NMNC 3210 EXAM 3 WITH 100%
CORRECT ANSWERS
The nurse is teaching a young adolescent pregnant woman about proper diet. The
nurse starts by collecting a 24-hour dietary recall. Which statement by the nurse would
increase the likelihood of compliance to dietary changes by the woman?
- "This diet looks good but is low in calcium. Which of these high-calcium foods do you
think you could include in your diet?"
- "This diet is low in calcium and you need to drink more milk. How about one glass for
breakfast and one for lunch?"
- "You must not like milk. Let's try eating cheese instead."
- "You must drink more milk. The baby's health may be jeopardized if you don't start
taking in more calcium now." - Answer- - "This diet looks good but is low in calcium.
Which of these high-calcium foods do you think you could include in your diet?"
Rationale:
This statement allows the woman to have control over the changes necessary. When
she is in control, compliance increases. Statements that belittle the woman or place
blame will decrease the likelihood of compliance.
In teaching about weight gain during pregnancy, the nurse should include
- the pregnant woman should gain a total of 25 pounds regardless of her beginning
weight.
- the woman who is overweight prior to pregnancy should not gain any weight during the
pregnancy.
- during the third trimester, the pregnant woman should gain about 1 pound of weight
per week.
- a young adolescent pregnant woman should gain less than the recommended weight
gain. - Answer- - during the third trimester, the pregnant woman should gain about 1
pound of weight per week.
Rationale:
The pattern of weight gain is as important as the total increase. The general
recommendation for the third trimester is 1 pound per week. Weight gain during
pregnancy differs according to the beginning weight. A woman who is overweight
should gain 15 to 25 pounds; a woman who is underweight should gain 28 to 40
pounds. Weight gain is important during pregnancy even for a woman who is
overweight. An adolescent pregnant woman needs to gain weight toward the top end of
the recommended weight gains. She needs to provide not only for the fetus but also for
her own growth.
,The nurse is admitting a woman to the labor unit. When reviewing the prenatal record,
the nurse notices that the woman did not gain the adequate amount of weight that was
recommended for her pregnancy. The nurse is aware that the neonate will be at risk for
- low birth weight.
- high birth weight.
- respiratory problems.
- cardiovascular problems. - Answer- - low birth weight.
Rationale:
Low birth weights for the neonate are associated with insufficient weight gain during
pregnancy. Respiratory and cardiovascular problems are not associated with insufficient
weight gain during pregnancy.
A woman has just decided to become a vegetarian and is 7 months' pregnant. The
nurse knows that her patient teaching concerning protein foods has been successful
when the woman chooses which foods to help satisfy her protein needs?
- Green salad with walnuts
- Fresh fruit salad with almonds
- Pinto beans with cornbread
- Chicken with rice - Answer- - Pinto beans with cornbread
Rationale:
The combination of legumes and grains will give a complete protein that contains all of
the essential amino acids. The walnuts are an incomplete protein, and the combination
of vegetables will not make them complete. The almonds are an incomplete protein, and
the combination of fruits will not make them complete. The chicken is a complete protein
but is not included on a vegetarian diet.
To increase her folic acid intake, what snack would be most beneficial for a pregnant
woman?
- Orange juice and fortified cereal
- Ham sandwich with mustard
- Strawberries with bananas
- Tuna fish salad and tomato - Answer- - Orange juice and fortified cereal
Rationale:
Both orange juice and fortified cereal are excellent sources of folic acid. Most meats and
condiments are not high in folic acid. The bread may have folic acid added if it is
enriched. Strawberries, bananas, most meats and tomatoes are not high in folic acid.
Proper placement of the tocotransducer for electronic fetal monitoring is
- over the uterine fundus.
- on the fetal scalp.
- inside the uterus.
- over the mother's lower abdomen. - Answer- - over the uterine fundus.
Rationale:
The tocotransducer monitors uterine activity and should be placed over the fundus
where the most intensive uterine contractions occur. The internal scalp electrode is
placed on the fetal scalp. The intrauterine pressure catheter is placed inside the uterus.
, Which of these conditions may cause the fetal heart rate to be lower during labor?
Select all that apply.
