Nokea
A nurse is assessing a newborn following a circumcision. Which of the following findings should the nurse identify as an indication that the newborn is experiencing pain?
- A. Decreased heart rate.
- B. Chin quivering.
- C. Pinpoint pupils.
- D. Slowed respirations.
Correct Answer: B
Rationale: Chin quivering is a sign of pain in newborns and should be addressed with appropriate pain management interventions.
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Which of the following is a potential complication of a vaginal birth after cesarean (VBAC)?
- A. Uterine rupture
- B. Postpartum hemorrhage
- C. Maternal infection
- D. All of the above
Correct Answer: A
Rationale: Uterine rupture is a potential complication of VBAC.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
- A. Insert a peripher-all access device, Perform daily fetal movement counts, Prepare client for surgery
- B. Ectopic pregnancy, Hyperemesis gravidarum, Gestational diabetes mellitus
- C. Urine ketones, Kleihauer-Betke values,Serum human chorionic gonadotropin (hCG) levels
Correct Answer:
Rationale:
What is the recommended method of screening for Down syndrome during pregnancy?
- A. Maternal serum screening
- B. Fetal ultrasound
- C. Chorionic villus sampling (CVS)
- D. Amniocentesis
Correct Answer: A
Rationale: The recommended method for screening for Down syndrome during pregnancy is maternal serum screening. This test measures specific hormones and proteins in the mother's blood to assess the risk of chromosomal abnormalities in the fetus. It is a non-invasive and low-risk option that can be done early in pregnancy. Fetal ultrasound (B) is used to evaluate fetal growth and anatomy but is not specific for Down syndrome screening. Chorionic villus sampling (C) and amniocentesis (D) are diagnostic tests that involve sampling fetal tissue and carry a higher risk of complications compared to maternal serum screening.
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.
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?
- A. A client who has gestational diabetes and a fasting blood glucose level of 120 mg/dL (less than 95 mg/dL).
- B. A client who is at 34 weeks of gestation and reports epigastric pain.
- C. A client who is at 28 weeks of gestation and has an Hgb of 10.4 g/dL (11 to 16 g/dL).
- D. A client who is at 39 weeks of gestation and reports urinary frequency and dysuria.
Correct Answer: B
Rationale: Epigastric pain in a pregnant client can be a sign of preeclampsia or HELLP syndrome, both of which are serious conditions that require immediate medical attention.