Nokea
A newborn is delivered vaginally in the breech presentation. When examining her baby, the mother asks if the baby has been injured during birth because of the large black and blue areas on the buttocks and legs, The nurse should respond that:
- A. This is not a birth injury probably just a birthmark
- B. These are caused by forceps used to aid in the delivery of the baby
- C. This a temporary complication that will disappear in about a week
- D. These Mongolian spots, common in dark-skinned babies, disappear within a year
Correct Answer: C
Rationale: Bruising from breech delivery is temporary.
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The nurse is functioning in the primary role to care for a 12-year-old boy with metastatic cancer in the liver. Which activity is typical of advocacy?
- A. Instructing parents about proper home care
- B. Educating the family about choices they have
- C. Telling parents about clinical guidelines
- D. Teaching the family about types of cancers
Correct Answer: B
Rationale: Educating the family about choices they have regarding therapies for the cancer in the child's liver is an example of advocacy, in which the nurse advances the interests of the child and family by informing them of options and assisting them to make informed decisions.
What serum laboratory reports would the nurse expect in a bulimic client?
- A. Potassium 3.0 mEq/L.
- B. Bicarbonate 30 mmol/L.
- C. Platelet count 450,000 cells/mm3.
- D. Hemoglobin A1C 9%.
Correct Answer: A
Rationale: Low potassium levels result from vomiting and purging.
The pediatric nurse would be participating in the role of advocate when completing which action?
- A. Instructing parents on the side effects of vaccinations they are requesting for their child
- B. Contributing input on a task force with the aim to reduce the rate of mortality of infants and children
- C. Teaching parents to keep their prescribed medication safely out of reach of children
- D. Explaining to parents the reason for each medication their child was recently prescribed
Correct Answer: B
Rationale: The role of advocacy is being fulfilled when the nurse works to safeguard and advance the interest of children and infants through many means, including contributing to the learning and application of a task force aimed at reducing infant and children mortality.
A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for an induction of labor with misoprostol?
- A. A client who has active genital herpes
- B. A client who has gestational diabetes mellitus
- C. A client who has a previous uterine incision
- D. A client who has placenta previa
Correct Answer: C
Rationale: Misoprostol is a prostaglandin E1 analog that is commonly used for labor induction. It is particularly useful in clients with a previous uterine incision, such as a cesarean section scar, because it helps soften the cervix and promote uterine contractions, which can lead to successful vaginal birth after cesarean (VBAC). Misoprostol can be an effective method for inducing labor in these clients while minimizing the risk of uterine rupture. However, it is important to closely monitor clients for signs of uterine hyperstimulation when using misoprostol for labor induction.
Which client is the best candidate for birth control pills?
- A. 19-year-old with multiple sex partners.
- B. 27-year-old who bottle feeds her newborn.
- C. 29-year-old with chronic hypertension.
- D. 37-year-old who smokes one pack per day.
Correct Answer: B
Rationale: Birth control pills are generally safe for women without contraindications like smoking or hypertension.