The nurse is monitoring a pregnant client undergoi

Question 1 of 5

The nurse is monitoring a pregnant client undergoing a nonstress test. What is a reassuring finding?

A. Two accelerations in 20 minutes. B. Baseline fetal heart rate of 170 beats/minute. C. Decreased fetal movement. D. Variable decelerations.

Correct Answer: A

Rationale: Two accelerations within 20 minutes indicate a reactive and reassuring nonstress test result.

Question 2 of 5

A woman with a multiple fetus pregnancy asks, <What are the chances of having an uncomplicated pregnancy?= The nurse's best response is that

A. Spontaneous abortion is more common with twins B. Women pregnant with twins are less likely to develop complications C. Twins are less likely to have complications that single babies D. Perinatal mortality rate of monoamniotic siblings is 50%

Correct Answer: C

Rationale: The nurse's best response would be that twins are less likely to have complications than single babies. This is because multiple pregnancies do have an increased risk of complications compared to singleton pregnancies, but within the realm of multiple pregnancies, twins typically have better outcomes compared to higher-order multiples like triplets or quadruplets. Twins are more likely to be born at term, have higher birth weights, and are less likely to experience certain complications such as prematurity-related issues. Therefore, the chances of having an uncomplicated pregnancy are generally better with twins compared to higher-order multiples.

Question 3 of 5

A new mother states that her infant must be cold because the baby's head and feet are blue? The nurse should explain that this is a common and temporary condition called:

A. Acrocyanosis B. Vernix caseosa C. Erythema neonatorum D. Harlequin color

Correct Answer: A

Rationale: Acrocyanosis is a common and benign condition in newborn infants characterized by temporary blueness or cyanosis of the hands, feet, and sometimes the face. This blueness is caused by the temporary constriction of blood vessels in those areas, resulting in reduced blood flow and less oxygen reaching the skin. Acrocyanosis typically resolves on its own and does not indicate any serious health concerns in newborns. It is important for healthcare providers to reassure parents that acrocyanosis is a normal phenomenon in newborns and does not require treatment.

Question 4 of 5

The nurse is providing instructions to a pregnant client who is scheduled for an amniocentesis. What instruction should the nurse provide?

A. Strict bed rest is required after the procedure. B. Hospitalization is necessary for 24 hours after the procedure. C. An informed consent needs to be signed before the procedure. D. A fever is expected after the procedure because of the trauma to the abdomen.

Correct Answer: C

Rationale: Informed consent is essential before an invasive procedure like amniocentesis. Monitoring post-procedure symptoms is also crucial.

Question 5 of 5

A client at 12 weeks' gestation asks why folic acid is important during pregnancy. What is the nurse's best response?

A. It helps prevent gestational diabetes. B. It promotes fetal brain development. C. It reduces the risk of neural tube defects. D. It increases maternal energy levels.

Correct Answer: C

Rationale: Folic acid is essential during early pregnancy to reduce the risk of neural tube defects like spina bifida.