Nokea
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
- A. You cannot have an amniocentesis until you are at least 35 years of age.
- B. This procedure determines if your baby has genetic or congenital disorders.
- C. Your provider will schedule a chorionic villus sampling to determine the sex of your baby.
- D. We can schedule the procedure for later today if you’d like.
Correct Answer: B
Rationale: The correct response is B: This procedure determines if your baby has genetic or congenital disorders. Amniocentesis is a diagnostic test that involves taking a sample of the amniotic fluid, which can be analyzed for genetic abnormalities like Down syndrome. It is typically performed between 15-20 weeks of gestation, not based on maternal age. Choice A is incorrect as there is no age requirement for amniocentesis. Choice C is incorrect as chorionic villus sampling is a different procedure used for genetic testing earlier in pregnancy. Choice D is incorrect as amniocentesis is a planned procedure that requires preparation and scheduling, not something to be done on the same day.
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Click to specify which of the following actions the nurse should anticipate including in the client's plan of care. Select all that apply.
- A. Monitor blood pressure.
- B. Initiate contact precautions.
- C. Prepare for amniocentesis .
- D. Apply internal fecal monitor.
- E. Decrease lighting in the client's room
- F. Check urinary output.
- G. Encourage bed rest.
Correct Answer: A,C,G
Rationale: Reposition the client (Trendelenburg or knee-chest)
Which of the following is a potential complication of neonatal hyperbilirubinemia?
- A. Hypoglycemia
- B. Kernicterus
- C. Respiratory distress syndrome
- D. All of the above
Correct Answer: B
Rationale: The correct answer is B: Kernicterus. Neonatal hyperbilirubinemia can lead to kernicterus, a condition characterized by bilirubin accumulation in the brain, causing irreversible neurological damage. Hypoglycemia (choice A) and respiratory distress syndrome (choice C) are not direct complications of hyperbilirubinemia. Choice D, "All of the above," is incorrect as only kernicterus is a potential complication of neonatal hyperbilirubinemia.
What is the recommended method of pain relief for a woman who has a vaginal tear or episiotomy after delivery?
- A. Nonsteroidal anti-inflammatory drugs (NSAIDs)
- B. Acetaminophen
- C. Ice packs
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Nonsteroidal anti-inflammatory drugs (NSAIDs) help reduce inflammation and pain. Acetaminophen is a pain reliever that can be used in conjunction with NSAIDs for added relief. Ice packs can help reduce swelling and numb the area. Using all three methods together can provide a comprehensive approach to pain relief, targeting different aspects of discomfort such as inflammation, pain, and swelling. This combination can effectively manage pain and promote healing in cases of vaginal tear or episiotomy. Other choices are incorrect because using only one method may not address all aspects of pain and discomfort associated with the condition.
Which of the following is a potential complication of a forceps-assisted delivery?
- A. Shoulder dystocia
- B. Hemorrhage
- C. Birth trauma
- D. All of the above
Correct Answer: C
Rationale: The correct answer is C: Birth trauma. Forceps-assisted delivery can result in birth trauma due to the application of forceps on the baby's head, leading to injuries such as facial bruising or lacerations. Shoulder dystocia (choice A) is a complication during natural delivery, not specific to forceps. Hemorrhage (choice B) can occur post-delivery and is not directly related to forceps. Choice D is incorrect as not all complications listed are directly associated with forceps-assisted delivery.
Which of the following is a potential complication of a forceps-assisted delivery?
- A. Fetal distress
- B. Maternal hemorrhage
- C. Neonatal brachial plexus injury
- D. All of the above
Correct Answer: C
Rationale: Forceps-assisted delivery can sometimes result in neonatal brachial plexus injury due to the pressure applied during delivery.