- Stimulation of the sympathetic nervous system
- Stimulation of the baroreceptors, which in turn stimulates the vagus nerve
- Prolonged hypoxia, hypercapnia, and acidosis
- Stimulation of the parasympathetic nervous system - Answer- - Stimulation of the
baroreceptors, which in turn stimulates the vagus nerve
- Prolonged hypoxia, hypercapnia, and acidosis
- Stimulation of the parasympathetic nervous system
Rationale:
Stimulation of the baroreceptors and the
parasympathetic nervous system will lower the heart rate. Initial decreased oxygen
content and increased carbon dioxide content will trigger an increase in the heart rate.
However, if this condition continues, the heart rate will lower. Stimulation of the
sympathetic nervous system increases the heart rate.
A young male patient is seeking treatment for recurrence of genital tingling, burning,
and itching. The nurse will expect a prescription for which class of medications?
- Antivirals
- Antibiotics
- Vaccination
- Contraceptives - Answer- - Antivirals
Rationale:
This patient has a reoccurrence of genital herpes (HSV2). Although not a cure, he will
be treated with antiviral medications to decrease the duration of viral shedding and the
healing time of genital lesions and reduce outbreaks. Antibiotics and contraceptives are
not used to treat acute HSV2. There are no vaccinations for HSV.
A 22-yr-old man is being treated at a college health care clinic for gonorrhea. What
should the nurse include in patient teaching?
- "While being treated for the infection, you will not be able to pass this infection on to
your sexual partner."
- "It is important to complete your full course of antibiotics in order to ensure that you
become resistant to reinfection."
- "While you're taking the antibiotics, you will need to abstain from participating in sexual
activity and drinking alcohol."
- "The symptoms will resolve on their own, but it is important for you to abstain from
sexual activity while this is occurring." - Answer- - "While you're taking the antibiotics,
you will need to abstain from participating in sexual activity and drinking alcohol."
Rationale:
Treatment for gonorrhea necessitates abstinence from sexual activity (to prevent
infection of partners) and alcohol (to avoid urethral irritation). The disease is not self-
limiting, nor does successful treatment confer future resistance.
CORRECT ANSWERS
The nurse is teaching a young adolescent pregnant woman about proper diet. The
nurse starts by collecting a 24-hour dietary recall. Which statement by the nurse would
increase the likelihood of compliance to dietary changes by the woman?
- "This diet looks good but is low in calcium. Which of these high-calcium foods do you
think you could include in your diet?"
- "This diet is low in calcium and you need to drink more milk. How about one glass for
breakfast and one for lunch?"
- "You must not like milk. Let's try eating cheese instead."
- "You must drink more milk. The baby's health may be jeopardized if you don't start
taking in more calcium now." - Answer- - "This diet looks good but is low in calcium.
Which of these high-calcium foods do you think you could include in your diet?"
Rationale:
This statement allows the woman to have control over the changes necessary. When
she is in control, compliance increases. Statements that belittle the woman or place
blame will decrease the likelihood of compliance.
In teaching about weight gain during pregnancy, the nurse should include
- the pregnant woman should gain a total of 25 pounds regardless of her beginning
weight.
- the woman who is overweight prior to pregnancy should not gain any weight during the
pregnancy.
- during the third trimester, the pregnant woman should gain about 1 pound of weight
per week.
- a young adolescent pregnant woman should gain less than the recommended weight
gain. - Answer- - during the third trimester, the pregnant woman should gain about 1
pound of weight per week.
Rationale:
The pattern of weight gain is as important as the total increase. The general
recommendation for the third trimester is 1 pound per week. Weight gain during
pregnancy differs according to the beginning weight. A woman who is overweight
should gain 15 to 25 pounds; a woman who is underweight should gain 28 to 40
pounds. Weight gain is important during pregnancy even for a woman who is
overweight. An adolescent pregnant woman needs to gain weight toward the top end of
the recommended weight gains. She needs to provide not only for the fetus but also for
her own growth.
,The nurse is admitting a woman to the labor unit. When reviewing the prenatal record,
the nurse notices that the woman did not gain the adequate amount of weight that was
recommended for her pregnancy. The nurse is aware that the neonate will be at risk for
- low birth weight.
