Nokea
A nurse is caring for a client who has hyperemesis gravidarum and is receiving IV fluid replacement. Which of the following findings should the nurse report to the provider?
- A. Blood pressure 105/64 mm Hg.
- B. Heart rate 98/min.
- C. Urine output of 280 mL within 8 hr.
- D. Urine negative for ketones.
Correct Answer: C
Rationale: A urine output of 280 mL within 8 hours is low and may indicate dehydration, which is a concern in a client with hyperemesis gravidarum.
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Which of the following is a potential complication of a breech delivery?
- A. Fetal distress
- B. Maternal hemorrhage
- C. Birth trauma
- D. All of the above
Correct Answer: C
Rationale: The correct answer is C: Birth trauma. In a breech delivery, where the baby is positioned feet or buttocks first, there is an increased risk of birth trauma due to potential difficulties in delivering the baby's head, leading to possible injuries such as fractures or nerve damage. Fetal distress and maternal hemorrhage can also occur but are not exclusive complications of breech delivery. Choice D, "All of the above," is incorrect as not all potential complications of a breech delivery are listed.
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.
Which of the following is a potential cause of female infertility?
- A. Polycystic ovary syndrome (PCOS)
- B. Endometriosis
- C. Pelvic inflammatory disease (PID)
- D. All of the above
Correct Answer: D
Rationale: Female infertility can be caused by PCOS, endometriosis, or pelvic inflammatory disease (PID).
Which of the following is a potential ethical issue in maternal and newborn healthcare?
- A. Informed consent
- B. Patient confidentiality
- C. End-of-life decision-making
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. In maternal and newborn healthcare, ethical issues can arise in various aspects such as obtaining informed consent for procedures, ensuring patient confidentiality, and making difficult end-of-life decisions. Informed consent is crucial to respect patient autonomy. Patient confidentiality is vital to maintain trust and privacy. End-of-life decision-making involves complex ethical considerations. Choosing D is correct as all these issues are potential ethical concerns in this specific healthcare context. Choices A, B, and C alone are not comprehensive enough to cover the range of ethical issues that can arise in maternal and newborn healthcare.
The nurse is teaching the client about postpartum depression. The nurse should encourage the client to----------------- and ----------------- to help prevent postpartum depression.
- A. Engage in regular physical activity
- B. Maintain a strong support system
- C. Get adequate rest and sleep
- D. Eat a well-balanced diet
Correct Answer:
Rationale: The nurse should encourage the client to:Engage in regular physical activity – Exercise can help boost mood, reduce stress, and improve overall well-being, which may help prevent postpartum depression. Maintain a strong support system – Connecting with family, friends, or support groups can provide motional support, reduce feelings of isolation, and help manage postpartum stress.