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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Terbutaline is a beta-agonist used to relax uterine muscles and delay preterm labor, not to augment labor in term pregnancies. It is not indicated for labor augmentation.
Choice B rationale
Betamethasone is a corticosteroid given to enhance fetal lung maturity in preterm pregnancies. It is not used to augment labor in term pregnancies, as it does not stimulate uterine contractions.
Choice C rationale
Pitocin (oxytocin) is a synthetic form of the natural hormone oxytocin. It stimulates uterine contractions and is commonly used to induce or augment labor in term pregnancies.
Choice D rationale
Magnesium sulfate is used primarily to prevent seizures in women with preeclampsia and to provide neuroprotection to preterm infants. It does not help augment labor contractions.
Correct Answer is D
Explanation
Choice A rationale
Placental insufficiency leads to late decelerations due to diminished blood flow, resulting in gradual decreases in fetal heart rate. This differs from the abrupt changes seen with cord compression.
Choice B rationale
Abruption manifests with symptoms such as painful bleeding and uterine tenderness, rather than specific heart rate patterns like those caused by cord compression.
Choice C rationale
Head compression produces early decelerations with a characteristic mirror image of contractions, unlike the abrupt heart rate drops seen with cord compression.
Choice D rationale
Cord compression results in variable decelerations, which are abrupt decreases in fetal heart rate due to intermittent reductions in oxygen supply. This matches the tracing pattern described.
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