Nokea
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?
- A. Blood pressure 105/64 mm Hg.
- B. Heart rate 98/min.
- C. Urine output of 280 mL within 8 hr.
- D. Urine negative for ketones.
Correct Answer: C
Rationale: A urine output of 280 mL within 8 hours is low and may indicate dehydration, which is a concern in a client with hyperemesis gravidarum.
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What is the recommended method of screening for gestational diabetes during pregnancy?
- A. Fasting blood glucose test
- B. Random blood glucose test
- C. Oral glucose tolerance test (OGTT)
- D. HbA1c test
Correct Answer: C
Rationale: The oral glucose tolerance test (OGTT) is the standard method for screening gestational diabetes during pregnancy.
What is the primary responsibility of a nurse or midwife in advocating for patient and family-centered care in maternal and newborn healthcare?
- A. Promoting shared decision-making
- B. Ensuring patient privacy and confidentiality
- C. Providing evidence-based care
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Nurses and midwives advocate for patient and family-centered care by promoting shared decision-making, ensuring patient privacy and confidentiality, and providing evidence-based care. Shared decision-making involves actively involving patients and families in healthcare decisions. Patient privacy and confidentiality are essential for building trust and respecting autonomy. Providing evidence-based care ensures the best outcomes for patients and families. Therefore, all these responsibilities are crucial in advocating for patient and family-centered care. Choices A, B, and C individually are important aspects, but the comprehensive approach encompassed by choice D is necessary to fully advocate for patient and family-centered care.
For each finding, click to specity if the finding increases the client's risk for uterine atony or infection.
- A. Prenatal anemia
- B. High parity
- C. Prolonged rupture of membranes
- D. Cesarean birth
- E. Polyhydramnios
Correct Answer:
Rationale:
Which of the following hormones is responsible for maintaining the uterine lining during pregnancy?
- A. Progesterone
- B. Estrogen
- C. Prolactin
- D. Oxytocin
Correct Answer: A
Rationale: Progesterone is responsible for maintaining the uterine lining during pregnancy, supporting the developing fetus.
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
- A. Temperature 37.4°C (99.3°F)
- B. WBC count 9,000/mm3
- C. Uterine tenderness
- D. Scant lochia
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Endometritis is an infection of the uterine lining, causing inflammation and tenderness. This finding is expected in a client with endometritis. A: A slightly elevated temperature may be present, but it is not specific to endometritis. B: A normal WBC count does not rule out endometritis. D: Scant lochia is not a characteristic finding in endometritis. Other answer choices are not provided, but uterine tenderness is the most relevant symptom in this scenario.