Nokea
A client at 20 weeks' gestation is undergoing a routine ultrasound. What is the primary focus of this examination?
- A. Confirm the baby's sex.
- B. Evaluate fetal anatomy and growth.
- C. Assess maternal cervical length.
- D. Check for signs of preterm labor.
Correct Answer: B
Rationale: The 20-week ultrasound focuses on assessing fetal anatomy, growth, and structural development.
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A nurse is assessing a client who is at 31 weeks of gestation. Which of the following findings show potential prenatal complication?
- A. Periodic tingling of fingers
- B. Absence of clonus
- C. Leg cramps
- D. Blurred vision
Correct Answer: D
Rationale: Blurred vision is a potential prenatal complication during the third trimester of pregnancy and can be a sign of conditions such as preeclampsia or gestational diabetes. It is important for the nurse to further assess this finding and consult with the healthcare provider to ensure appropriate management and monitoring of the client's condition. Periodic tingling of fingers, absence of clonus, and leg cramps are common discomforts during pregnancy and do not typically indicate a prenatal complication.
The pediatric nurse knows that the children being treated are considered minors. Which statement accurately describes the regulations related to consent for medical treatment?
- A. Children older than age 16 can provide their own consent for, or refusal of, medical procedures.
- B. A guardian ad litem may be appointed by the parents to serve to protect the child's best interests.
- C. Parents ultimately are the decision makers regarding medical treatment for their children younger than the age of 18.
- D. When divorce occurs, the parent with whom the child is living on a daily basis will be granted custody of the child.
Correct Answer: C
Rationale: Parents ultimately are the decision makers for their children. Generally, only persons over the age of majority (18 years of age) can legally provide consent for health care.
The nurse is educating a client with gestational diabetes about blood sugar monitoring. What statement indicates understanding?
- A. I will check my blood sugar once a week.
- B. I should avoid all carbohydrates.
- C. I will monitor my blood sugar four times a day as prescribed.
- D. I can skip insulin on days I feel well.
Correct Answer: C
Rationale: Frequent monitoring of blood sugar is essential for managing gestational diabetes effectively.
What should the nurse consider when caring for a client who identifies as a lesbian?
- A. Lesbian women are usually less sexually active than straight women.
- B. Lesbian women need not be asked about domestic violence issues.
- C. Lesbian women should be tested for cervical cancer every three to seven years.
- D. Lesbian women are at higher risk for bacterial vaginosis than are straight women.
Correct Answer: C
Rationale: Regular cervical cancer screening is important for all women.
A newborn is delivered vaginally in the breech presentation. When examining her baby, the mother asks if the baby has been injured during birth because of the large black and blue areas on the buttocks and legs, The nurse should respond that:
- A. This is not a birth injury probably just a birthmark
- B. These are caused by forceps used to aid in the delivery of the baby
- C. This a temporary complication that will disappear in about a week
- D. These Mongolian spots, common in dark-skinned babies, disappear within a year
Correct Answer: C
Rationale: Bruising from breech delivery is temporary.