Nokea
A 29-week pregnant woman presents with preterm labor symptoms. What is the most appropriate intervention?
- A. Administer magnesium sulfate
- B. Perform a cesarean section
- C. Administer tocolytics to delay labor
- D. Induce labor immediately
Correct Answer: C
Rationale: The correct answer is C: Administer tocolytics to delay labor. This intervention helps to delay preterm labor, giving time for corticosteroids to enhance fetal lung maturity and reduce neonatal morbidity. Administering magnesium sulfate (Choice A) is used for neuroprotection in preterm labor but is not the initial intervention. Performing a cesarean section (Choice B) is not recommended unless there are complications. Inducing labor immediately (Choice D) is not appropriate as the goal is to delay labor to improve neonatal outcomes.
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A client is 35 weeks’ gestation.
- A. Nausea and vomiting.
- B. Maternal ambivalence.
- C. Fundal height 10 cm above the umbilicus.
- D. Use of three pillows for sleep comfort.
Correct Answer: D
Rationale: Using multiple pillows for sleep comfort is common in late pregnancy due to discomfort from the growing uterus. Nausea and vomiting are more common in early pregnancy, and maternal ambivalence is not specific to this stage.
What is the term for a nonstress test in which there are two or more fetal heart rate accelerations of 15 or more beats per minute (BPM) with fetal movement in a 20-minute period?
- A. Positive
- B. Negative
- C. Reactive
- D. Nonreactive
Correct Answer: C
Rationale: A nonstress test is considered reactive when there are at least two accelerations of 15 BPM or more in a 20-minute period, indicating fetal well-being.
A 36-week pregnant woman presents to the labor and delivery unit in preterm labor. What is the priority intervention?
- A. Administer corticosteroids to promote fetal lung maturity
- B. Administer magnesium sulfate to stop labor
- C. Perform an emergency cesarean section
- D. Perform a nonstress test (NST)
Correct Answer: A
Rationale: The correct answer is A: Administer corticosteroids to promote fetal lung maturity. This is the priority intervention in preterm labor as it helps accelerate fetal lung development, reducing the risk of respiratory distress syndrome. Administering magnesium sulfate (B) is used for neuroprotection in preterm labor but is not the priority in this case. Emergency cesarean section (C) is not indicated unless there is a life-threatening situation. Performing a nonstress test (D) is important for fetal monitoring but is not the priority intervention in this scenario.
The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient?
- A. Uses of extracorporeal membrane oxygenation therapy (ECMO)
- B. Uses of exogenous pulmonary surfactant
- C. The Baby-Friendly Hospital Initiative
- D. The Safe to Sleep campaign
Correct Answer: D
Rationale: Step 1: The Safe to Sleep campaign aims to educate parents on safe sleep practices to reduce the risk of SIDS.
Step 2: Given the patient's concerns about infant mortality and SIDS, providing education on safe sleep practices is pertinent.
Step 3: The patient had an uncomplicated pregnancy and delivery, so other interventions like ECMO or surfactant are not relevant.
Step 4: The Baby-Friendly Hospital Initiative focuses on promoting breastfeeding, which is not directly related to reducing the risk of SIDS.
Step 5: Therefore, explaining the Safe to Sleep campaign to the patient is the most helpful in addressing her concerns and promoting infant safety.
Which food is the best source of iron?
- A. Raisins
- B. Hamburger
- C. Broccoli
- D. Molasses
Correct Answer: B
Rationale: Hamburger is rich in heme iron, which is more easily absorbed by the body compared to non-heme sources like raisins or molasses.