Nokea
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
- A. Administer penicillin G 2.4 million units IM to the client.
- B. Instruct the client to schedule an annual pelvic examination.
- C. Tell the client they will start medication for HIV immediately after delivery.
- D. Report the client’s condition to the local health department.
Correct Answer: D
Rationale: Reporting the client’s HIV status to the local health department is a legal requirement to ensure proper public health tracking and intervention.
You may also like to solve these questions
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
- A. Administer penicillin G 2.4 million units IM to the client.
- B. Instruct the client to schedule an annual pelvic examination.
- C. Tell the client they will start medication for HIV immediately after delivery.
- D. Report the client's condition to the local health department.
Correct Answer: D
Rationale: Reporting the client's HIV status to the local health department is required by law to ensure proper public health monitoring and intervention.
What is the recommended method of pain relief during labor for a woman who desires regional anesthesia?
- A. Epidural block
- B. Spinal block
- C. Combined spinal-epidural block
- D. All of the above
Correct Answer: D
Rationale: Regional anesthesia options include epidural, spinal, and combined spinal-epidural blocks.
Which of the following is a potential complication of a preterm infant?
- A. Hypoglycemia
- B. Respiratory distress syndrome
- C. Hyperbilirubinemia
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Preterm infants are at increased risk for various complications due to their immature organ systems. Hypoglycemia can occur due to limited glycogen stores. Respiratory distress syndrome results from insufficient surfactant production in underdeveloped lungs. Hyperbilirubinemia is common as the liver may not efficiently process bilirubin. Choosing D is correct as all these complications can affect preterm infants. Options A, B, and C are incorrect as they individually address only one potential complication, whereas D encompasses all possibilities.
A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?
- A. Deep tendon reflexes 4+.
- B. Fundal height 14 cm.
- C. Blood pressure 142/94 mm Hg.
- D. FHR 152/min.
Correct Answer: D
Rationale: A fetal heart rate (FHR) of 152/min is within the normal range of 110 to 160 beats per minute for a fetus at 18 weeks of gestation.
Which stage of labor is characterized by the period between full cervical dilation and delivery of the fetus?
- A. First stage
- B. Second stage
- C. Third stage
- D. Fourth stage
Correct Answer: B
Rationale: The second stage of labor begins with full cervical dilation and ends with the delivery of the fetus.