fetal well-being. Counting fetal movements helps assess fetal health, and a decrease in movements could indicate potential issues like fetal distress. Reporting a decrease of more than 10 movements per day ensures timely intervention if needed. Choice B is incorrect because waiting until after 32 weeks could delay necessary intervention if there are concerns about fetal movements. Choice C is incorrect as it dismisses the importance of monitoring fetal movements altogether. Choice D is incorrect as there is no requirement to always lie down or restrict monitoring to only after meals, which could lead to missed opportunities for detecting potential problems.

Correct Answer: A

Rationale: The correct answer is A. Leg cramps and lower back pain in pregnancy can be relieved by taking a warm bath and performing leg stretches. Warm water helps relax muscles, while stretching can alleviate muscle tension. This is safe and effective for pregnant patients. Choice B is incorrect because applying a heating pad may not be recommended during pregnancy due to the risk of overheating. Resting in bed may provide temporary relief but does not address the underlying cause. Choice C is incorrect because increasing calcium intake and taking over-the-counter pain medications may not specifically target muscle cramps and back pain. It is essential to address the symptoms directly. Choice D is incorrect because encouraging light physical activity may be beneficial, but avoiding long periods of rest may not be necessary. Stretching and warm baths are more specific interventions for muscle cramps and back pain.

Correct Answer: A

Rationale: The correct answer is A: Signs and symptoms of preterm labor. At 22 weeks gestation, it is crucial to educate the patient about potential signs of preterm labor to help prevent premature birth and ensure the well-being of the baby. Symptoms such as regular contractions, abdominal cramping, backache, and vaginal bleeding should be discussed. This topic is time-sensitive and requires immediate action if observed. Summary of other choices: B: Signs of gestational diabetes - While important, monitoring for gestational diabetes typically occurs later in pregnancy, usually around 24-28 weeks. C: Breastfeeding education - Important, but not as time-sensitive as preterm labor education. D: Postpartum care - Relevant but more appropriate for later stages of pregnancy or after birth, not specifically at 22 weeks gestation.

Correct Answer: A

Rationale: The correct answer is A: apply gentle downward pressure. This action helps prevent the baby from being born too quickly, reducing the risk of tearing for the mother. It also ensures a controlled delivery, decreasing the likelihood of complications such as shoulder dystocia. Administering pain relief (B) or analgesics (C) may be necessary but not the most crucial at this moment. Performing perineal massage (D) is beneficial for reducing the risk of tearing but is not as important as guiding the baby's head during crowning.