A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant.

She has abstained during her first trimester and would like to know if it is safe for her to have a drink with dinner now.

The nurse would tell her:

Since you’re in your second trimester, you can drink as much as you like.

Since you’re in your second trimester, there’s no problem with having one drink with dinner.

Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy.

One drink every night is too much. One drink three times a week should be fine.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Drinking as much as desired, even in the second trimester, can lead to fetal alcohol spectrum disorders. No safe amount of alcohol is known during pregnancy.
Choice B rationale
Despite being in the second trimester, no level of alcohol consumption is considered safe during pregnancy, as it poses a risk to fetal development.
Choice C rationale
The safest course is to abstain from alcohol throughout pregnancy as no specific amount has been deemed safe and it can cause irreversible harm to fetal development.
Choice D rationale
Even limiting alcohol consumption to three times a week poses a risk to fetal health, as any amount can potentially cause developmental issues.

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Correct Answer is B

Explanation

Choice A rationale
Fetal movement felt by the pregnant woman is a presumptive sign of pregnancy, indicating probable fetal presence, but not definitive evidence.
Choice B rationale
Fetal heart rate noted on ultrasound is a positive sign of pregnancy, providing objective evidence of fetal existence within the uterus.
Choice C rationale
A positive pregnancy test indicates probable pregnancy due to hormonal presence, but it is not a definitive confirmation without further clinical evidence.
Choice D rationale
Braxton Hicks contractions are considered probable signs of pregnancy, as they indicate uterine activity without confirming the presence of a fetus.

A. Document the findings and tell the mother that the monitor indicates fetal well-being. B. Call the midwife or doctor right away to tell them. C. Take the mother’s vital signs and tell her that bed rest is required to conserve oxygen. D. Reposition the mother and check the monitor for changes in the fetal tracing.

Correct Answer is A

Explanation

Choice A rationale
Accelerations with moderate variability indicate fetal well-being and responsiveness to the uterine environment, requiring documentation of normal findings and reassurance to the mother.
Choice B rationale
There is no need to immediately call the midwife or doctor, as accelerations with moderate variability are positive indicators of fetal health and do not suggest any issues.
Choice C rationale
Taking maternal vital signs and advising bed rest is unnecessary because the observed accelerations and variability show that the fetus is not experiencing distress, negating the need for such interventions.
Choice D rationale
Repositioning the mother and checking the monitor for changes is unnecessary, given that accelerations with moderate variability already indicate a well-oxygenated and responsive fetus, not requiring any adjustments.

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A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant. She has abstained during her first trimester and would like to know if it is safe for her to have a drink with dinner now. The nurse would tell her:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurse’s instructions if she states that a positive sign of pregnancy is:

Correct Answer is B

Explanation

The nurse caring for a client in labor observes the external fetal monitor tracing showing that there are accelerations with moderate variability. Which of the following actions is most appropriate?

Correct Answer is A

Explanation

With regard to weight gain during pregnancy, the nurse should be aware of which important information?

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

A woman in labor has just received an epidural block. The most important nursing intervention is to:

A woman at 40 weeks gestation calls the labor unit to see whether or not she should go to the hospital to be evaluated. Which of the following statements by the woman indicates that she is probably in labor and should proceed to the hospital?

A physician writes the following order: administer ampicillin 1 g IV every 4 hours until delivery for a newly admitted client with ruptured membranes. The client had positive vaginal and rectal cultures for GBS+ at 36 weeks gestation. Which of the following is a rationale for this order?

When discussing work and travel during pregnancy with a pregnant patient, nurses should instruct them that.

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?

After several hours of using imagery and music to promote comfort, the laboring client becomes discouraged and frustrated. What action will the nurse take?

A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant.

She has abstained during her first trimester and would like to know if it is safe for her to have a drink with dinner now.

The nurse would tell her: