A pregnant client at 22 weeks’ gestation has a hematocrit of 35%. Pre-pregnancy hematocrit was 40%. Which of the following statements by the nurse best explains this change?

Because of your pregnancy, you’re not eating enough iron-rich foods.

Because of your pregnancy, you’re developing a serious problem.

Because of your pregnancy, you’re making more blood.

Because of your pregnancy, you’re not making enough new blood cells.

Answer and Explanation

The Correct Answer is C

Choice A rationale
While iron-rich foods are important, the decrease in hematocrit is primarily due to hemodilution rather than inadequate iron intake. Hemodilution occurs as plasma volume increases more than red cell mass.
Choice B rationale
Hematocrit changes in pregnancy are typically not indicative of a serious problem but a normal physiological adaptation. Hemodilution reduces hematocrit without indicating a pathological condition.
Choice C rationale
During pregnancy, plasma volume increases by approximately 50%, while red cell mass increases by about 30%, leading to hemodilution. This physiological change results in a lower hematocrit value.
Choice D rationale
Although hematocrit decreases due to hemodilution, it does not mean that there is a deficiency in red blood cell production. It reflects the dilution effect of increased plasma volume during pregnancy.

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Correct Answer is C

Explanation

Choice A rationale
Terbutaline is a beta-agonist used to relax uterine muscles and delay preterm labor, not to augment labor in term pregnancies. It is not indicated for labor augmentation.
Choice B rationale
Betamethasone is a corticosteroid given to enhance fetal lung maturity in preterm pregnancies. It is not used to augment labor in term pregnancies, as it does not stimulate uterine contractions.
Choice C rationale
Pitocin (oxytocin) is a synthetic form of the natural hormone oxytocin. It stimulates uterine contractions and is commonly used to induce or augment labor in term pregnancies.
Choice D rationale
Magnesium sulfate is used primarily to prevent seizures in women with preeclampsia and to provide neuroprotection to preterm infants. It does not help augment labor contractions.

A. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm above the ischial spines. B. The cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the ischial spines. C. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm below the ischial spines. D. The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 2 cm below the ischial spines.

Correct Answer is B

Explanation

Choice A rationale
The cervix is measured in dilation, not effacement, in centimeters. Effacement is expressed in percentage, indicating the thinning of the cervix.
Choice B rationale
The cervix is 3 cm dilated, 30% effaced, and the presenting part is 2 cm above the ischial spines. This assessment provides a clear status of labor progress.
Choice C rationale
The presenting part being below the ischial spines would be recorded with a positive station, indicating descent into the pelvis, unlike this assessment.
Choice D rationale
The cervix is assessed for dilation in centimeters and effacement in percentage, with station indicating the relationship to the ischial spines.

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A pregnant client at 22 weeks’ gestation has a hematocrit of 35%. Pre-pregnancy hematocrit was 40%. Which of the following statements by the nurse best explains this change?

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Naxlex Comprehensive Predictor Exams

A patient is admitted to the Labor & Delivery unit at 39 weeks. She is 5/60/-2. After several hours she is at 5/70/-2. What can be given to help augment her labor?

Correct Answer is C

Explanation

The nurse has received a report regarding her patient in labor. The woman’s last vaginal examination was recorded as 3 cm, 30%, and -2. The nurse’s interpretation of this assessment is that:

Correct Answer is B

Explanation

The nurse is discussing a patient’s vaccination history at her 32-week gestation appointment. The nurse knows that her teaching has been effective when the patient states:

As relates to the structure and function of the placenta, the nurse should be aware that.

Jana purchased an over-the-counter pregnancy test. The results were positive. The hormone responsible for a positive pregnancy test is:

When providing care for the laboring woman should understand that accelerations with fetal movement:

The nurse is aware that labor and birth will most likely proceed normally when the fetal position is:

The most common cause of decreased variability in the FHR that lasts 20 minutes or less is:

The client has been having contractions every 5 minutes for 7 hours. Which factor would the nurse use to determine if this is true labor?

Which factor would alert the nurse that a pregnant woman is at risk for the development of toxoplasmosis?