Nokea
Relaxation of muscles in labor provides many benefits. What is one benefit of this technique in labor?
- A. Relaxation will prevent a cesarean section.
- B. Relaxation of the pelvic floor helps in pushing the fetus in the second stage.
- C. Relaxation of the abdomen ensures an unmedicated birth.
- D. Relaxation causes the contractions to decrease in strength.
Correct Answer: B
Rationale: Relaxing the pelvic floor facilitates smoother fetal descent during the second stage of labor.
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The nurse is assessing a client at 28 weeks' gestation with gestational diabetes. What complication is the client at greatest risk for?
- A. Preterm labor.
- B. Placenta previa.
- C. Macrosomia.
- D. Abruptio placentae.
Correct Answer: C
Rationale: Gestational diabetes increases the risk of fetal macrosomia, which can complicate delivery.
Which statement best describes the problem of regulation of body temperature in a 3-lb. (1361g) premature infant?
- A. The surface area of the premature infant is relatively smaller than that of a healthy-term infant.
- B. There is a lack of subcutaneous fat, which furnishes insulation.
- C. There are frequent episodes of diaphoresis causing loss of body heat.
- D. There is a limited ability to produce body proteins.
Correct Answer: B
Rationale: Lack of subcutaneous fat contributes to poor thermoregulation.
What response by a client indicates effective postvasectomy teaching?
- A. I will measure my urinary output for two days.
- B. I will ejaculate the same amount of semen as I did before the surgery.
- C. I will refrain from having an erection until next week.
- D. I will irrigate the wound twice today and once more tomorrow.
Correct Answer: B
Rationale: Semen volume remains unchanged after vasectomy.
During the assessment of a newborn, it is most important for the nurse to report a:
- A. Temperature of 97.7 degrees Fahrenheit
- B. Pale pink, rust-colored stain in the diaper
- C. Heart rate that drops to 120 beats/min
- D. Breathing pattern that is diaphragmatic with sternal retractions
Correct Answer: D
Rationale: Sternal retractions indicate respiratory difficulty.
The primiparous patient that's 40 weeks' gestation reports to the nurse that she has increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?
- A. This symptom usually means the baby's head has descended further
- B. Unless you have pain with urination, we don't need to worry it
- C. Come in for an appointment today and we'll check out everything
- D. This might indicate that the baby is no longer in a head down position
Correct Answer: A
Rationale: The best response by the nurse is to reassure the primiparous patient that her increased pelvic pressure and urinary frequency could mean that the baby's head has descended further into the pelvis. This can indicate that labor is approaching, as the baby is getting into position for birth. It is important for the nurse to provide this information to ease the patient's concerns and help her understand the potential significance of these symptoms at 40 weeks' gestation.