Nokea
A nurse is providing discharge teaching about car seat safety to a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?
- A. I can turn my baby's car seat around when she weighs 15 pounds.
- B. I can place my baby in the front seat with the airbag turned off.
- C. I will position my baby at a 45-degree angle in the car seat
- D. I will place my baby in a forward-facing car sees in my back seat.
Correct Answer: C
Rationale: Positioning the baby at a 45-degree angle in the car seat ensures proper airway alignment and safety. Turning the car seat around or placing the baby in the front seat is unsafe.
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What is the function of the placenta during pregnancy?
- A. To transport oxygen and nutrients from the mother to the fetus
- B. To remove waste products from the fetus
- C. To regulate fetal temperature
- D. All of the above
Correct Answer: D
Rationale: The placenta serves multiple functions, including transporting oxygen and nutrients, removing waste products, and helping regulate fetal temperature.
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?
- A. Decreased platelet count.
- B. Increased erythrocyte sedimentation rate (ESR).
- C. Decreased megakaryocytes.
- D. Increased WBC.
Correct Answer: A
Rationale: Idiopathic thrombocytopenia purpura (ITP) is characterized by a decreased platelet count, which can lead to an increased risk of bleeding.
Which of the following is a potential complication of maternal hypertension during pregnancy?
- A. Preterm labor
- B. Fetal growth restriction
- C. Placental abruption
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Maternal hypertension during pregnancy can lead to preterm labor due to uteroplacental insufficiency, fetal growth restriction as the placenta may not provide adequate nutrients and oxygen to the fetus, and placental abruption due to increased risk of vascular damage. These complications can have serious consequences for both the mother and the fetus. Choices A, B, and C are all potential complications associated with maternal hypertension, making option D the correct choice.
What is the recommended method of pain relief during labor for a woman with a high-risk pregnancy?
- A. Epidural anesthesia
- B. Spinal anesthesia
- C. Intravenous opioids
- D. All of the above
Correct Answer: A
Rationale: The correct answer is A: Epidural anesthesia. Epidural anesthesia is the recommended method for pain relief during labor for women with high-risk pregnancies as it provides effective pain relief while allowing the mother to remain conscious and able to actively participate in the birthing process. Epidurals can be adjusted to provide varying levels of pain relief and are considered safe for both the mother and the baby. Spinal anesthesia (B) is typically used for cesarean sections and may not be suitable for the entire labor process. Intravenous opioids (C) are less commonly used due to potential side effects on the baby. Choice D is incorrect as not all methods are recommended for high-risk pregnancies.
Which of the following is a potential complication of neonatal hypothermia?
- A. Hypoglycemia
- B. Respiratory distress syndrome
- C. Jaundice
- D. All of the above
Correct Answer: D
Rationale: All of the above are potential complications of neonatal hypothermia. Hypothermia can lead to hypoglycemia, respiratory distress, and jaundice due to the infant's inability to regulate body temperature.