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A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
- A. Swelling of the face
- B. Varicose veins in the calves
- C. Nonpitting 1+ ankle edema
- D. Hyperpigmentation of the cheeks
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. This finding could indicate a serious condition like preeclampsia, which is characterized by hypertension and proteinuria and poses a risk to both the mother and baby. Swelling of the face is a significant sign that warrants immediate reporting to the provider for further evaluation and management. Varicose veins in the calves (B) and nonpitting 1+ ankle edema (C) are common in pregnancy and usually not concerning at this stage. Hyperpigmentation of the cheeks (D) is also a common finding known as melasma and does not require immediate reporting.
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A nurse is assessing a late preterm newborn. Which of the following manifestations is an indication of hypoglycemia?
- A. Hypertonia
- B. Increased feeding
- C. Hyperthermia
- D. Respiratory distress
Correct Answer: D
Rationale: Respiratory distress in a late preterm newborn can be a sign of hypoglycemia, as low blood sugar levels can impair respiratory function.
What is the recommended method of feeding for a full-term newborn who is not at risk for hypoglycemia?
- A. Breastfeeding
- B. Formula feeding
- C. Tube feeding
- D. All of the above
Correct Answer: A
Rationale: Breastfeeding is the recommended method of feeding for full-term newborns who are not at risk for hypoglycemia.
A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
- A. Bleeding gums
- B. Faintness upon rising
- C. Urinary frequency
- D. Sweiling of the face
Correct Answer: D
Rationale: Swelling of the face can indicate preeclampsia, a serious condition during pregnancy that requires immediate medical attention. Other options like bleeding gums, faintness upon rising, and urinary frequency are common during pregnancy and not typically concerning unless severe.
What is the recommended method of feeding for a preterm newborn who is not yet able to coordinate sucking and swallowing?
- A. Breastfeeding
- B. Formula feeding
- C. Tube feeding
- D. All of the above
Correct Answer: C
Rationale: Tube feeding is recommended for preterm newborns who cannot yet coordinate sucking and swallowing.
Which of the following is a potential complication of a vacuum-assisted delivery?
- A. Fetal distress
- B. Maternal hemorrhage
- C. Intra-abdominal injury
- D. All of the above
Correct Answer: C
Rationale: The correct answer is C: Intra-abdominal injury. During a vacuum-assisted delivery, the vacuum extractor can potentially apply excessive force leading to intra-abdominal injury to the mother. This can include injuries to the uterus, bladder, or other abdominal organs. Fetal distress (choice A) and maternal hemorrhage (choice B) are potential complications of vacuum-assisted delivery as well, but they are not directly related to the mechanical trauma that can cause intra-abdominal injury. Therefore, the correct answer is C as it specifically addresses a unique complication associated with vacuum-assisted delivery.