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A nurse is caring for a postpartum person who is at risk for thrombophlebitis. What is the most important intervention to reduce this risk?
- A. administer anticoagulants
- B. apply compression stockings
- C. use a footstool
- D. monitor for signs of DVT
Correct Answer: A
Rationale: The correct answer is A: administer anticoagulants. Anticoagulants help prevent blood clots, reducing the risk of thrombophlebitis. Administering anticoagulants is the most effective intervention for someone at risk. Applying compression stockings (B) can help with circulation but may not be sufficient for someone at high risk. Using a footstool (C) can promote circulation but is not as direct as anticoagulants. Monitoring for signs of DVT (D) is important but not as proactive as administering anticoagulants for prevention.
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A nurse is assisting with a vaginal delivery. What is the most important intervention when the head begins to crown?
- A. apply gentle downward pressure
- B. apply upward pressure
- C. assist with positioning
- D. assist with perineal massage
Correct Answer: A
Rationale: The correct answer is A: apply gentle downward pressure. This intervention helps prevent rapid delivery to avoid perineal tearing and allows controlled stretching of the perineum. Applying upward pressure (B) can increase the risk of tearing. Positioning (C) is important but not the most critical at this stage. Perineal massage (D) is typically done before crowning, not during.
The nurse is reviewing fetal circulation with a pregnant patient and explains that blood circulates through the placenta to the fetus. What vessel(s) carry blood to the fetus?
- A. One umbilical vein
- B. Two umbilical veins
- C. One umbilical artery
- D. Two umbilical arteries
Correct Answer: A
Rationale: The umbilical vein transports richly oxygenated blood from the placenta to the fetus.
The nurse is reviewing fetal circulation with a pregnant patient and explains that blood circulates through the placenta to the fetus. What vessel(s) carry blood to the fetus?
- A. One umbilical vein
- B. Two umbilical veins
- C. One umbilical artery
- D. Two umbilical arteries
Correct Answer: A
Rationale: The umbilical vein transports richly oxygenated blood from the placenta to the fetus.
What does the nurse explain can affect the survival of the X- and Y-bearing sperm after intercourse?
- A. Age
- B. Estrogen level
- C. Body temperature
- D. Level of feminine hygiene
Correct Answer: B
Rationale: Estrogen levels and the pH of the female reproductive tract can affect the survival of the X- and Y-bearing sperm as well as their motility.
A nurse is educating a pregnant patient about safe sleep practices for the infant. Which of the following statements by the patient indicates the need for further teaching?
- A. I will always place my baby on their back to sleep.
- B. I will place my baby in the same bed with me to make sure they are safe.
- C. I will keep soft bedding out of my baby's crib.
- D. I will encourage tummy time when my baby is awake.
Correct Answer: B
Rationale: The correct answer is B because placing the baby in the same bed increases the risk of suffocation, Sudden Infant Death Syndrome (SIDS), and other sleep-related accidents. Co-sleeping is not recommended due to the potential hazards. Choices A, C, and D are safe sleep practices. Placing the baby on their back reduces the risk of SIDS, keeping soft bedding out of the crib prevents suffocation, and tummy time is beneficial for the baby's development when they are awake.