Nokea
A nurse is caring for a client who is at 10 weeks of gestation. Which of the following findings should the nurse report to the provider?
- A. Frequent vomiting with weight loss of 3 lb in 1 week
- B. Reports of mood swings
- C. Nosebleeds occurring approximately 3 times per week
- D. Increased vaginal discharge
Correct Answer: A
Rationale: Frequent vomiting with significant weight loss may indicate hyperemesis gravidarum, a condition that requires medical intervention to prevent dehydration and nutritional deficiencies.
You may also like to solve these questions
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 performing an initial assessment of a newborn. Which of the following actions should the nurse take to prevent any heat loss through conduction?
- A. Cover the scale with a warmed blanket before weighing the baby
- B. Evaluate respirations by observing the newborn's uncovered chest for 1 min.
- C. Place the newborn's crib away from of an air vent to perform the assessment.
- D. Perform the assessment immediately after birth before removing amniotic fluid.
Correct Answer: A
Rationale: Covering the scale with a warmed blanket prevents heat loss through conduction, which occurs when the newborn comes into contact with a cold surface.
A nurse in a family planning clinic is caring for a client who requests an oral contraceptive. Which of the following findings in the client’s history should the nurse recognize as a contraindication to oral contraceptives? (Select all that apply.)
- A. Cholecystitis
- B. Hypertension
- C. Human papillomavirus
- D. Migraine headaches
Correct Answer: A, B, D
Rationale: The correct answer is A, B, D. Cholecystitis is a contraindication due to increased risk of gallbladder disease. Hypertension is a contraindication as estrogen in oral contraceptives can elevate blood pressure. Migraine headaches with aura are contraindicated due to increased risk of stroke. Human papillomavirus is not a contraindication. It's important to consider individual health factors for each client when prescribing oral contraceptives.
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
- A. Single palmar creases (p200
- B. Down Syndrome)
- C. Rust-stained urine
- D. Transient circumoral cyanosis
- E. Subconjunctival hemorrhage
Correct Answer: A
Rationale: The correct answer is A: Single palmar creases. This finding may indicate an increased risk for Down Syndrome. It is important to report this to the provider for further evaluation. Single palmar creases are less common and can be a marker for chromosomal abnormalities.
B: Down Syndrome is not a clinical finding but a diagnosis.
C: Rust-stained urine is not typically concerning in a newborn and may be due to uric acid crystals.
D: Transient circumoral cyanosis is common in newborns and usually resolves on its own.
E: Subconjunctival hemorrhage can occur during the birthing process and is usually benign.
Which of the following is a potential complication of oligohydramnios?
- A. Preterm labor
- B. Fetal growth restriction
- C. Polyhydramnios
- D. All of the above
Correct Answer: B
Rationale: The correct answer is B: Fetal growth restriction. Oligohydramnios is a condition characterized by low amniotic fluid levels, which can lead to poor fetal growth due to decreased cushioning and space for the fetus to move and grow. This can result in intrauterine growth restriction and potential complications for the baby. Preterm labor (choice A) can also be associated with oligohydramnios due to issues with placental function, but it is not a direct complication of low amniotic fluid levels. Polyhydramnios (choice C) is the opposite condition of oligohydramnios and is not a potential complication of it. Therefore, the correct answer is B as it directly relates to the impact of oligohydramnios on fetal growth.