- high birth weight.
- respiratory problems.
- cardiovascular problems. - Answer- - low birth weight.
Rationale:
Low birth weights for the neonate are associated with insufficient weight gain during
pregnancy. Respiratory and cardiovascular problems are not associated with insufficient
weight gain during pregnancy.
A woman has just decided to become a vegetarian and is 7 months' pregnant. The
nurse knows that her patient teaching concerning protein foods has been successful
when the woman chooses which foods to help satisfy her protein needs?
- Green salad with walnuts
- Fresh fruit salad with almonds
- Pinto beans with cornbread
- Chicken with rice - Answer- - Pinto beans with cornbread
Rationale:
The combination of legumes and grains will give a complete protein that contains all of
the essential amino acids. The walnuts are an incomplete protein, and the combination
of vegetables will not make them complete. The almonds are an incomplete protein, and
the combination of fruits will not make them complete. The chicken is a complete protein
but is not included on a vegetarian diet.
To increase her folic acid intake, what snack would be most beneficial for a pregnant
woman?
- Orange juice and fortified cereal
- Ham sandwich with mustard
- Strawberries with bananas
- Tuna fish salad and tomato - Answer- - Orange juice and fortified cereal
Rationale:
Both orange juice and fortified cereal are excellent sources of folic acid. Most meats and
condiments are not high in folic acid. The bread may have folic acid added if it is
enriched. Strawberries, bananas, most meats and tomatoes are not high in folic acid.
Proper placement of the tocotransducer for electronic fetal monitoring is
- over the uterine fundus.
- on the fetal scalp.
- inside the uterus.
- over the mother's lower abdomen. - Answer- - over the uterine fundus.
Rationale:
The tocotransducer monitors uterine activity and should be placed over the fundus
where the most intensive uterine contractions occur. The internal scalp electrode is
placed on the fetal scalp. The intrauterine pressure catheter is placed inside the uterus.
, Which of these conditions may cause the fetal heart rate to be lower during labor?
Select all that apply.
- Stimulation of the sympathetic nervous system
- Stimulation of the baroreceptors, which in turn stimulates the vagus nerve
- Prolonged hypoxia, hypercapnia, and acidosis
- Stimulation of the parasympathetic nervous system - Answer- - Stimulation of the
baroreceptors, which in turn stimulates the vagus nerve
- Prolonged hypoxia, hypercapnia, and acidosis
- Stimulation of the parasympathetic nervous system
Rationale:
Stimulation of the baroreceptors and the
parasympathetic nervous system will lower the heart rate. Initial decreased oxygen
content and increased carbon dioxide content will trigger an increase in the heart rate.
However, if this condition continues, the heart rate will lower. Stimulation of the
sympathetic nervous system increases the heart rate.
A young male patient is seeking treatment for recurrence of genital tingling, burning,
and itching. The nurse will expect a prescription for which class of medications?
- Antivirals
- Antibiotics
- Vaccination
- Contraceptives - Answer- - Antivirals
Rationale:
This patient has a reoccurrence of genital herpes (HSV2). Although not a cure, he will
be treated with antiviral medications to decrease the duration of viral shedding and the
healing time of genital lesions and reduce outbreaks. Antibiotics and contraceptives are
not used to treat acute HSV2. There are no vaccinations for HSV.
A 22-yr-old man is being treated at a college health care clinic for gonorrhea. What
should the nurse include in patient teaching?
- "While being treated for the infection, you will not be able to pass this infection on to
your sexual partner."
- "It is important to complete your full course of antibiotics in order to ensure that you
become resistant to reinfection."
- "While you're taking the antibiotics, you will need to abstain from participating in sexual
activity and drinking alcohol."
- "The symptoms will resolve on their own, but it is important for you to abstain from
sexual activity while this is occurring." - Answer- - "While you're taking the antibiotics,
you will need to abstain from participating in sexual activity and drinking alcohol."
Rationale:
Treatment for gonorrhea necessitates abstinence from sexual activity (to prevent
infection of partners) and alcohol (to avoid urethral irritation). The disease is not self-
limiting, nor does successful treatment confer future resistance.
