A patient had a cesarean delivery due to placenta previa.Which statement by the patient would indicate that she understands why she had the cesarean delivery?

“The placenta separated before the baby was ready to be born.”.

“The placenta was blocking the opening of the womb.”.

“The placenta was at the top of the womb.”.

“The placenta was growing too large.”.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. “The placenta was blocking the opening of the womb.”

This statement shows that the patient understands that placenta previa is a condition where the placenta covers or is near the internal os of the cervix, which prevents a safe vaginal delivery. The patient would need a cesarean delivery to avoid bleeding and complications.

Choice A is wrong because it describes placental abruption, not placenta previa.

Placental abruption is when the placenta separates from the uterine wall before delivery, which can cause severe bleeding and fetal distress.

Choice C is wrong because it describes a normal position of the placenta at the top of the womb.

This does not interfere with vaginal delivery and does not cause bleeding.

Choice D is wrong because it describes placenta increta or percreta, not placenta previa.

Placenta increta or percreta is when the placenta grows too deeply into or through the uterine wall, which can cause severe bleeding and damage to the uterus and other organs.

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Correct Answer is C

Explanation

The correct answer is choice C. Caloric intake should be 300 calories above the suggested non-pregnant caloric intake.This is because women with gestational diabetes need to meet the nutritional needs of pregnancy and also control their blood glucose levels.

Choice A is wrong because carbohydrates should make up about 45% of the total dietary intake for women with gestational diabetes, not 25%.

Carbohydrates are important for providing energy and nutrients for the mother and the baby.

Choice B is wrong because animal protein can be included in the pre-bedtime snack as long as it is combined with some carbohydrates.

Protein can help prevent low blood glucose levels during the night.

Choice D is wrong because sugar substitutes do not help to control blood glucose levels.They may also have adverse effects on the baby’s development.Women with gestational diabetes should limit their intake of added sugars and choose foods with natural sugars instead.

A. The breast milk can be sterilized to kill the HIV virus, then bottle-fed to the infant. B. Colostrum should be expressed and analyzed for the presence of the HIV virus prior to breastfeeding. C. Breastfeeding may be initiated if the infant is determined to be HIV positive. D. Breastfeeding may be a mode of transmission of the HIV virus.

Correct Answer is D

Explanation

This is based on the fact that HIV is a virus that attacks the body’s immune system and is spread through certain body fluids, including breast milk.Perinatal transmission can occur during pregnancy, birth, or breastfeeding.Treatment for HIV (antiretroviral therapy, or ART) substantially reduces the risk of perinatal transmission.

Choice A is wrong because sterilizing breast milk does not kill the HIV virus.

Choice B is wrong because colostrum can also contain the HIV virus and testing it is not feasible or reliable.

Choice C is wrong because breastfeeding may still pose a risk of HIV transmission even if the infant is determined to be HIV positive.

The current recommendation in the United States supports shared decision-making between mothers and their healthcare providers regarding infant feeding.Mothers who have questions about breastfeeding or who want to breastfeed should receive patient-centered, evidence-based counseling on infant feeding options, allowing for shared decision-making.

Counseling should begin before conception, or as early as possible in pregnancy and should be

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A patient had a cesarean delivery due to placenta previa.Which statement by the patient would indicate that she understands why she had the cesarean delivery?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with gestational diabetes.Which guideline should the nurse use when providing nutritional counseling to this client?

Correct Answer is C

Explanation

A mother of a 3-hour-old infant requests information concerning breastfeeding. The mother has tested positive for human immunodeficiency virus (HIV).A nurse’s response should be based on which fact?

Correct Answer is D

Explanation

When assessing a newborn, which is the best method for the nurse to use to elicit the Moro reflex?

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