Nokea
A 6-month-old child has been diagnosed with a significant hearing loss. Which of the following complications that occurred immediately after delivery could have resulted in this condition?
- A. Necrotizing enterocolitis.
- B. Hypoglycemia.
- C. Bronchopulmonary dysplasia.
- D. Kernicterus.
Correct Answer: D
Rationale: Kernicterus, caused by severe jaundice, can lead to hearing loss due to bilirubin toxicity in the brain.
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A woman is seeking counseling regarding tubal ligation. Which of the following should the nurse include in her discussion?
- A. The woman will no longer menstruate.
- B. The surgery should be done when the woman is ovulating.
- C. The surgery is easily reversible.
- D. The woman will be under anesthesia during the procedure.
Correct Answer: D
Rationale: Tubal ligation is a permanent form of contraception and requires anesthesia. It does not affect menstruation, and reversal is not guaranteed.
A nurse has just received report on 4 neonates in the newborn nursery. Which of the babies should the nurse assess first?
- A. Neonate whose mother is HIV positive.
- B. Neonate whose mother is group B streptococcus positive.
- C. Neonate whose mother’s labor was 12 hours long.
- D. Neonate whose mother gained 45 pounds during her pregnancy.
Correct Answer: B
Rationale: The neonate whose mother is group B streptococcus positive should be assessed first due to the risk of early-onset sepsis.
Which suggestion is most helpful for the pregnant patient who is experiencing heartburn?
- A. Drink plenty of fluids at bedtime.
- B. Eat only three meals a day so the stomach is empty between meals.
- C. Drink coffee or orange juice immediately on arising in the morning.
- D. Use Tums or Rolaids to obtain relief, as directed by the health care provider.
Correct Answer: D
Rationale: The correct answer is D because Tums or Rolaids are safe antacids commonly recommended for heartburn during pregnancy. They help neutralize stomach acid and provide relief. Choice A is incorrect as drinking fluids before bedtime can aggravate heartburn. Choice B is incorrect because it's important to eat small, frequent meals to prevent heartburn. Choice C is incorrect as coffee and orange juice can trigger heartburn due to their acidity. Overall, using antacids under healthcare provider guidance is the best option for managing heartburn during pregnancy.
A biophysical profile is performed on a pregnant patient. The following assessments are noted: nonreactive stress test (NST), three episodes of fetal breathing movements (FBMs), limited gross movements, opening and closing of hang indicating the presence of fetal tone, and adequate amniotic fluid index (AFI) meeting criteria. Which answer would be the correct interpretation of this test result?
- A. A score of 10 would indicate that the results are equivocal.
- B. A score of 8 would indicate normal results.
- C. A score of 6 would indicate that birth should be considered as a possible treatment option.
- D. A score of 9 would indicate reassurance.
Correct Answer: B
Rationale: The correct answer is B: A score of 8 would indicate normal results. In a biophysical profile, each component is scored as either 0 or 2, totaling a maximum of 10. In this case, the patient has: 0 for NST, 2 for FBMs, 1 for gross movements, 2 for fetal tone, and 2 for AFI, totaling 7. However, if there are at least 2 episodes of FBMs, this component is given a score of 2. Therefore, the correct total score is 8. This score indicates normal results, as it meets the criteria for a reassuring biophysical profile.
Incorrect Choices:
A: A score of 10 would indicate that the results are equivocal - This is incorrect as a score of 10 would indicate normal results, not equivocal.
C: A score of 6 would indicate that birth should be considered as a possible treatment option - This is incorrect, as a score
What patient symptom at 10 weeks of gestation requires further investigation by the nurse?
- A. breast tenderness
- B. infrequent nausea
- C. change in appetite
- D. weight loss
Correct Answer: D
Rationale: The correct answer is D: weight loss. At 10 weeks of gestation, weight loss is concerning as it may indicate potential issues like hyperemesis gravidarum or inadequate nutrition, posing risks to both the mother and fetus. Breast tenderness (A), infrequent nausea (B), and changes in appetite (C) are common symptoms during early pregnancy and may not necessarily indicate serious problems. Weight loss (D) should be investigated promptly to ensure the well-being of both the mother and the developing baby.