Nokea
A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis.
- A. Increased warmth in the extremity
- B. Tachycardia
- C. Leukocytosis
- D. Scant lochia rubra
- E. Decreased extremity edema
Correct Answer:
Rationale:
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Which of the following is a potential barrier to effective communication with patients and families in maternal and newborn healthcare?
- A. Language barriers
- B. Cultural differences
- C. Limited access to technology
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Language barriers can hinder understanding between healthcare providers and patients/families. Cultural differences can impact communication styles and beliefs. Limited access to technology can restrict communication channels. Choosing D is correct as it encompasses the potential barriers in effective communication. Options A, B, and C are incorrect as they represent individual barriers, whereas D covers all possible barriers in maternal and newborn healthcare communication.
Which of the following hormones is responsible for inducing ovulation?
- A. Estrogen
- B. Progesterone
- C. Follicle-stimulating hormone (FSH)
- D. Luteinizing hormone (LH)
Correct Answer: D
Rationale: The correct answer is D: Luteinizing hormone (LH). LH surge triggers ovulation by stimulating the release of the mature egg from the ovarian follicle. Estrogen and progesterone play roles in the menstrual cycle but do not directly induce ovulation. FSH is involved in follicular development but not ovulation.
A nurse is planning care for a client who is to undergo a nonstress test. Which of the following actions should the nurse include in the plan of care?
- A. Maintain the client NPO throughout the procedure.
- B. Place the client in a supine position.
- C. Instruct the client to massage the abdomen to stimulate fetal movement.
- D. Instruct the client to press the provided button each time fetal movement is detected.
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to press the provided button each time fetal movement is detected. During a nonstress test, the client is monitored for fetal heart rate accelerations in response to fetal movement. Instructing the client to press the button each time fetal movement is detected helps correlate fetal heart rate changes with fetal activity. This is crucial in assessing the well-being of the fetus.
A, B, and C are incorrect choices because maintaining the client NPO, placing the client in a supine position, and instructing the client to massage the abdomen are not relevant or necessary for a nonstress test. Option D is the best choice as it directly assists in monitoring fetal well-being during the test.
A nurse is reviewing the prescriptions for a client who is pregnant and is taking digoxin. Which of the following actions should the nurse take to best evaluate the client’s medication adherence?
- A. Ask the client if they are taking the medication as prescribed.
- B. Assess the client’s kidney function.
- C. Determine the client’s apical pulse rate.
- D. Check the client’s serum medication level.
Correct Answer: D
Rationale: The correct answer is D: Check the client’s serum medication level. This is the best action to evaluate medication adherence for digoxin in a pregnant client. Serum medication levels provide an objective measure of how much of the drug is present in the body, indicating if the client is taking the medication as prescribed. Asking the client directly (choice A) may not always yield accurate information. Assessing kidney function (choice B) is important for monitoring potential side effects of digoxin but does not directly assess medication adherence. Determining the apical pulse rate (choice C) is important for monitoring digoxin therapy but does not evaluate medication adherence.
Which of the following is a potential complication of a cesarean delivery?
- A. Postpartum hemorrhage
- B. Infection
- C. Deep vein thrombosis (DVT)
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Postpartum hemorrhage can occur due to surgical trauma, infection can develop at the incision site, and deep vein thrombosis (DVT) can result from immobility post-surgery. Choosing A, B, or C alone would be incorrect as cesarean delivery carries risks of all these complications. Selecting E, F, or G is incorrect due to lack of relevance to cesarean delivery complications.