Nokea
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?
- A. I should empty my bladder before the procedure.
- B. I will be lying on my side during the procedure.
- C. I will be asleep during the procedure.
- D. I should start fasting 24 hours before the procedure.
Correct Answer: A
Rationale: The correct answer is A: "I should empty my bladder before the procedure." This statement indicates understanding because a full bladder can obstruct visualization during amniocentesis. Choice B is incorrect because the client should lie flat on their back during the procedure. Choice C is incorrect as the client is awake for an amniocentesis. Choice D is incorrect because fasting is not required before the procedure.
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A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
- A. Hypertonia
- B. Increased feeding
- C. Hyperthermia
- D. Respiratory distress
Correct Answer: D
Rationale: Respiratory distress in a late preterm newborn can be a sign of hypoglycemia, as low blood sugar levels can impair respiratory function.
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
- A. Depression.
- B. Polyuria.
- C. Hypotension.
- D. Urticaria.
Correct Answer: A
Rationale: Depression is a known adverse effect of combined oral contraceptives due to the hormonal changes they induce.
What is the recommended method of administering hepatitis B vaccine to a newborn?
- A. Intramuscular injection
- B. Oral administration
- C. Topical application
- D. Subcutaneous injection
Correct Answer: A
Rationale: The correct answer is A: Intramuscular injection. Administering hepatitis B vaccine via intramuscular injection ensures proper absorption and immune response. Injecting into the muscle allows for efficient delivery to the bloodstream. Oral administration (B) is not effective as the vaccine may be degraded in the digestive system. Topical application (C) and subcutaneous injection (D) are not recommended for hepatitis B vaccine due to inadequate absorption and immune response.
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
- A. Ectopic pregnancy
- B. Hyperemesis gravidarum
- C. Incompetent cervix
- D. Postpartum hemorrhage
Correct Answer: D
Rationale: The correct answer is D: Postpartum hemorrhage. The nurse assessed the client to be 80% effaced and 8 cm dilated, indicating she is in active labor. This client is at risk for postpartum hemorrhage, which is excessive bleeding after childbirth due to the uterus not contracting adequately to control bleeding. The risk is higher in clients who have a rapid labor progression like this client. Ectopic pregnancy (A) is not relevant in this scenario as the client is already in labor. Hyperemesis gravidarum (B) is severe nausea and vomiting during pregnancy, not related to the client's current condition. Incompetent cervix (C) is the premature dilation of the cervix, not applicable at this stage of labor.
Which of the following is a potential benefit of patient-centered care in maternal and newborn healthcare?
- A. Increased patient satisfaction
- B. Improved health outcomes
- C. Decreased healthcare costs
- D. All of the above
Correct Answer: D
Rationale: Patient-centered care can improve satisfaction, health outcomes, and reduce costs.