Nokea
A client at 32 weeks' gestation is diagnosed with oligohydramnios. What complication is associated with this condition?
- A. Fetal macrosomia.
- B. Cord prolapse.
- C. Pulmonary hypoplasia.
- D. Placenta previa.
Correct Answer: C
Rationale: Oligohydramnios can lead to pulmonary hypoplasia due to insufficient amniotic fluid for lung development.
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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.
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.
How can a nurse support a mother planning to formula-feed her newborn?
- A. Discourage frequent feeding to avoid overfeeding
- B. Recommend holding the baby during feeding
- C. Provide information about formula preparation
- D. Advise limiting formula feeding to once daily
Correct Answer: C
Rationale: Providing accurate information about formula preparation ensures safe and adequate feeding.
A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care?
- A. Increase the newborn's visual stimulation
- B. Weigh the newborn every other day
- C. Discourage parental interaction until after a social evaluation
- D. Swaddle the newborn in a flexed position
Correct Answer: D
Rationale: Neonatal abstinence syndrome (NAS) occurs in newborns who were exposed to addictive drugs in utero, commonly seen in infants born to mothers with substance use disorders. These babies often experience withdrawal symptoms such as tremors, irritability, and difficulty sleeping. Swaddling the newborn in a flexed position can help provide comfort and security to the infant, which may help alleviate some of the withdrawal symptoms they are experiencing. This intervention can also mimic the snug environment of the womb, promoting a sense of calmness for the newborn. It is important to create a soothing environment to aid in the management of NAS symptoms.
The nurse provides counseling on coitus interruptus. What important counseling should be included?
- A. The partners must communicate well to use this method.
- B. This method is 100 percent effective because semen does not enter the vagina.
- C. BBT must be used with this method.
- D. All persons are able to control ejaculate in time to withdraw.
Correct Answer: A
Rationale: The important counseling that should be included when discussing coitus interruptus (withdrawal method) is that the partners must communicate well to use this method effectively. Coitus interruptus involves the male partner withdrawing his penis from the vagina before ejaculation to prevent sperm from entering the woman's reproductive tract. Effective communication between partners is crucial to ensure that the method is used correctly and consistently. This method does not protect against sexually transmitted infections (STIs), so it's also important to discuss alternative methods of contraception for STI prevention. The statement that this method is 100 percent effective is incorrect, as pre-ejaculate can contain sperm and there is a risk of pregnancy if withdrawal is not done correctly.