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

Having an indoor cat.

Having an outdoor dog.

Having a pet turtle.

Having a horse.

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is C

Explanation

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.

A. Test the fluid with nitrazine paper to confirm membrane rupture. B. Document the time of rupture of membranes. C. Monitor the fetal heart rate and pattern. D. Notify the physician or midwife immediately.

Correct Answer is C

Explanation

Choice A rationale
Testing the fluid with nitrazine paper can confirm membrane rupture but is not the first priority. Assessing the fetal heart rate is crucial to ensure fetal well-being immediately after membrane rupture.
Choice B rationale
Documenting the time of rupture is important for clinical records but is not the first priority. Immediate assessment of fetal status takes precedence to detect any distress.
Choice C rationale
Monitoring the fetal heart rate and pattern immediately after membrane rupture is essential to ensure the fetus is not in distress. It helps detect any complications like cord prolapse.
Choice D rationale
Notifying the physician or midwife is necessary but not the first priority. Ensuring fetal well-being through heart rate monitoring is the immediate concern following membrane rupture.

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

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Naxlex Comprehensive Predictor Exams

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:

Correct Answer is C

Explanation

A multipara in latent phase of labor experiences spontaneous rupture of membranes while walking. Which is the first priority nursing action?

Correct Answer is C

Explanation

The slight overlapping of cranial bones or shaping of the fetal head during labor is called:

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

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?

When administering Pitocin, you should start at a low dose and work your way up slowly to a dose that provides the best contraction rate.

Pitocin is used for which of the following reasons in the L&D unit: (Select all that apply)

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

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