Nokea
A nurse is planning care for a client who is in labor and is to have an amniotomy. Which of the following assessments should the nurse identify as the priority?
- A. O2 saturation.
- B. Temperature.
- C. Blood pressure.
- D. Urinary output.
Correct Answer: B
Rationale: Temperature is a priority assessment after an amniotomy, as it can indicate the onset of infection, such as chorioamnionitis.
You may also like to solve these questions
What is the role of the fallopian tubes in fertilization?
- A. Production of ova
- B. Production of sperm
- C. Transport of ova to the uterus
- D. Transport of sperm to the uterus
Correct Answer: C
Rationale: The correct answer is C: Transport of ova to the uterus. The fallopian tubes are responsible for capturing the released egg after ovulation and providing a site for fertilization to occur. They transport the egg from the ovary to the uterus for potential implantation. This process is essential for successful fertilization and pregnancy. Choices A and B are incorrect as the fallopian tubes do not produce ova or sperm. Choice D is incorrect as the fallopian tubes do not transport sperm to the uterus.
Which of the following is a potential complication of jaundice in a newborn?
- A. Kernicterus
- B. Hypoglycemia
- C. Respiratory distress
- D. Sepsis
Correct Answer: A
Rationale: The correct answer is A: Kernicterus. Kernicterus is a rare but serious complication of severe jaundice in newborns, where bilirubin levels become excessively high and cross the blood-brain barrier, leading to brain damage. Other choices are incorrect because: B) Hypoglycemia is not directly related to jaundice, C) Respiratory distress may occur but is not a direct complication of jaundice, and D) Sepsis is a separate condition from jaundice.
Which of the following is a potential complication of maternal hypothyroidism during pregnancy?
- A. Preterm labor
- B. Fetal growth restriction
- C. Preeclampsia
- D. All of the above
Correct Answer: D
Rationale: Maternal hypothyroidism can lead to preterm labor, fetal growth restriction, and preeclampsia, among other complications.
A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?
- A. Abdominal distention
- B. Petechiae
- C. Increased muscle tone
- D. Jitteriness
Correct Answer: D
Rationale: The correct answer is D: Jitteriness. In newborns of mothers with gestational diabetes mellitus, hypoglycemia can occur due to the abrupt cessation of the maternal glucose supply. Jitteriness is a common manifestation of hypoglycemia in newborns. This is because the brain is highly dependent on glucose for energy, and low blood sugar levels can affect neurological function, leading to symptoms like jitteriness. Abdominal distention, petechiae, and increased muscle tone are not typical manifestations of hypoglycemia in newborns with a history of maternal gestational diabetes mellitus.
What is the recommended method of pain relief during labor for a woman who desires systemic opioids?
- A. Intravenous opioids
- B. Intramuscular opioids
- C. Oral opioids
- D. All of the above
Correct Answer: A
Rationale: Intravenous opioids are the recommended method for systemic pain relief during labor.