Nokea
Which of the following is a potential complication of maternal hypertension during pregnancy?
- A. Placental abruption
- B. Fetal growth restriction
- C. Preterm labor
- D. All of the above
Correct Answer: D
Rationale: Maternal hypertension can lead to placental abruption, fetal growth restriction, and preterm labor.
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A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching?
- A. Premenstrual tension will no longer be present.
- B. My monthly menstrual period will be shorter.
- C. Hormone replacements will be needed following this procedure.
- D. Ovulation will remain the same.
Correct Answer: D
Rationale: The correct answer is D: Ovulation will remain the same. This is correct because tubal ligation does not affect ovulation; it only prevents the released egg from traveling through the fallopian tube to the uterus. The other choices are incorrect because: A: Premenstrual tension can still occur. B: Menstrual period length is not affected by tubal ligation. C: Hormone replacements are not typically needed after tubal ligation unless there are other medical reasons.
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
- A. Substernal retractions
- B. Acrocyanosis
- C. Overlapping suture lines
- D. Head circumference 33 cm (13 in)
Correct Answer: A
Rationale: The correct answer is A: Substernal retractions. Substernal retractions in a newborn can indicate respiratory distress, which is a critical finding that requires immediate attention from the provider to prevent complications. Acrocyanosis (B) is a common finding in newborns and usually resolves on its own. Overlapping suture lines (C) can be normal in newborns due to the molding process during birth. The head circumference of 33 cm (13 in) (D) is within the normal range for a newborn.
Which of the following is a potential complication of neonatal hypothermia?
- A. Hypoglycemia
- B. Hyperglycemia
- C. Respiratory distress syndrome
- D. All of the above
Correct Answer: A
Rationale: Neonatal hypothermia can lead to hypoglycemia due to the increased energy demands of maintaining body temperature.
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: The correct answer is D: Respiratory distress. Hypoglycemia in a late preterm newborn can lead to inadequate energy supply to the respiratory muscles, resulting in respiratory distress. Hypertonia (A) is not a typical manifestation of hypoglycemia in newborns. Increased feeding (B) is a common response to hunger but not a direct indication of hypoglycemia. Hyperthermia (C) is not a typical sign of hypoglycemia. In summary, respiratory distress is a key clinical manifestation of hypoglycemia in late preterm newborns, making it the correct choice.
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
- A. Promotion of health equity
- B. Provision of patient-centered care
- C. Advocacy for social justice
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D. "All of the above" is the professional standard for nursing practice in maternal and newborn healthcare because it encompasses all three essential aspects: promotion of health equity, provision of patient-centered care, and advocacy for social justice. Nurses must address health disparities, prioritize individualized care for patients, and advocate for fair and equitable healthcare practices. Choosing A, B, or C individually would be limiting, as they are all interconnected and crucial in providing comprehensive care. Therefore, selecting D ensures that nurses adhere to all professional standards essential in maternal and newborn healthcare.