When describing perinatal education to a pregnant woman and her partner, the nurse emphasizes which goal as the primary one?

Eliminate anxiety so that they can have an uncomplicated birth

Empower the couple to take control over their pregnancy and birth

Equip a couple with the knowledge to experience a positive birth

Provide knowledge and skills that will help them cope with labor

Answer and Explanation

The Correct Answer is C

Choice A Reason: This option is incorrect because it is unrealistic and impractical to eliminate anxiety completely. Anxiety is a normal and natural response to pregnancy and childbirth, and it can have both positive and negative effects on the outcome. Anxiety can motivate women and their partners to seek information and care, but it can also interfere with their ability to relax and cope with pain. Perinatal education can help them manage their anxiety by providing accurate information, reassurance, and coping strategies.

Choice B Reason: This option is incorrect because it implies that the couple has no control over their pregnancy and birth unless they are empowered by perinatal education. While perinatal education can enhance their sense of control and autonomy, it is not the only factor that influences their experience. Pregnancy and birth are complex and dynamic processes that involve many factors beyond their control, such as biological, environmental, social, and cultural factors. Perinatal education can help them adapt to these factors and collaborate with their health care providers.

Choice C Reason: Perinatal education is a process of providing information and support to pregnant women and their partners before, during, and after childbirth. The main goal of perinatal education is to help them prepare for a positive birth experience, which can have lasting benefits for their physical and emotional health, as well as their relationship with their baby. Perinatal education can also help them make informed decisions about their care and preferences, and cope with any challenges or complications that may arise.

Choice D Reason: This option is incorrect because it is too narrow and limited in scope. Providing knowledge and skills that will help them cope with labor is an important aspect of perinatal education, but it is not the primary goal. Labor is only one stage of childbirth, and perinatal education covers a broader range of topics that are relevant for pregnancy, birth, and postpartum. Moreover, coping with labor is not the only outcome that matters for a positive birth experience. Perinatal education can also help them achieve other outcomes, such as satisfaction, empowerment, bonding, and well-being.

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Correct Answer is C

Explanation

Choice A: A clear liquid diet is not appropriate for a client with hyperemesis gravidarum, which is a severe form of nausea and vomiting during pregnancy that can lead to dehydration, electrolyte imbalance, and weight loss. A clear liquid diet does not provide adequate calories, protein, vitamins, or minerals for the client and the fetus.

Choice B: Administration of diethylstilbestrol is not indicated for a client with hyperemesis gravidarum. Diethylstilbestrol is a synthetic estrogen that was used in the past to prevent miscarriage and premature birth, but it was found to cause serious adverse effects such as vaginal cancer, infertility, and birth defects in the offspring.

Choice C: Total parenteral nutrition is the correct choice because it provides a complete and balanced source of nutrients through a central venous catheter. It is used for clients who cannot tolerate oral or enteral feeding due to severe gastrointestinal disorders such as hyperemesis gravidarum. It helps to prevent malnutrition, dehydration, and ketosis in the client and the fetus.

Choice D: Nothing by mouth is not a suitable option for a client with hyperemesis gravidarum. It can worsen the condition by causing starvation, acidosis, and ketosis. It can also increase the risk of aspiration pneumonia if the client vomits.

A. 28 weeks' gestation B. 32 weeks' gestation C. 16 weeks' gestation D. 36 weeks' gestation

Correct Answer is D

Explanation

Choice A: 28 weeks' gestation is too early to screen for group B streptococcus infection. Group B streptococcus (GBS) is a type of bacteria that can cause serious infections in newborns if transmitted from the mother during labor and delivery. The optimal time to screen for GBS is between 35 and 37 weeks' gestation.

Choice B: 32 weeks' gestation is also too early to screen for GBS infection. Screening at this time may not reflect the true colonization status of the mother at the time of delivery, as GBS can be transient or intermittent.

Choice C: 16 weeks' gestation is much too early to screen for GBS infection. Screening at this time has no clinical value, as GBS colonization can change throughout pregnancy.

Choice D: 36 weeks' gestation is the appropriate time to screen for GBS infection. Screening at this time can identify mothers who are colonized with GBS and who need intrapartum antibiotic prophylaxis to prevent neonatal sepsis, pneumonia, and meningitis.

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When describing perinatal education to a pregnant woman and her partner, the nurse emphasizes which goal as the primary one?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with hyperemesis gravidarum is admitted to the facility after being cared for at home without success. What would the nurse expect to include in the client's plan of care?

Correct Answer is C

Explanation

A nurse is providing prenatal care to a pregnant client. At which time would the nurse expect to screen the client for group B streptococcus infection?

Correct Answer is D

Explanation

A nurse is conducting an in-service program for a group of nurses working at the women's health facility about the causes of spontaneous abortion. The nurse determines that the teaching was successful when the group identifies which condition as the most common cause of first trimester abortions?

A nurse suspects that a pregnant client may be experiencing placenta abruption based on assessment of which finding? Select all that apply.

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication?

A client is suspected of having a ruptured ectopic pregnancy. Which assessment would the nurse identify as the priority?

Which information on a client's health history would the nurse identify as contributing to the client's risk for an ectopic pregnancy?

A woman hospitalized with severe preeclampsia is being treated with hydralazine to control blood pressure. Which finding would lead the nurse to suspect that the client is having an adverse effect associated with this drug?

Assessment of a pregnant woman and her fetus reveals tachycardia and hypertension. There is also evidence suggesting vasoconstriction. The nurse would question the woman about use of which substance?