A nurse has taught a pregnant woman about toxoplasmosis. What statement by the patient indicates a need for further instruction?
I will be certain to empty the litter boxes regularly.
I have to wash all of my fruits and vegetables.
I won't eat raw eggs.
I need to be cautious when cooking meat.
The Correct Answer is A
Choice a) I will be certain to empty the litter boxes regularly is incorrect because this is a risky behavior for a pregnant woman who wants to prevent toxoplasmosis. Toxoplasmosis is an infection caused by a parasite called Toxoplasma gondii, which can be found in the feces of cats and other animals. If a pregnant woman gets infected with toxoplasmosis, she can pass it to her unborn baby, which can cause serious problems such as miscarriage, stillbirth, or birth defects. Therefore, a pregnant woman should avoid contact with cat litter and let someone else handle the litter boxes, or wear gloves and wash her hands thoroughly if she has to do it herself.
Choice b) I have to wash all of my fruits and vegetables is correct because this is a good practice for a pregnant woman who wants to prevent toxoplasmosis. Toxoplasmosis can also be transmitted through contaminated soil or water, which can adhere to fruits and vegetables. Therefore, a pregnant woman should wash all of her fruits and vegetables before eating them, and peel or cook them if possible, to remove any traces of the parasite.
Choice c) I won't eat raw eggs is correct because this is another good practice for a pregnant woman who wants to prevent toxoplasmosis. Toxoplasmosis can also be acquired through eating undercooked or raw meat or eggs that contain the parasite. Therefore, a pregnant woman should avoid eating raw eggs or any foods that contain them, such as mayonnaise, mousse, or homemade ice cream, and cook all of her meat and eggs thoroughly until they are no longer pink or runny.
Choice d) I need to be cautious when cooking meat is correct because this is also an important practice for a pregnant woman who wants to prevent toxoplasmosis. Toxoplasmosis can also be spread through handling raw meat that contains the parasite. Therefore, a pregnant woman should be careful when cooking meat and use separate utensils and cutting boards for raw and cooked meat, wash her hands and surfaces after touching raw meat, and avoid tasting raw meat while cooking it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice a) Insert an indwelling urinary catheter is incorrect because this is not a priority action for a client who has a large amount of painless, bright red vaginal bleeding. This type of bleeding is suggestive of placenta previa, which is a condition where the placenta covers part or all of the cervix, preventing normal delivery. Inserting an indwelling urinary catheter can cause trauma to the cervix or the placenta, which can worsen the bleeding and endanger the mother and the fetus. Therefore, this action should be avoided unless absolutely necessary.
Choice b) Prepare the abdominal and perineal areas is incorrect because this is not a priority action for a client who has a large amount of painless, bright red vaginal bleeding. This type of bleeding is suggestive of placenta previa, which is a condition where the placenta covers part or all of the cervix, preventing normal delivery. Preparing the abdominal and perineal areas can be done before performing a cesarean section, which is usually the preferred mode of delivery for placenta previa. However, this action should be done after stabilizing the client's condition and obtaining informed consent for surgery.
Choice c) Witness the signature for informed consent for surgery is incorrect because this is not a priority action for a client who has a large amount of painless, bright red vaginal bleeding. This type of bleeding is suggestive of placenta previa, which is a condition where the placenta covers part or all of the cervix, preventing normal delivery.
Witnessing the signature for informed consent for surgery can be done before performing a cesarean section, which is usually the preferred mode of delivery for placenta previa. However, this action should be done after stabilizing the client's condition and explaining the risks and benefits of surgery.
Choice d) Initiate IV access is correct because this is the priority action for a client who has a large amount of painless, bright red vaginal bleeding. This type of bleeding is suggestive of placenta previa, which is a condition where the placenta covers part or all of the cervix, preventing normal delivery. Initiating IV access can help to restore fluid volume, prevent hypovolemic shock, administer medications such as oxytocin or blood products if needed, and prepare for emergency cesarean section if indicated. Therefore, this action should be done as soon as possible to save the life of the mother and the fetus.
Correct Answer is D
Explanation
Choice a) Ectopic pregnancy is incorrect because this is not a condition that requires delivery by cesarean section. Ectopic pregnancy is a condition where the fertilized egg implants outside the uterus, usually in the fallopian tube. It is a life-threatening complication that can cause internal bleeding and rupture of the tube. Ectopic pregnancy cannot result in a viable baby and must be terminated as soon as possible, either by medication or surgery. Therefore, this response is irrelevant and inaccurate.
Choice b) Preeclampsia is incorrect because this is not a condition that always necessitates delivery by cesarean section. Preeclampsia is a condition where the blood pressure rises above 140/90 mmHg after 20 weeks of pregnancy, along with proteinuria and edema. It can cause complications such as eclampsia, HELLP syndrome, placental abruption, and fetal growth restriction. The only cure for preeclampsia is delivery of the baby and placenta, but the mode of delivery depends on several factors, such as the gestational age, the severity of the condition, the fetal status, and the maternal preference. Therefore, some women with preeclampsia may deliver vaginally, while
others may need a cesarean section.
Choice c) Partial abruptio placentae is incorrect because this is not a condition that always necessitates delivery by cesarean section. Abruptio placentae is a condition where the placenta separates from the uterine wall before delivery, causing vaginal bleeding, abdominal pain, uterine contractions, and fetal distress. It can be classified as partial or complete, depending on the extent of the separation. The mode of delivery for abruptio placentae depends on several factors, such as the degree of bleeding, the fetal viability, the cervical dilation, and the fetal position.
Therefore, some women with partial abruptio placentae may deliver vaginally, while others may need a cesarean section.
Choice d) Total placenta previa is correct because this is the only condition that always necessitates delivery by cesarean section. Placenta previa is a condition where the placenta covers part or all of the cervix, preventing normal delivery. It can be classified as marginal, partial, or total, depending on the degree of overlap. The mode of delivery for placenta previa depends on several factors, such as the type of previa, the amount of bleeding, the gestational age, and the fetal status. However, women with total placenta previa have no chance of delivering vaginally, as the placenta completely blocks the birth canal. Therefore, they must have a cesarean section to avoid hemorrhage and fetal compromise.
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