What should the nurse tell a pregnant woman at 10 weeks of gestation who jogs 3 or 4 times per week and is concerned about the effect of exercise on the fetus?
You may find that you need to modify your exercise to walking later in your pregnancy, around the seventh month.
"Jogging is too hard on your joints; switch to walking now."
"Stop exercising, because it will harm the fetus."
You do not need to modify your exercising any time during your pregnancy.
The Correct Answer is A
Choice A reason: This is the best advice for the woman, as it acknowledges that jogging is safe and beneficial in early pregnancy, but also informs her that she may need to adjust her exercise intensity and duration as her pregnancy progresses. Walking is a low-impact aerobic activity that can be done throughout pregnancy, as long as there are no complications or contraindications. Walking can help maintain cardiovascular fitness, prevent excessive weight gain, and reduce the risk of gestational diabetes and preeclampsia.
Choice B reason: This is not a good advice for the woman, as it implies that jogging is harmful for her joints and that she should stop it immediately. Jogging is not necessarily bad for the joints, as long as the woman wears appropriate shoes, avoids uneven surfaces, and listens to her body. Jogging can also provide many health benefits for the woman and the fetus, such as improved mood, increased energy, and reduced stress².
Choice C reason: This is a false and alarming statement that may discourage the woman from exercising at all. Exercise during pregnancy is not dangerous for the fetus unless there are specific medical conditions or complications that prevent it. Exercise during pregnancy can improve the fetal growth, development, and oxygenation, as well as reduce the risk of preterm birth and low birth weight.
Choice D reason: This is an unrealistic and misleading statement that may cause the woman to overexert herself or ignore the signs of discomfort or fatigue. Exercise during pregnancy may need to be modified according to the woman's changing needs, abilities, and preferences. Some factors that may affect the type, frequency, intensity, and duration of exercise during pregnancy include the trimester, the fetal position, the maternal weight, the environmental temperature, and the presence of any symptoms or complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Cerebral compression is the cause of early decelerations, as it reflects the fetal head compression during uterine contractions. Early decelerations are decreases in the FHR that begin and end with the onset and end of a contraction, respectively. They are symmetrical and mirror the shape of the contraction. Early decelerations are normal and benign, as they indicate that the fetus is responding to the increased intracranial pressure and maintaining adequate oxygenation.
Choice B reason: Cord compression is not the cause of early decelerations but of variable decelerations. Variable decelerations are abrupt and irregular decreases in the FHR that vary in onset, duration, and depth. They are usually caused by the umbilical cord being compressed or occluded by the fetal body, the maternal pelvis, or the uterine contractions. Variable decelerations can indicate fetal distress or hypoxia, especially if they are severe, frequent, or prolonged.
Choice C reason: Uteroplacental insufficiency is not the cause of early decelerations, but of late decelerations. Late decelerations are decreases in the FHR that begin after the peak of a contraction and return to the baseline after the contraction ends. They are symmetrical and have a gradual onset and recovery. They are usually caused by the reduced blood flow and oxygen delivery to the placenta and the fetus due to maternal or fetal factors. Late decelerations can indicate fetal distress or hypoxia, and require immediate intervention.
Choice D reason: Spontaneous rupture of membranes is not the cause of early decelerations, but it can be a risk factor for cord compression and variable decelerations. Spontaneous rupture of membranes is the breaking of the amniotic sac and the release of the amniotic fluid, which usually occurs during labor or shortly before it. Spontaneous rupture of membranes can cause the umbilical cord to prolapse or slip into the vagina, where it can be compressed or kinked by the fetal head or the contractions.
Correct Answer is A
Explanation
Choice A reason: Ceftriaxone is a third-generation cephalosporin that is effective against Neisseria gonorrhoeae, the bacteria that causes gonorrhea. It is administered as a single intramuscular injection and has a high cure rate.
Choice B reason: Penicillin G is not the drug of choice for gonorrhea because of the widespread resistance of N. gonorrhoeae to this antibiotic. Penicillin G may be used in combination with other drugs for some cases of gonorrhea, but it is not the first-line treatment.
Choice C reason: Acyclovir is an antiviral drug that is used to treat herpes simplex virus infections, not bacterial infections like gonorrhea. Acyclovir has no effect on N. gonorrhoeae and is not indicated for gonorrhea treatment.
Choice D reason: Tetracycline is a broad-spectrum antibiotic that can be used to treat some bacterial infections, but it is not the drug of choice for gonorrhea. Tetracycline has a lower efficacy and a higher rate of adverse effects than ceftriaxone for gonorrhea treatment.
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