Nokea
A client asks the nurse, “Could you explain how the baby’s blood and my blood separate at delivery?” Which of the following responses is appropriate for the nurse to make?
- A. When the placenta is born, the circulatory systems separate.
- B. When the doctor clamps the cord, the blood stops mixing.
- C. The separation happens after the baby takes the first breath. The baby’s oxygen no longer has to come from you.
- D. The blood actually never mixes. Your blood supply and the baby’s blood supply are completely separate.
Correct Answer: D
Rationale: During pregnancy, the mother's and baby's blood supplies do not mix. The placenta acts as a barrier and facilitates the exchange of nutrients, gases, and waste products between the maternal and fetal bloodstreams without direct mixing. This ensures that each individual maintains their own circulatory system.
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Organize the developmental stages in the correct order. Put a comma and space between each answer choice (a, b, c, d, etc.)
- A. Zygote
- B. Morula
- C. Blastocyst
- D. Embryo
Correct Answer: B
Rationale: Fetal development progresses through several stages: zygote, morula, blastocyst, embryo, and fetus. Each stage represents a critical phase in the formation and growth of the embryo.
The midwife has just palpated the fundal height at the location noted on the picture below. It is likely that the client is how many weeks pregnant?
- A. 12
- B. 20
- C. 28
- D. 36
Correct Answer: B
Rationale: At 20 weeks, the fundal height is typically at the level of the umbilicus, which is consistent with the description provided.
A nurse is caring for a postpartum person who is experiencing difficulty with breastfeeding. What is the most appropriate intervention?
- A. assist with latching
- B. provide skin-to-skin contact
- C. educate the person on breast care
- D. educate the person on postpartum care
Correct Answer: B
Rationale: The correct answer is B: provide skin-to-skin contact. This is the most appropriate intervention because it promotes bonding, regulates the baby's temperature, and enhances breastfeeding success by stimulating the baby's natural instincts. Assisting with latching (choice A) may be necessary but providing skin-to-skin contact should be prioritized. Educating on breast care (choice C) and postpartum care (choice D) are important, but the immediate need is to establish successful breastfeeding through skin-to-skin contact.
A nurse is caring for a postpartum person with a second-degree perineal tear. What is the most appropriate intervention for pain management?
- A. administer oral pain medication
- B. administer an epidural analgesic
- C. administer non-pharmacological pain relief
- D. administer ice packs
Correct Answer: C
Rationale: The most appropriate intervention for pain management in a postpartum person with a second-degree perineal tear is administering non-pharmacological pain relief (Choice C). This includes methods such as sitz baths, warm compresses, and positioning techniques. These interventions are effective in reducing pain and promoting healing without the side effects associated with medications or invasive procedures. Oral pain medication (Choice A) may not be sufficient for managing the specific pain in this case. Administering an epidural analgesic (Choice B) is not appropriate postpartum, as it is typically used during labor for pain relief. Ice packs (Choice D) may provide temporary relief but do not address the underlying pain and healing process as effectively as non-pharmacological methods.
The nurse is interviewing a 38-week gestation Muslim woman.
- A. Do you plan to breastfeed your baby?
- B. What do you plan to name the baby?
- C. Which pediatrician do you plan to use?
- D. How do you feel about having an episiotomy?
Correct Answer: D
Rationale: Questions about episiotomy might be culturally sensitive or inappropriate without prior discussion of preferences, especially in certain cultural contexts like Islam.