Nokea
A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect?
- A. Large deposits of subcutaneous fat
- B. Thin covering of fine hair on shoulders and back
- C. Nails extending over tips of fingers
- D. Pale, translucent skin
Correct Answer: C
Rationale: The correct answer is C: Nails extending over tips of fingers. This is expected in postterm newborns due to prolonged intrauterine growth. The nails continue to grow in utero, leading to longer nails at birth. Large deposits of subcutaneous fat (option A) are typically seen in term newborns, not postterm. Thin covering of fine hair on shoulders and back (option B) is known as lanugo, which is more common in premature infants. Pale, translucent skin (option D) is also more common in premature infants due to decreased subcutaneous fat. Therefore, the correct answer is C, nails extending over tips of fingers, as it is a characteristic finding in postterm newborns.
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What is the recommended method of pain relief during labor for a woman who wants to avoid medication and wants to move around freely?
- A. Nitrous oxide
- B. Intramuscular opioids
- C. Transcutaneous electrical nerve stimulation (TENS)
- D. All of the above
Correct Answer: A
Rationale: Nitrous oxide is a non-invasive pain relief option that allows the woman to move freely during labor.
Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing -----------------due to-------------------
- A. Hypertension
- B. Vomiting
- C. Temperature
- D. Placenta abruption
- E. Spotaneous abortion
- F. Placenta previs
Correct Answer:
Rationale:
What is the recommended age for the first hepatitis B vaccine for a newborn?
- A. At birth
- B. Within 48 hours of birth
- C. Within 1 week of birth
- D. Within 1 month of birth
Correct Answer: B
Rationale: The correct answer is B: Within 48 hours of birth. This is recommended because newborns are most susceptible to hepatitis B infection during delivery. Administering the vaccine within 48 hours provides early protection. Choice A (At birth) is not specific enough and may delay vaccination. Choices C and D are too late and leave the newborn vulnerable for a longer period.
Which of the following is a potential legal issue related to maternal and newborn healthcare?
- A. Informed consent
- B. Patient confidentiality
- C. Child custody and visitation
- D. All of the above
Correct Answer: D
Rationale: Informed consent patient confidentiality and child custody/visitation are all legal issues that can arise in maternal and newborn healthcare. These issues require careful handling to ensure compliance with legal and ethical standards.
Which of the following is a potential complication of maternal hypertension during pregnancy?
- A. Preterm labor
- B. Fetal growth restriction
- C. Placental abruption
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Maternal hypertension during pregnancy can lead to preterm labor due to uteroplacental insufficiency, fetal growth restriction as the placenta may not provide adequate nutrients and oxygen to the fetus, and placental abruption due to increased risk of vascular damage. These complications can have serious consequences for both the mother and the fetus. Choices A, B, and C are all potential complications associated with maternal hypertension, making option D the correct choice.