Nokea
A nurse is caring for a postpartum person who is experiencing difficulty with breastfeeding. What is the most appropriate intervention?
- A. assist with latching
- B. provide skin-to-skin contact
- C. educate the person on breast care
- D. educate the person on postpartum care
Correct Answer: B
Rationale: The correct answer is B: provide skin-to-skin contact. This is the most appropriate intervention because it promotes bonding, regulates the baby's temperature, and enhances breastfeeding success by stimulating the baby's natural instincts. Assisting with latching (choice A) may be necessary but providing skin-to-skin contact should be prioritized. Educating on breast care (choice C) and postpartum care (choice D) are important, but the immediate need is to establish successful breastfeeding through skin-to-skin contact.
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A pregnant patient is at 28 weeks gestation and reports leg cramps. What is the most appropriate action for the nurse to take?
- A. Instruct the patient to stretch the legs and elevate them to alleviate the cramps.
- B. Recommend that the patient increase calcium intake through dietary changes.
- C. Administer prescribed pain medication to relieve discomfort.
- D. Encourage the patient to walk for 30 minutes each day to prevent cramps.
Correct Answer: A
Rationale: The correct answer is A. Leg cramps during pregnancy are common due to increased weight and pressure on leg muscles. Stretching and elevating legs can help alleviate cramps by improving circulation and reducing muscle tension. Increasing calcium intake (B) may help prevent cramps but is not the immediate action needed. Administering pain medication (C) should be avoided unless absolutely necessary. Walking (D) is beneficial for overall health during pregnancy but may not directly address the immediate leg cramps.
Organize the developmental stages in the correct order. Put a comma and space between each answer choice (a, b, c, d, etc.)
- A. Zygote
- B. Morula
- C. Blastocyst
- D. Embryo
Correct Answer: B
Rationale: Fetal development progresses through several stages: zygote, morula, blastocyst, embryo, and fetus. Each stage represents a critical phase in the formation and growth of the embryo.
The nurse is caring for a pregnant patient who is 24 weeks gestation and reports nausea, vomiting, and weight loss. What is the most appropriate action for the nurse to take?
- A. Instruct the patient to eat a high-protein diet and avoid fluids during meals.
- B. Encourage the patient to rest and avoid any exercise.
- C. Assess the patient's hydration status and notify the healthcare provider if necessary.
- D. Recommend over-the-counter anti-nausea medications to control symptoms.
Correct Answer: C
Rationale: The correct answer is C: Assess the patient's hydration status and notify the healthcare provider if necessary.
Rationale:
1. Nausea, vomiting, and weight loss in pregnancy may indicate hyperemesis gravidarum, a severe form of morning sickness that can lead to dehydration and electrolyte imbalances.
2. Assessing hydration status is crucial to determine the severity of the condition and guide appropriate interventions.
3. Notifying the healthcare provider allows for further evaluation, possible treatment adjustments, and monitoring to prevent complications.
Summary:
A: Instructing the patient to eat a high-protein diet and avoid fluids during meals does not address the immediate concern of dehydration and may worsen symptoms.
B: Encouraging the patient to rest and avoid exercise is important but does not address the primary issue of dehydration.
D: Recommending over-the-counter anti-nausea medications may provide symptomatic relief but does not address the underlying cause or hydration status.
A patient at 36 weeks gestation is undergoing a nonstress test (NST). The nurse observes the fetal heart rate baseline at 135 bpm and four nonepisodic patterns of the fetal heart rate reaching 160 bpm for 20-25 seconds each. How will the nurse record these findings?
- A. NST positive, nonreassuring
- B. NST negative, reassuring
- C. NST reactive, reassuring
- D. NST nonreactive, nonreassuring
Correct Answer: C
Rationale: An NST is reactive and reassuring when two or more accelerations occur within 20 minutes, indicating fetal well-being.
The nurse is providing education to a patient who has given birth to her first child and is being discharged home. The patient expressed concern regarding infant mortality and sudden infant death syndrome (SIDS). The patient had an uncomplicated pregnancy, labor, and vaginal delivery. She has a body mass index of 25 and has no other health conditions. The infant is healthy and was delivered full-term. What will be most helpful thing to explain to the patient?
- A. Uses of extracorporeal membrane oxygenation therapy (ECMO)
- B. Uses of exogenous pulmonary surfactant
- C. The Baby-Friendly Hospital Initiative
- D. The Safe to Sleep campaign
Correct Answer: D
Rationale: The correct answer is D: The Safe to Sleep campaign. The campaign educates parents on safe sleep practices to reduce the risk of SIDS. In this scenario, the patient's concerns regarding infant mortality and SIDS can be addressed by providing information on safe sleep practices. Choices A and B are not relevant to the patient's concerns as they pertain to advanced medical therapies. Choice C, Baby-Friendly Hospital Initiative, focuses on promoting breastfeeding support and practices, which is not directly related to addressing the patient's concerns about infant mortality and SIDS.