A pregnant woman initiated prenatal care at 12 weeks’ gestation.

At that time, her hemoglobin and hematocrit were 13 gm/dL and 36%, respectively.

Review her following prenatal labs at 28 weeks’ gestation: Hgb: 10.5 gm/dL Hct: 32% Blood type: B GBS: Positive Based on this data, what is the appropriate nursing action?

Administer a Rhogam injection.

Teach about iron-rich foods in her diet.

Notify the midwife to start PO antibiotics to treat the GBS.

Teach about avoiding exposure to rubella.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Administering a Rhogam injection is not indicated because the patient is Rh-positive (blood type B) and Rhogam is for Rh-negative individuals to prevent sensitization.
Choice B rationale
Teaching about iron-rich foods is appropriate, given her hemoglobin level of 10.5 gm/dL and hematocrit of 32%, indicating mild anemia; iron-rich foods help increase hemoglobin.
Choice C rationale
Starting PO antibiotics for GBS is unnecessary at this stage; antibiotics are administered during labor to prevent neonatal infection, not during prenatal care.
Choice D rationale
Avoiding exposure to rubella is important, but there is no indication in her current prenatal labs that she needs immediate teaching about this infection.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale
Indoor cats can carry Toxoplasma gondii, the parasite that causes toxoplasmosis. Exposure to cat feces increases the risk of infection, which can cross the placenta and harm the fetus.
Choice B rationale
Outdoor dogs do not pose a significant risk for toxoplasmosis as the disease is primarily associated with cat feces. The primary concern is soil contamination from infected cats.
Choice C rationale
Pet turtles do not carry Toxoplasma gondii. The primary zoonotic concern with turtles is Salmonella, not toxoplasmosis, which does not affect pregnancy in the same way.
Choice D rationale
Horses are not carriers of Toxoplasma gondii. They are not a source of infection for toxoplasmosis, and there is no increased risk associated with having a horse during pregnancy.

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.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

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

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

The fetal monitor tracing shown is associated with:

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?

A new father wants to know what medication was put into his infant’s eyes and why it is needed. How does the nurse explain the purpose of the erythromycin ophthalmic ointment?

A woman attends a prenatal visit and is told to start taking a folic acid supplement. The Nurse Practitioner explains that this is to prevent:

This procedure allows us to identify fetal lie, presentation, and engagement:

A woman is in the second stage of labor with a strong urge to push. Which of the following actions by the nurse is appropriate at this time?

The nurse should realize that the most common and potentially harmful maternal complication of epidural anesthesia is: