Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The nurse would prepare to screen clients for gestational diabetes at which time during the pregnancy?
A. Between 24 and 28 weeks' gestation.
The glucose challenge test is used to check for gestational diabetes during pregnancy. People at average risk of gestational diabetes usually have this test done during the second trimester, generally between 24 and 28 weeks of pregnancy.
B. Between 8 and 12 weeks' gestation.
This is too early in the pregnancy to screen for gestational diabetes. The body’s response to sugar changes as the pregnancy progresses, so testing is typically done later.
C. Between 15 and 19 weeks' gestation.
This is still a bit early for the screening. The recommended time is between 24 and 28 weeks of gestation.
D. Between 30 and 32 weeks' gestation.
This is too late in the pregnancy for the screening. The recommended time is between 24 and 28 weeks of gestation.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Custom 2023 Fall NPRO 1100 Proctored Exam 3. Take the full exam now
Full Explanation
The correct answer is choice A.
Choice A rationale:
The glucose challenge test is used to check for gestational diabetes during pregnancy. People at average risk of gestational diabetes usually have this test done during the second trimester, generally between 24 and 28 weeks of pregnancy.
Choice B rationale:
This is too early in the pregnancy to screen for gestational diabetes. The body’s response to sugar changes as the pregnancy progresses, so testing is typically done later.
Choice C rationale:
This is still a bit early for the screening. The recommended time is between 24 and 28 weeks of gestation.
Choice D rationale:
This is too late in the pregnancy for the screening. The recommended time is between 24 and 28 weeks of gestation.
Similar Questions
A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1. Which of the following interpretations of this finding should the nurse make?
A. The cervix is effaced 1 cm.
The term “-1” in a vaginal examination does not refer to the effacement of the cervix. Effacement is usually expressed as a percentage.
B. The presenting part is 1 cm above the ischial spines.
In a vaginal examination, “-1” refers to the station of the fetus. A “-1” station means that the presenting part of the fetus (usually the head) is 1 cm above the ischial spines.
C. The cervix is 1 cm dilated.
The term “-1” in a vaginal examination does not refer to the dilation of the cervix. Dilation is usually measured in centimeters, from 0 (no dilation) to 10 (fully dilated).
D. The presenting part is 1 cm below the ischial spines.
A “-1” station does not mean that the presenting part is below the ischial spines. It means that it is above the ischial spines.
Full Explanation
The correct answer is choice B.
Choice A rationale:
The term “-1” in a vaginal examination does not refer to the effacement of the cervix. Effacement is usually expressed as a percentage.
Choice B rationale:
In a vaginal examination, “-1” refers to the station of the fetus. A “-1” station means that the presenting part of the fetus (usually the head) is 1 cm above the ischial spines.
Choice C rationale:
The term “-1” in a vaginal examination does not refer to the dilation of the cervix. Dilation is usually measured in centimeters, from 0 (no dilation) to 10 (fully dilated).
Choice D rationale:
A “-1” station does not mean that the presenting part is below the ischial spines. It means that it is above the ischial spines.
A client presents to the health care clinic for her first prenatal checkup.
What nutritional supplement should the nurse discuss with the client to prevent neural tube defects in the developing fetus?
A. Vitamin E.
While Vitamin E is important for many bodily functions, it is not the primary supplement recommended to prevent neural tube defects.
B. Calcium.
Calcium is crucial for bone health, but it does not play a direct role in preventing neural tube defects.
C. Folic acid.
Folic acid is recommended for all people capable of becoming pregnant to consume 400 micrograms (mcg) daily to prevent neural tube defects (NTDs)3.
D. Iron.
Iron is important for preventing anemia, especially during pregnancy, but it does not prevent neural tube defects.
Full Explanation
The correct answer is choice C.
Choice A rationale:
While Vitamin E is important for many bodily functions, it is not the primary supplement recommended to prevent neural tube defects.
Choice B rationale:
Calcium is crucial for bone health, but it does not play a direct role in preventing neural tube defects.
Choice C rationale:
Folic acid is recommended for all people capable of becoming pregnant to consume 400 micrograms (mcg) daily to prevent neural tube defects (NTDs)3.
Choice D rationale:
Iron is important for preventing anemia, especially during pregnancy, but it does not prevent neural tube defects.
Which documentation in the health record is most correct for the third stage of labor?
A. Begins with the time of full cervical dilation (dilatation) and ends with the delivery of the fetus.
This statement describes the second stage of labor, not the third. The second stage begins with full cervical dilation and ends with the delivery of the fetus.
B. Begins with the time of placental delivery and ends 48 hours later.
The third stage of labor does not end 48 hours after the delivery of the placenta. This choice is incorrect.
C. Begins with the time of placental delivery and ends when the health care provider is satisfied that there are no placental fragments.
While it’s important to ensure no placental fragments remain, the third stage of labor technically ends with the delivery of the placenta, not at this later point.
D. Begins with the time of delivery of the fetus and ends with the time of the delivery of the placenta.
This is the correct definition of the third stage of labor. It begins with the delivery of the fetus and ends with the delivery of the placenta.
Full Explanation
The correct answer is choice D.
Choice A rationale:
This statement describes the second stage of labor, not the third. The second stage begins with full cervical dilation and ends with the delivery of the fetus.
Choice B rationale:
The third stage of labor does not end 48 hours after the delivery of the placenta. This choice is incorrect.
Choice C rationale:
While it’s important to ensure no placental fragments remain, the third stage of labor technically ends with the delivery of the placenta, not at this later point.
Choice D rationale:
This is the correct definition of the third stage of labor. It begins with the delivery of the fetus and ends with the delivery of the placenta.