Nokea
A client at 20 weeks' gestation is undergoing a routine ultrasound. What is the primary focus of this examination?
- A. Confirm the baby's sex.
- B. Evaluate fetal anatomy and growth.
- C. Assess maternal cervical length.
- D. Check for signs of preterm labor.
Correct Answer: B
Rationale: The 20-week ultrasound focuses on assessing fetal anatomy, growth, and structural development.
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Individuals 35 years or older at conception have an increased risk of what complication?
- A. low birth weight
- B. hypoglycemia
- C. neural tube defects
- D. chromosomal abnormalities
Correct Answer: D
Rationale:
The nurse notes right cephalhematoma on the otherwise healthy one-day-old newborn. Apriority intervention at the time of discharge would be to instruct the parents:
- A. How to observe for signs of jaundice
- B. How to assess the fontanels for tenseness
- C. How to increase the infant's feeding to every 3 hours
- D. To record the number of wet diapers the infant has in 24 hours
Correct Answer: A
Rationale: Cephalhematomas can lead to increased bilirubin levels, necessitating jaundice monitoring.
The pediatric nurse knows that the children being treated are considered minors. Which statement accurately describes the regulations related to consent for medical treatment?
- A. Children older than age 16 can provide their own consent for, or refusal of, medical procedures.
- B. A guardian ad litem may be appointed by the parents to serve to protect the child's best interests.
- C. Parents ultimately are the decision makers regarding medical treatment for their children younger than the age of 18.
- D. When divorce occurs, the parent with whom the child is living on a daily basis will be granted custody of the child.
Correct Answer: C
Rationale: Parents ultimately are the decision makers for their children. Generally, only persons over the age of majority (18 years of age) can legally provide consent for health care.
The nurse is teaching a prenatal class about signs of labor. Which statement indicates the need for further teaching?
- A. True labor contractions increase in intensity and regularity.
- B. The baby dropping is a sign of true labor.
- C. False labor contractions often stop with activity.
- D. True labor results in cervical changes.
Correct Answer: B
Rationale: Lightening, or baby dropping, occurs weeks before labor and is not a sign of true labor.
What is the first action when a newborn has a heart rate below 100 bpm immediately after birth?
- A. Provide chest compressions
- B. Administer oxygen and provide stimulation
- C. Delay interventions and reassess in 5 minutes
- D. Start an IV line for medications
Correct Answer: B
Rationale: Providing oxygen and stimulation helps improve heart rate and respiratory status.