Break a leg nurses! Don't forget to click FOLLOW. :) :)
Situation 1: Mariah is a 31 year old lawyer who has been married for 6 moths. She consults you for guidance in relation with her menstrual cycle and her desire to get pregnant.
1. She wants to know the length of her menstrual cycle. Her periodic menstrual period is October 22 to 26. Her LMB is November 21. Which of the following number of days will be your correct response?
A. 29
B. 28
C. 30
D. 31
2. You advised her to observe and record the signs of ovulation. Which of the following signs will she likely note down?
1. A 1 degree Fahrenheit rise in basal body temperature
2. Cervical mucus becomes copious and clear
3. One pound increase in weight
4. Mittelschmerz
A. 1,2,4
B. 1,2,3
C. 2,3,4
D. 1,3,4
3. You instruct Mariah to keep record of her basal temperature everyday, which of the following instructions is incorrect?
A. If coitus has occurred, this should be reflected in the chart
B. It is best to have coitus on the evening following a drop in BBT to become pregnant
C. Temperature should be taken immediately after waking and before getting put of bed
D. BBT is lowest during the secretory phase
4. She reports an increase in BBT on December 16. Which hormone brings about this change in her BBT?
A. Estrogen
B. Progesterone
C. Gonadootrophine
D. Follicle Stimulating Hormone
5. The following month, Mariah suspects she is pregnant. Her urine is positive for Human Chorionic Gonadotrophin. Which structure produce HCG?
A. Pituitary Gland
B. Trophoblastic cells of the embryo
C. Uterine deciduas
D. Ovarian follicles
Situation 2: Mariah came back and she is now pregnant.
6. At 5 months gestation, which of the following fetal development would probably be expected:
A. Fetal development are felt by Mariah
B. Vernix caseosa covers the entire body
C. Viable if delivered within this period
D. Braxton Hicks contractions are observed
7. The nurse palpates the abdomen of Mariah. Now at 5 month gestation, what level of the abdomen can be the fundic height be palpated?
A. Symphysis pubis
B. Midpoint between the umbilicus and the xiphoid process
C. Midpoint between the symphysis pubis the umbilicus
D. Umbilicus
8. She worries about her small breast, thinking that she probably will incapable to breastfeed her baby. Which of the following responses of the nurse is correct?
A. "The size of your breast will not affect your lactation."
B. "You can switch to bottle feeding."
C. "You can try to have exercise to increase the size of your breast."
D. "Manual expression of milk is possible."
9. She tells the nurse that she does not take milk regularly. She claims that she does not want to gain too much weight during her pregnancy. Which of the following nursing diagnosis is a priority?
A. Potential self-esteem disturbance related to physiologic changes in pregnancy
B. Ineffective individual coping related to physiologic changes in pregnancy
C. Fear related to the effects of pregnancy
D. Knowledge deficit regarding nutritional requirements pregnancies related to lack of information sources.
10. Which of the following interventions will likely ensure compliance of Mariah?
A. Incorporate her food preferences that are adequately nutritious in her meal plan.
B. Consistently counsel toward optimum nutritional intake
C. Respect her right to reject dietary information if she chooses
D. Information of the adverse effects of inadequate nutrition to her fetus
