Nokea
A client at 28 weeks' gestation reports uterine contractions every 10 minutes. What is the priority nursing action?
- A. Encourage rest and hydration.
- B. Assess for signs of preterm labor.
- C. Administer tocolytic medication.
- D. Perform a vaginal examination.
Correct Answer: B
Rationale: Assessing for preterm labor signs, including cervical changes, is critical to determine the appropriate intervention.
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A nurse is assessing a newborn who is 48 hours old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect?
- A. Hypotonicity
- B. Moderate tremors of the extremities
- C. Axillary temperature 36.1°C (96.9 F)
- D. Excessive sleeping
Correct Answer: B
Rationale: Neonatal opioid withdrawal syndrome, also known as neonatal abstinence syndrome (NAS), can occur in newborns who were exposed to opioids in utero. Symptoms of NAS can include tremors, irritability, high-pitched crying, poor feeding, vomiting, diarrhea, sweating, and sneezing. The severity of symptoms can vary depending on the type of opioid exposure, dosage, and duration of exposure. In this case, the nurse should expect to see moderate tremors of the extremities in the newborn experiencing opioid withdrawals at 48 hours old. It is important for the nurse to monitor and manage the newborn's withdrawal symptoms closely to ensure their safety and well-being.
What is Lamaze International Childbirth Education based on?
- A. breathing techniques
- B. comprehensive evidence-based childbirth teachings
- C. empowerment of the nursing staff
- D. positions to promote breast-feeding
Correct Answer: B
Rationale: Lamaze focuses on evidence-based practices to empower birthing individuals, not just breathing techniques or nursing staff.
What is a common risk factor for breast cancer? Select all that apply.
- A. being assigned female at birth
- B. having a first-degree relative with breast cancer
- C. carrying mutations in BRCA1 and BRCA2 genes
- D. being of African American ethnicity
Correct Answer: A,B,C
Rationale:
The nurse assigned to the care of newborn infants understands the importance of keeping these infants swaddled in a warm blanket to prevent heat loss. Why is this important in the care of the newborn?
- A. Chilling leads to increased heat production and greater oxygen needs.
- B. The newborn's metabolic rate is decreased.
- C. Evaporation will affect the newborn's ability to feed.
- D. The newborn will sleep more comfortably.
Correct Answer: A
Rationale: Swaddling newborn infants in a warm blanket is important to prevent heat loss (hypothermia) because when babies become chilled, they must produce more heat to maintain a normal body temperature. This increased heat production leads to higher oxygen needs, which can be detrimental to newborns who may already have limited reserves. Therefore, keeping newborn infants swaddled in a warm blanket helps to maintain their body temperature within a normal range and prevents unnecessary stress on their bodies.
Whose theoretical model describes how clinical judgment evolves with experience?
- A. Benner
- B. Tanner
- C. Lasater
- D. Nightingale
Correct Answer: A
Rationale: Patricia Benner developed the theoretical model known as the Novice to Expert Theory, which describes how clinical judgment evolves with experience. According to this theory, individuals progress through five levels of proficiency in a skill: novice, advanced beginner, competent, proficient, and expert. Benner's model emphasizes the importance of experiential learning and highlights how nurses develop expertise over time through practical experience and reflection.