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

Women with inadequate weight gain have an increased risk of delivering an infant with intrauterine growth restriction (IUGR).

Greater than expected weight gain during pregnancy is almost always attributable to old-fashioned overeating.

In pregnancy, the woman’s height is not a factor in determining her target weight.

Obese women may have health concerns, but the risk of delivering a child with major congenital defects is the same as with women of normal weight.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Inadequate weight gain during pregnancy can lead to intrauterine growth restriction (IUGR), where the fetus does not grow as expected.
Choice B rationale
Excess weight gain is not solely due to overeating; it can result from edema, gestational diabetes, or other metabolic factors.
Choice C rationale
Height is a factor in determining a pregnant woman’s target weight range, influencing the overall recommended weight gain.
Choice D rationale
Obese women have higher risks of complications, including gestational diabetes and hypertensive disorders, differing from normal weight women.

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Correct Answer is B

Explanation

Choice A rationale
Contractions spaced 5 to 20 minutes apart can indicate early labor, but regular and intense contractions closer together suggest active labor. This does not indicate imminent hospital visit.
Choice B rationale
Regular contractions lasting about a minute and causing inability to talk through them are strong indicators of active labor, suggesting the need for hospital evaluation.
Choice C rationale
Seeing a pink discharge (bloody show) indicates the cervix is starting to dilate but does not necessarily mean active labor is present. It's not the most immediate sign to proceed to hospital.
Choice D rationale
Cramping for 4 hours can be a sign of early labor, but it lacks the regularity and intensity of active labor contractions. This does not suggest an immediate need for hospital visit.

A. This ointment prevents the infant’s eyelids from sticking together and helps the infant see. B. This ophthalmic ointment prevents gonorrheal infection of the infant’s eyes, potentially acquired from the birth canal. C. Erythromycin prevents potentially harmful exudate from invading the tear ducts of the infant’s eyes, leading to dry eyes. D. Erythromycin ophthalmic ointment destroys an infectious exudate caused by Staphylococcus that could make the infant blind.

Correct Answer is B

Explanation

Choice A rationale
Erythromycin ophthalmic ointment does not prevent the infant's eyelids from sticking together; it is not its primary purpose and does not aid in vision enhancement.
Choice B rationale
Erythromycin ophthalmic ointment is used to prevent gonorrheal infection acquired during birth, protecting the infant’s eyes from potential infection that can cause blindness.
Choice C rationale
Erythromycin does not prevent exudate from invading the tear ducts, nor does it lead to dry eyes. Its primary function is antimicrobial.
Choice D rationale
Erythromycin ophthalmic ointment is not specific to Staphylococcus and does not directly destroy infectious exudate. It prevents infections like gonorrhea.

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

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A new father wants to know what medication was put into his infant’s eyes and why it is needed. How does the nurse explain the purpose of the erythromycin ophthalmic ointment?

Correct Answer is B

Explanation

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The nurse has received a report regarding her patient in labor. The woman’s last vaginal examination was recorded as 3 cm, 30%, and -2. The nurse’s interpretation of this assessment is that:

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

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

Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy. These include (select all that apply)

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

The nurse caring for the laboring woman should know that meconium is produced by: