Nokea
A client at 34 weeks' gestation is diagnosed with polyhydramnios. What complication should the nurse monitor for?
- A. Preterm labor.
- B. Placental abruption.
- C. Fetal growth restriction.
- D. Cord prolapse.
Correct Answer: A
Rationale: Polyhydramnios increases the risk of preterm labor due to uterine overdistension.
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What should be included in teaching a young woman how to use the female condom?
- A. Reuse female condoms no more than five times.
- B. Refrain from using lubricant because the condom may slip out of the vagina.
- C. Wear both female and male condoms together to maximize effectiveness.
- D. Remove the condom by twisting the outer ring and pulling gently.
Correct Answer: D
Rationale: Twisting the outer ring prevents spillage of semen.
Which aspect of client wellness has not been a focus of health during the 21st century ?
- A. Disease prevention
- B. Health promotion
- C. Wellness
- D. Analysis of morbidity and mortality
Correct Answer: D
Rationale: The focus on health has shifted to disease prevention, health promotion, and wellness. In the last century, much of the focus was on analyzing morbidity and mortality rates.
The nurse should anticipate the labor pattern for a fetal occiput posterior position to be
- A. Prolonged and more painful
- B. Precipitous
- C. Rapid during transition
- D. Shorter than average during the latent phase
Correct Answer: A
Rationale: The nurse should anticipate the labor pattern for a fetal occiput posterior position to be prolonged and more painful. This is because in occiput posterior position, the baby's head is facing the mother's abdomen instead of her back, which can lead to slower descent and dilation of the cervix. The baby's head may have difficulty rotating to the optimal position for birth, causing longer labor and increased back pain for the mother. Nurses should be prepared to provide additional support and pain management strategies for women experiencing labor with a fetal occiput posterior position.
Three hours after birth, a newborn of a mother with diabetes becomes jittery, has weak, high-pitched cry , and exhibits irregular respirations. The nurse recognizes that these signs are often associated with:
- A. Hypovolemia
- B. Hypocalcemia
- C. Hypoglycemia
- D. Hyperglycemia
Correct Answer: C
Rationale: Hypoglycemia is common in infants of diabetic mothers.
As a nurse providing anticipatory guidance to parents of newborns, for which reason would you advise against allowing young siblings to feed an infant?
- A. Increased risk of aspiration
- B. Increased risk of mouth injury
- C. increased risk of bowel obstruction
- D. Increased risk of vomiting
Correct Answer: A
Rationale: Young children may not properly handle the infant, increasing the risk of aspiration.