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 A

Explanation

A. February 11:

The first day of the client’s last menstrual period is May 4.

Subtract 3 months: May → April → March → February.
Add 7 days: 4 + 7 = 11.
The EDD is February 11.

B. April 27: This date is beyond 40 weeks of pregnancy. Using Naegele's rule correctly should result in a February due date, not an April date.

C. February 27: While February is the correct month, this date does not align with Naegele’s Rule because the addition of 7 days to May 4 results in February 11, not February 27.

D. April 11: April 11 places the due date in the wrong month. This choice may result from adding 7 days without adjusting the months correctly when subtracting 3 months.

A. Severe nausea and vomiting B. Pelvic pain C. Uterine enlargement greater than expected for gestational age D. Copious vaginal bleeding

Correct Answer is B

Explanation

A. Severe nausea and vomiting: Severe nausea and vomiting are more characteristic of hyperemesis gravidarum, not ectopic pregnancy.

B. Pelvic pain: Ectopic pregnancy typically presents with pelvic pain, which may be sharp and localized due to the implantation of the embryo outside the uterus, commonly in the fallopian tube.

C. Uterine enlargement greater than expected for gestational age: In an ectopic pregnancy, the uterus may not enlarge as expected because the embryo is implanted outside the uterus.

D. Copious vaginal bleeding: Vaginal bleeding can occur, but it is usually minimal rather than copious. Severe bleeding may occur if the ectopic pregnancy ruptures.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is determining a client’s estimated date of delivery using Naegels rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?

Correct Answer is A

Explanation

A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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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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