Nokea
A neonate in the nursery, whose mother had no prenatal care, has been diagnosed with macrosomia. For which of the following signs/symptoms should the nurse carefully monitor this baby?
- A. Jaundice.
- B. Jitters.
- C. Blepharitis.
- D. Strabismus.
Correct Answer: B
Rationale: Macrosomic babies are at risk for hypoglycemia, which can present as jitteriness.
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A client asks the nurse to explain what luteinizing hormone (LH) does in the body. The nurse explains which of the following?
- A. It accelerates the growth and maturation of an egg in your ovary.'
- B. It enhances the potential for the sperm to fertilize the mature egg.'
- C. It promotes the movement of the egg through the fallopian tube.'
- D. It stimulates the monthly release of a mature egg from your ovary.'
Correct Answer: D
Rationale: LH surge triggers ovulation, the release of a mature egg from the ovary.
A nurse is using research findings to improve clinical practice. Which technique is the nurse using?
- A. Performance improvement
- B. Integrated delivery networks
- C. Nursing-sensitive outcomes
- D. Utilization review committees
Correct Answer: A
Rationale: Performance improvement activities are typically clinical projects conceived in response to identified clinical problems and designed to use research findings to improve clinical practice.
A nurse is completing a minimum data set. Which area is the nurse working?
- A. Nursing center
- B. Psychiatric facility
- C. Rehabilitation center
- D. Adult day care center
Correct Answer: A
Rationale: Nurses who work in a nursing center (nursing home or nursing facility) are required to complete a minimum data set on each patient. Minimum data set is not needed for psychiatric, rehabilitation, or adult day care centers.
A fetus is in the LOA position in utero. Which of the following findings would the nurse observe when doing Leopold's maneuvers?
- A. Hard, round object in the fundal region.
- B. Flat object above the symphysis pubis.
- C. Soft, round object on the left side of the uterus.
- D. Small objects on the right side of the uterus.
Correct Answer: C
Rationale: In the LOA (left occiput anterior) position, the baby's back is on the left side of the uterus, which would feel like a soft, round object during Leopold's maneuvers.
When documenting a patient encounter, which term will the nurse use to describe the woman who is in the 28th week of her first pregnancy?
- A. Multigravida
- B. Multipara
- C. Nullipara
- D. Primigravida
Correct Answer: D
Rationale: The correct answer is D: Primigravida. In medical terminology, "primigravida" is used to describe a woman who is pregnant for the first time. The prefix "primi-" means first, and "gravida" refers to pregnancy. In this case, the patient is in her 28th week of her first pregnancy, making her a primigravida.
A: Multigravida refers to a woman who has been pregnant two or more times.
B: Multipara refers to a woman who has given birth two or more times.
C: Nullipara refers to a woman who has never given birth.
Therefore, the correct choice is D because it specifically describes the patient's current pregnancy status as a first-time pregnant woman.