Nokea
A 29-year-old Chinese American patient is admitted for IUFD. Her blood pressure (BP) is 90/60, body mass index (BMI) is 41, and the medical and surgical history is noncontributory. She does not smoke or have substance use disorder. What part of her history places her at risk for IUFD?
- A. age
- B. obesity
- C. hypotension
- D. ethnicity
Correct Answer: B
Rationale: Obesity is a recognized risk factor for intrauterine fetal death (IUFD).
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What does the nursing process describe?
- A. what nurses do
- B. how nurses think
- C. where nurses provide care
- D. who nurses care for
Correct Answer: A
Rationale: The nursing process outlines the systematic approach to providing patient care, focusing on what nurses do—assess, diagnose, plan, implement, and evaluate.
Blood flow connection between the systemic, aorta, pulmonary blood flow, and pulmonary artery is which fetal shunt?
- A. ductus venosus
- B. foramen ovale
- C. ductus arteriosus
- D. foramen venosus
Correct Answer: C
Rationale: The ductus arteriosus connects the pulmonary artery to the descending aorta, allowing most fetal blood to bypass the lungs.
The nurse knows that during the interactive process of the Brazelton assessment, the newborn will receive an exceptionally good rating by reacting to what? Select all that apply.
- A. turns their head toward a familiar voice
- B. stays awake
- C. focuses on an object
- D. cries inconsolably
Correct Answer: C
Rationale: Reacting to a familiar voice, staying awake, and focusing on objects indicate strong interactive skills.
The community nurse is meeting a new mother for the first time. The client delivered her first child 5 days ago after a 12-hour labor. Neither the mother nor the infant had any complications during the birth or postpartum period. Which statement by the client would indicate to the nurse that the client is experiencing postpartum blues?
- A. One minute I'm laughing and the next I'm crying.
- B. My husband is helping out by changing the baby at night.
- C. Breastfeeding is going quite well now that the engorgement is gone.
- D. I am so happy and blessed to have my new baby.
Correct Answer: A
Rationale: Postpartum blues often manifest as mood swings, tearfulness, and irritability, which are common in the first few days after delivery.
The nurse has access to the results of a karyotype sent out for their patient via an electronic medical record. The parents have accessed the results on their MyChart phone application and have asked the nurse what the results 45, X mean. What is the best response from the nurse?
- A. The results indicate your child may have Turner syndrome.
- B. Your results are 45, X; you will have to wait to talk with the geneticist.
- C. Your results indicate that your daughter has a serious lifelong disease.
- D. I’m not sure; I’ll call the provider.
Correct Answer: A
Rationale: Karyotype 45, X indicates Turner syndrome, a condition affecting females.