Question 1

A primigravida is admitted to the labor unit with contractions every 7-8 minutes. She is 3 cm dilated, 70% effaced, and at 0 station. She is very anxious, is having difficulty coping with contractions, and states that she did not attend prenatal classes. Which of the following would be the most effective nursing intervention?

A)Instruct the patient in abdominal breathing and progressive relaxation.
B)Instruct the patient in patterned, paced breathing and touch relaxation.
C)Instruct the patient in pelvic tilt and pelvic rock exercises.
D)Call the physician and request a sedative.

Instruct the patient in abdominal breathing and progressive relaxation.
Instruct the patient in pelvic tilt and pelvic rock exercises.

Accepted Answer

Instruct the patient in abdominal breathing and progressive relaxation.&#10;Instruct the patient in pelvic tilt and pelvic rock exercises.

Question 2

While teaching a preconception class, the nurse should include which of the following recommendations concerning intake of vitamins during pregnancy?&#10;A)Take supplemental folic acid daily to reduce the risk of trisomy 21 (Down syndrome).&#10;B)The pregnant woman should consult the recommended dietary allowance (RDA) guidelines regarding vitamins.&#10;C)Take Vitamin C daily to reduce the risk of neural tube defects.&#10;D)The pregnant woman should consume the greatest amount of vitamins possible.

Accepted Answer

It is important for pregnant women to consult the recommended dietary allowance (RDA) guidelines for vitamins, as they vary depending on the stage of pregnancy and the individual's needs. Additionally, some vitamins can be harmful in excess, such as Vitamin A, so it is important to follow recommended guidelines for intake. While folic acid is important for reducing the risk of certain birth defects, it is not specifically related to trisomy 21 (Down syndrome). Vitamin C also plays a role in pregnancy health but is not specifically related to reducing the risk of neural tube defects. The recommendation for the pregnant woman to consume the greatest amount of vitamins possible is not accurate or safe, as excessive intake of certain vitamins can be harmful.

Question 3

The prenatal clinic nurse has presented information on prenatal class options to a couple pregnant for the first time. Which statement made by the couple indicates that additional information is necessary? "Prenatal classes:

A)"Eliminate the risk of needing a vacuum extraction or cesarean birth."
B)"Help parents cope with the discomforts and unknowns of childbirth."
C)"Facilitate better communication between both partners."
D)"Encourage participants to write a list of their requests for labor and birth."

"Eliminate the risk of needing a vacuum extraction or cesarean birth."

Accepted Answer

Prenatal classes cannot eliminate the risk of needing a vacuum extraction or cesarean birth. These interventions may be necessary for the health and safety of the mother and/or baby, and are not a result of attending or not attending prenatal classes.

Question 4

A 29-year-old woman who is pregnant with her first child asks the nurse which childbirth preparation class is most highly recommended for couples. Which nursing response is best?&#10;A)&#34;For couples, the International Childbirth Education Association (ICEA) recommends the Bradley method, which is a partner-coached childbirth.&#34;&#10;B)&#34;Lamaze would be the ideal choice of preparation for you and your husband.&#34;&#10;C)&#34;Ideally, you can learn about each method, and then choose the one that's best for you.&#34;&#10;D)&#34;Any of the methods will work well, as long as you and your husband do not deviate from the instructions related to that specific method.&#34;

Accepted Answer

The best response is to empower the couple to make an informed decision based on their own preferences and needs. Option C suggests learning about each method and then choosing the one that best fits their desires and beliefs. It is important for the couple to feel comfortable and confident in their chosen childbirth method.

Question 5

The nurse is assisting an expectant couple in developing a birth plan. Which of the following instructions would the nurse include in the teaching plan?&#10;A)The birth plan includes only patient choices and does not take into account standard choices of the health care provider.&#10;B)The birth plan allows the patient to make choices about the birth process; however, these choices cannot be altered.&#10;C)The birth plan is a legally binding contract between the patient and the health care provider.&#10;D)The birth plan is a communication tool between the patient and the health care provider.

