Nokea
A client in the third trimester reports severe itching without rash. What condition should the nurse suspect?
- A. Cholestasis of pregnancy.
- B. Preeclampsia.
- C. Gestational diabetes.
- D. Fungal infection.
Correct Answer: A
Rationale: Severe itching in pregnancy without a rash is commonly associated with cholestasis of pregnancy.
You may also like to solve these questions
What does HypnoBirthing teach about the emotional and physical changes in pregnancy?
- A. Fear of childbirth provides a healthy incentive to learn.
- B. Physical changes in pregnancy make relaxation harder.
- C. Physical and emotional changes are normal.
- D. Emotional changes cause anxiety that is difficult to let go of.
Correct Answer: C
Rationale: HypnoBirthing normalizes physical and emotional changes, reducing fear and anxiety.
A nurse is assessing a client who is at 37 weeks of gestation. Which of the following statement by the client requires immediate intervention by the nurse?
- A. "It burns when I urinate
- B. "My feet are really swollen today".
- C. "didn't have lunch today, but I have breakfast this morning".
- D. "have been seeing spot this morning"
Correct Answer: D
Rationale: Seeing spots or experiencing visual disturbances can be a sign of preeclampsia, a serious pregnancy complication characterized by high blood pressure. Preeclampsia can lead to severe complications for both the mother and the baby, so it requires immediate intervention by the nurse. The other statements made by the client are concerning but do not indicate an urgent need for intervention compared to the symptoms of preeclampsia.
An African American woman noticed bruises on a newborn girl's buttocks, and she asks the nurse who spanked the baby? The nurse responds
- A. Mongolian spots
- B. Ecchymosis
- C. Birth trauma
- D. Petechiae
Correct Answer: A
Rationale: Mongolian spots are a common benign skin condition in newborn babies, especially those with darker skin tones, such as African American babies. These spots appear as blue or purple bruises or patches, typically on the lower back and buttocks, and can easily be mistaken for bruises caused by physical harm. It is important for healthcare providers and caregivers to be aware of Mongolian spots to avoid confusion with signs of abuse. In this case, the nurse is likely explaining that the bruises on the newborn girl's buttocks are due to Mongolian spots, not being spanked.
The nurse discusses treatment for side effects of perimenopause. What education should be provided?
- A. Menopausal hormone therapy can decrease symptoms of menopause.
- B. Hot flashes are normal, and no one should need treatment for this symptom.
- C. Medications to decrease estrogen can help with insomnia.
- D. Depression is normal, so no treatment is needed.
Correct Answer: A
Rationale:
A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipates a prescription by the provider for which of the following medications? (Select all that apply.)
- A. Prostaglandin E2
- B. Indomethacin
- C. Magnesium sulfate
- D. Methylergonovine
Correct Answer: A
Rationale: A. Prostaglandin E2: Prostaglandin E2 is used to manage preterm labor by helping to ripen the cervix and promote contractions.