A nurse is assisting the nurse manager with an educational session about ways to prevent TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by one of the session participants indicates understanding?

"A client should avoid consuming undercooked meat while pregnant

"Obtain an immunization against rubella early in pregnancy

“Seek prophylactic treatment if cytomegalovirus is detected during pregnancy.”

"A client should avoid crowded places during pregnancy."

Answer and Explanation

The Correct Answer is A

A. "A client should avoid consuming undercooked meat while pregnant." Toxoplasmosis, one of the TORCH infections, can be contracted by eating undercooked or raw meat. Avoiding undercooked meat helps prevent this infection, which can cause severe complications for the fetus.

B. "Obtain an immunization against rubella early in pregnancy." Rubella vaccine (part of MMR) is a live virus vaccine and is contraindicated during pregnancy due to the risk of harm to the fetus. Rubella vaccination should be administered before conception or postpartum.

C. "Seek prophylactic treatment if cytomegalovirus is detected during pregnancy." Currently, there is no prophylactic treatment for cytomegalovirus (CMV) during pregnancy. Prevention focuses on hygiene practices, such as frequent handwashing, especially after handling bodily fluids, to reduce the risk of transmission.

D. "A client should avoid crowded places during pregnancy." While avoiding crowded places may reduce exposure to certain infections, it is not a specific strategy for preventing TORCH infections. Other preventative measures, like avoiding raw meat and practicing good hygiene, are more effective.

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Correct Answer is B

Explanation

A. Prior to giving birth: The rubella vaccine is not recommended before delivery but after delivery and before hospital discharge to protect future pregnancies.

B. Prior to discharge from the hospital after giving birth: The MMR vaccine is given postpartum before discharge to women who are not immune to rubella. This ensures they are protected in future pregnancies, as the vaccine is contraindicated during pregnancy.

C. When she does not desire future pregnancies: Even if a woman desires no future pregnancies, it's still recommended to provide immunity against rubella to avoid complications related to the virus.

D. Two weeks before attempting pregnancy again: After receiving the MMR vaccine, a woman should wait at least one month (not two weeks) before attempting to become pregnant due to the live virus in the vaccine.

A. Quickening B. Chloasma C. Lightening D. Ballottement

Correct Answer is A

Explanation

A. Quickening: Quickening refers to the first movements of the fetus felt by the mother, which often feels like fluttering or light movements. It typically occurs between 16 and 20 weeks of gestation.

B. Chloasma: Chloasma refers to the darkened patches of skin that can appear on the face during pregnancy, also known as the "mask of pregnancy."

C. Lightening: Lightening refers to the descent of the fetus into the pelvis in preparation for birth, which usually occurs in the third trimester, not at 18 weeks of gestation.

D. Ballottement: Ballottement is a technique used during a pelvic examination where the examiner taps on the cervix and feels the fetus bounce back. It is a clinical sign rather than something the mother feels.

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A nurse is assisting the nurse manager with an educational session about ways to prevent TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by one of the session participants indicates understanding?

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Correct Answer is B

Explanation

A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about the complications associated with maternal gestational diabetes. Which of the following complications should the nurse include?

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A nurse is assisting the nurse manager with an educational session about ways to prevent TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by one of the session participants indicates understanding?

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