The clinic nurse is measuring the uterine fundal height of a client at 36 weeks gestation lying in a supine position. The client suddenly reports dizziness, and the nurse observes pallor and damp, cool skin. What should the nurse do first?

Listen to the fetal heart rate.

Assess the client’s recent food and fluid intake.

Check the client’s blood pressure and pulse.

Turn the client to a lateral position.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Evaluating the fetal heart rate does not address maternal symptoms of supine hypotensive syndrome. Moving the client first corrects the underlying issue. Fetal evaluation can follow once maternal circulation improves, ensuring both are assessed.

Choice B rationale

Checking recent food and fluid intake does not immediately address the likely cause of supine hypotensive syndrome. Correcting maternal positioning is urgent to improve venous return and prevent adverse effects, then other assessments can follow.

Choice C rationale

Measuring blood pressure and pulse can confirm hypotension but does not address its cause. Immediate repositioning to lateral position alleviates the compression on the inferior vena cava, improving blood flow before measuring vitals.

Choice D rationale

Turning to a lateral position relieves the vena cava from compression by the gravid uterus, reducing symptoms of supine hypotensive syndrome. This action improves venous return, stabilizing maternal hemodynamics and alleviating dizziness and pallor.

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Correct Answer is D

Explanation

Choice A rationale

21-day mixed type pills contain estrogen and progesterone, which can reduce milk supply in breastfeeding mothers and are not recommended.

Choice B rationale

Mixed type pills with estrogen and progesterone are not ideal for breastfeeding mothers as estrogen can interfere with milk production and affect milk quality.

Choice C rationale

Estrogen-only pills are not suitable for breastfeeding mothers as estrogen can decrease milk supply and affect infant feeding patterns, leading to poor weight gain in infants.

Choice D rationale

Progesterone-only pills are recommended for breastfeeding mothers as they do not affect milk supply and are safe for the infant while providing effective contraception.

A. The ductus arteriosus helps connect the umbilical artery to the inferior vena cava. B. The ductus arteriosus only carries oxygenated blood from the left side of the heart to the right side. C. The ductus arteriosus is found between the right and left atrium. D. In fetal circulation, the pulmonary artery and aorta are connected via the ductus arteriosus.

Correct Answer is D

Explanation

Choice A rationale

The ductus arteriosus does not connect the umbilical artery to the inferior vena cava. It connects the pulmonary artery to the aorta, bypassing the lungs in fetal circulation.

Choice B rationale

The ductus arteriosus carries deoxygenated blood from the right side of the heart to the aorta. It does not carry oxygenated blood from the left side of the heart.

Choice C rationale

The ductus arteriosus is not located between the right and left atrium. It is a blood vessel connecting the pulmonary artery to the aorta in fetal circulation.

Choice D rationale

In fetal circulation, the pulmonary artery and aorta are connected via the ductus arteriosus. This allows blood to bypass the fetal lungs, which are not yet functional.

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The clinic nurse is measuring the uterine fundal height of a client at 36 weeks gestation lying in a supine position. The client suddenly reports dizziness, and the nurse observes pallor and damp, cool skin. What should the nurse do first?

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Naxlex Comprehensive Predictor Exams

Oral contraceptive pills are of different types. Which type is most appropriate for mothers who are breastfeeding?

Correct Answer is D

Explanation

Which statement below accurately describes the role of the ductus arteriosus?

Correct Answer is D

Explanation

At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a clean catch urine specimen to look for all of the following, except:

The clinic nurse is measuring the uterine fundal height of a client at 36 weeks gestation lying in a supine position. The client suddenly reports dizziness, and the nurse observes pallor and damp, cool skin. What should the nurse do first?

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