A nurse is teaching routine prenatal care to a group of clients who are pregnant.
Which of the following statements by a client indicates an understanding of the teaching?
I will be able to hear my baby's heartbeat when I am 6 weeks pregnant.
I will have monthly prenatal visits for the first 28 weeks of pregnancy.
I will have a complete blood count performed at each prenatal visit.
I will have a blood test to check for neural tube defects when I am 32 weeks pregnant
The Correct Answer is B
Choice A rationale
The fetal heartbeat is typically detectable by Doppler around 10-12 weeks, not as early as 6 weeks.
Choice B rationale
Monthly prenatal visits up to 28 weeks are standard practice for monitoring pregnancy.
Choice C rationale
A complete blood count is not performed at every prenatal visit but at specific intervals.
Choice D rationale
The blood test for neural tube defects, such as AFP, is usually done around 16-18 weeks, not 32 weeks.
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Correct Answer is D
Explanation
Choice A rationale
Uterine contractions occur more frequently than every 15 minutes during the active phase of labor, typically every 2-3 minutes.
Choice B rationale
A fetal heart rate baseline of 166/min is considered tachycardia and may not be normal during labor.
Choice C rationale
Late decelerations are concerning and not expected as they may indicate fetal distress.
Choice D rationale
Contractions lasting about 75 seconds are expected during the active phase of labor.
Correct Answer is D
Explanation
Choice A rationale
Elevating the head of the client’s bed is not indicated in this situation and does not address the issue of excessive bleeding postpartum.
Choice B rationale
Administering terbutaline, a medication used to manage preterm labor, is not relevant in the context of postpartum hemorrhage and excessive bleeding.
Choice C rationale
Initiating oxygen at 2 L/min via nasal cannula may help with oxygenation but does not address the primary issue of excessive postpartum bleeding.
Choice D rationale
Initiating an infusion of oxytocin is the correct action as it helps contract the uterus and reduce postpartum bleeding, making it a crucial step in managing this situation.