Nokea
A neonate is born with weak muscle tone froglike extremities and ears that fold easily. From these observations what gestational age should the nurse give this infant?
- A. Full term
- B. Small for gestational age
- C. Preterm
- D. Postterm
Correct Answer: C
Rationale: Preterm infant posture is froglike, the muscle tone is weak, and the ears are easily folded.
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Following an abruptio placentae the patient suddenly becomes dyspneic complains of chest pain and begins to ooze blood from her IV insertion site. The nurse assesses these as indicators of ___ coagulation.
Correct Answer: intravascular
Rationale: DIC is characterized by dyspnea, chest pain, and uncontrolled bleeding.
How should twins who share a placenta and come from one fertilized ovum be identified?
- A. Dizygotic
- B. Trizygotic
- C. Genetically different
- D. Monozygotic
Correct Answer: D
Rationale: Monozygotic twins, also known as identical twins, originate from one fertilized ovum and share a placenta. Monozygotic twins carry the same genetic code. Dizygotic twins are the result of two separate ova being fertilized at the same time.
When should the gestational age of the infant be determined?
- A. Within 5 to 10 minutes of delivery
- B. Within 1 to 2 hours of delivery
- C. Within 2 to 8 hours of delivery
- D. Within 12 to 24 hours of delivery
Correct Answer: C
Rationale: The gestational age tests are done within 2 to 8 hours of delivery.
A pregnant woman comes to the hospital 3 weeks before her estimated date of birth (EDB) complaining of severe pain and a rigid abdomen. What should the nurse immediately suspect as the cause of the pain?
- A. Placenta previa
- B. Appendicitis
- C. Ectopic pregnancy
- D. Abruptio placentae
Correct Answer: D
Rationale: The major symptoms of abruptio placentae are severe pain and a rigid abdomen. Placenta previa consists of painless bleeding. Appendicitis is not usually accompanied by a rigid abdomen. Symptoms of an ectopic pregnancy would usually occur in the first trimester.
Cognitive impairment facial abnormalities and growth retardation are characteristics of which abnormality in a fetus?
- A. Fetal dependency
- B. Fetal immaturity
- C. Malnutrition dependency
- D. Fetal alcohol syndrome
Correct Answer: D
Rationale: Use of alcohol may result in multiple anomalies called fetal alcohol syndrome. The fetus may also be born with alcohol dependency and immaturity, but the characteristics noted are specific for fetal alcohol syndrome.