Nokea
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?
- A. Decreased platelet count.
- B. Increased erythrocyte sedimentation rate (ESR).
- C. Decreased megakaryocytes.
- D. Increased WBC.
Correct Answer: A
Rationale: Idiopathic thrombocytopenia purpura (ITP) is characterized by a decreased platelet count, which can lead to an increased risk of bleeding.
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What is the recommended method of screening for group B streptococcus during pregnancy?
- A. Culture of a vaginal swab
- B. Rapid antigen test of a vaginal swab
- C. PCR test of a vaginal swab
- D. All of the above
Correct Answer: A
Rationale: Culture of a vaginal swab is the recommended method for screening for group B streptococcus during pregnancy.
Which of the following is a potential complication of neonatal hypothermia?
- A. Hypoglycemia
- B. Hyperglycemia
- C. Respiratory distress syndrome
- D. All of the above
Correct Answer: A
Rationale: Neonatal hypothermia can lead to hypoglycemia due to the increased energy demands of maintaining body temperature.
A nurse is obtaining a 2-hr postprandial blood glucose from a client. Which of the following actions should the nurse take?
- A. Puncture the finger while still damp with antiseptic solution.
- B. Smear the blood onto the reagent strip.
- C. Hold the finger above the heart prior to puncture.
- D. Select the lateral side of the finger for puncture.
Correct Answer: D
Rationale: The correct answer is D: Select the lateral side of the finger for puncture. This is important because the lateral side of the finger has fewer nerve endings, which can reduce pain for the client. Puncturing the finger while still damp with antiseptic solution (choice A) can dilute the blood sample and affect the accuracy of the test. Smearing the blood onto the reagent strip (choice B) can lead to incorrect results due to inadequate blood volume or improper application. Holding the finger above the heart prior to puncture (choice C) can increase blood flow and may result in a higher blood glucose reading. Therefore, selecting the lateral side of the finger for puncture is the most appropriate action to ensure accurate and less painful blood glucose monitoring.
Which of the following is a potential barrier to effective interprofessional collaboration in maternal and newborn healthcare?
- A. Hierarchical structures and power differentials
- B. Lack of understanding of other professions' roles and responsibilities
- C. Limited resources
- D. All of the above
Correct Answer: D
Rationale: Barriers to interprofessional collaboration include hierarchical structures, lack of understanding of roles, and limited resources.
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy. Which of the following actions should the nurse plan to take?
- A. Obtain a prescription for misoprostol.
- B. Assess blood pressure twice daily.
- C. Restrict daily oral fluid intake.
- D. Administer an IV bolus of lactated Ringer's.
Correct Answer: B
Rationale: The correct answer is B: Assess blood pressure twice daily. In peripartum cardiomyopathy, monitoring blood pressure is crucial to detect any signs of worsening cardiac function or complications. Regular assessment can help identify hypertension or hypotension, which are common in this condition. Misoprostol (A) is not indicated for peripartum cardiomyopathy. Restricting oral fluid intake (C) can be harmful as adequate hydration is important postpartum. Administering an IV bolus of lactated Ringer's (D) may not be necessary unless specifically ordered by the healthcare provider based on the client's condition.