Accepted Answer

The birth plan is a communication tool between the patient and the health care provider, allowing the patient to express her preferences for the birth process. It is not a legally binding contract, and it should be a collaborative effort that takes into account the standard practices of the health care provider while respecting the patient's wishes. The birth plan should also be flexible and subject to change based on the progress of the labor and the health of the mother and baby.

Question 6

An expectant couple desires to determine compatibility with a care provider. They ask the nurse for assistance. Which of the following questions should the nurse encourage the couple to ask first?&#10;A)&#34;Can my children attend the birth?&#34;&#10;B)&#34;If I have a cesarean birth, can my husband attend?&#34;&#10;C)&#34;What is your philosophy of birth?&#34;&#10;D)&#34;What percentage of your patients have episiotomies?&#34;

Accepted Answer

The most important question to ask a care provider is about their philosophy of birth. This will give the couple insight into the provider's approach to childbirth and if it aligns with their own beliefs and desires. The other questions are important but can be addressed after determining compatibility based on this initial question.

Question 7

A 38-year-old woman with no prior pregnancies calls the clinic to inquire about preconception counseling. Which element of early prenatal education should the nurse expect to facilitate?&#10;A)Availability of prenatal and genetic testing&#10;B)Birth choices&#10;C)Infertility counseling&#10;D)Nutrition classes

Accepted Answer

Preconception counseling aims to educate women about their reproductive health and to identify any risk factors that may affect their pregnancy. This includes discussing the availability and benefits of prenatal and genetic testing to screen for potential health issues in the developing fetus. While birth choices, infertility counseling, and nutrition classes are also important elements of prenatal education, they are typically addressed later in the pregnancy or after conception has been confirmed.

Question 8

The nurse is presenting a prenatal class for couples beginning prenatal care. What information is most important for the nurse to include?&#10;A)You can have a certified nurse-midwife or a physician for your provider.&#10;B)You can give birth in either of two different types of rooms, each with different equipment.&#10;C)The birthing unit was remodeled and redecorated last year.&#10;D)Some of the providers recommend circumcision for baby boys.

Accepted Answer

The most important information for couples beginning prenatal care is to understand their options for a healthcare provider. This includes knowing that they can choose a certified nurse-midwife or a physician, and what the differences between those providers may be.

Question 9

The nurse is presenting a prenatal education class about the use of Lamaze during childbirth. Which concept should the nurse include in his teaching?&#10;A)Dissociative relaxation&#10;B)Partner-coached childbirth&#10;C)The extended McRoberts position&#10;D)Touch relaxation

Accepted Answer

The answer of The nurse is presenting a prenatal education...

Question 10

A couple would like their 5-year-old to attend the birth. Which statement by the nurse would assist in the family's plan to include their 5-year-old in the birth?&#10;A)&#34;You should let your child stay home because you will be focusing on the birth.&#34;&#10;B)&#34;Children under 12 are not allowed to be present at the birth.&#34;&#10;C)&#34;You should bring someone who only will tend to any specific needs of your child.&#34;&#10;D)&#34;Bring some toys to keep your child occupied.&#34;

Accepted Answer

Bringing someone who can tend to the specific needs of the child would be the best option to ensure the child's safety and comfort during the birth. It allows the parents to fully focus on the birth while ensuring that their child's needs are being met.

Question 11

The nurse in the obstetrical clinic is setting appointments for patients seeking preconceptual care. Which patient should be seen first?&#10;A)36-year-old, has never been pregnant, takes medication for a seizure disorder&#10;B)15-year-old, smokes one pack per day, had a miscarriage four months ago&#10;C)22-year-old, runs long distances, has been on the pill for six years&#10;D)29-year-old, has had two abortions, takes a multiple-vitamin supplement

Accepted Answer

The answer of The nurse in the obstetrical clinic is...

Deck 8: Preparation for Parenthood