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A nurse is providing discharge teaching about car seat safety to a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?
- A. “I will position my baby at a 45-degree angle in the car seat.
- B. I can place my baby in the front seat with the airbag turned off.
- C. I can turn my baby's car seat around when she weighs 15 pounds.
- D. I will place my baby in a forward-facing car seat in my back seat.
Correct Answer: A
Rationale: Positioning the baby at a 45-degree angle in the car seat ensures proper airway alignment and reduces the risk of suffocation. Placing the baby in the front seat or turning the car seat too early are unsafe practices.
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A nurse is providing prenatal teaching to a client who practices a vegan diet and is trying to increase intake of vitamin B12. Which of the following foods should the nurse recommend?
- A. Fortified soy milk
- B. Raw carrots
- C. Fresh citrus fruits
- D. Brown rice
Correct Answer: A
Rationale: The correct answer is A: Fortified soy milk. Vegans often have difficulty obtaining enough vitamin B12, which is primarily found in animal products. Fortified soy milk is a good source of vitamin B12 for vegans. Raw carrots (B), fresh citrus fruits (C), and brown rice (D) do not contain significant amounts of vitamin B12. Raw carrots and fresh citrus fruits are good sources of vitamin C, while brown rice is a source of carbohydrates and fiber.
Which of the following is a potential complication of a cesarean delivery?
- A. Hemorrhage
- B. Infection
- C. Uterine rupture
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. A cesarean delivery can lead to hemorrhage due to the incision and removal of the placenta. Infection can occur at the incision site or in the uterus post-surgery. Uterine rupture is a rare but serious complication where the uterus tears open. Choosing D is correct as all these complications can potentially arise after a cesarean delivery. Options A, B, and C are incorrect as they do not encompass all possible complications of a cesarean delivery.
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication?
- A. Hyperglycemia
- B. Bilateral crackles
- C. Hypotension
- D. Polyuria
Correct Answer: C
Rationale: Correct Answer: C - Hypotension
Rationale: Opioid analgesics can cause hypotension as a side effect by vasodilation and reduced cardiac output. The epidural route can further exacerbate this effect due to the potential spread of the medication to sympathetic nerves, resulting in vasodilation and decreased blood pressure. Monitoring for hypotension is crucial to prevent complications such as decreased tissue perfusion and potential cardiovascular collapse.
Incorrect Choices:
A: Hyperglycemia - Opioids do not typically cause hyperglycemia.
B: Bilateral crackles - Crackles are not a common adverse effect of opioids.
D: Polyuria - Opioids do not usually cause polyuria.
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
- A. Maintain the client NPO throughout the procedure.
- B. Place the client in a supine position.
- C. Instruct the client to massage the abdomen to stimulate fetal movement.
- D. Instruct the client to press the provided button each time fetal movement is detected.
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to press the provided button each time fetal movement is detected. In a nonstress test, the client is required to monitor fetal movements and press a button each time they are felt. This helps assess fetal well-being by measuring the heart rate in response to movement. This action is essential for the accurate interpretation of the test results. Maintaining the client NPO (A) is not necessary for this procedure. Placing the client in a supine position (B) can lead to decreased blood flow to the fetus. Instructing the client to massage the abdomen (C) may interfere with the natural fetal movements being monitored. Therefore, the correct action is to have the client press the button when fetal movement is detected to ensure an accurate assessment of fetal well-being.
Which of the following is a potential complication of maternal hyperemesis gravidarum?
- A. Preterm labor
- B. Fetal growth restriction
- C. Maternal dehydration
- D. All of the above
Correct Answer: D
Rationale: Hyperemesis gravidarum can lead to preterm labor, fetal growth restriction, and maternal dehydration.