Nokea
A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse Include in the teaching?
- A. This test will be repeated when your baby is 2 months old.
- B. A nurse will draw blood from your baby's inner elbow.
- C. This test should be performed after your baby is 24 hours old.
- D. Your baby will be given 2 ounces of water to drink prior to the test.
Correct Answer: C
Rationale: Rationale: The correct answer is C because newborn genetic screening should be performed after the baby is 24 hours old to ensure accurate results. Testing too early may lead to false negatives. Choice A is incorrect because the test is typically done once soon after birth. Choice B is incorrect as blood is usually drawn from the baby's heel, not inner elbow. Choice D is incorrect as newborns should not be given water before the test due to risk of aspiration.
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A nurse is caring for a client who is in labor and reports increasing rectal pressure. They are experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that their cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?
- A. Passive descent
- B. Active
- C. Early
- D. Descent
Correct Answer: B
Rationale: The correct answer is B: Active phase. At 9 cm dilation, the client is in the active phase of the first stage of labor. This phase is characterized by more rapid cervical dilation (6-10 cm) and increased contractions with shorter intervals. The client's symptoms align with this phase as they are experiencing strong contractions close together, along with increased rectal pressure indicating descent of the fetus. Other choices are incorrect as: A (Passive descent) occurs during the second stage of labor; C (Early phase) is typically before 6 cm dilation; D (Descent) is not a recognized phase of labor.
The nurse suspects the adolescent is experiencing pelvic inflammatory disease and is planning care. Which of the following prescriptions should the nurse expect the provider to prescribe? Drag words from the choices below to fill in each blank in the following sentence. The nurse should anticipate a provider's prescription for ------------------------------ and --------------------------
- A. fuconazole
- B. doxycycline
- C. Ceftriaxone
- D. acyclovir
- E. imiquimod
Correct Answer: B,C
Rationale: The correct answer is B (doxycycline) and C (Ceftriaxone). Pelvic inflammatory disease (PID) is commonly treated with antibiotics to target the infection. Doxycycline and Ceftriaxone are effective antibiotics for treating PID caused by common pathogens like Chlamydia and Gonorrhea. Doxycycline is a broad-spectrum antibiotic that works by inhibiting bacterial protein synthesis, while Ceftriaxone is a third-generation cephalosporin that disrupts bacterial cell wall synthesis. These medications are commonly prescribed in combination to cover a broader spectrum of potential pathogens causing PID. Choice A (fuconazole) is an antifungal medication and is not appropriate for treating PID. Choice D (acyclovir) is an antiviral medication used to treat herpes infections, which are not associated with PID. Choice E (imiquimod) is an immune response modifier used for treating certain skin conditions and
A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication?
- A. Depression.
- B. Polyuria.
- C. Hypotension.
- D. Urticaria.
Correct Answer: A
Rationale: The correct answer is A: Depression. Combined oral contraceptives can potentially cause mood changes, including depression, as they can affect hormone levels. Other choices are incorrect as polyuria is excessive urination (not a common adverse effect of oral contraceptives), hypotension is low blood pressure (not typically associated with oral contraceptives), and urticaria is hives (not a common side effect of oral contraceptives).
A nurse is caring for a client who is in labor and requires augmentation of labor. Which of the following conditions should the nurse recognize as a contraindication to the use of oxytocin?
- A. Post-term with oligohydramnios.
- B. Chorioamnionitis
- C. Shoulder presentation
- D. Diabetes mellitus
Correct Answer: C
Rationale: The correct answer is C: Shoulder presentation. This condition is a contraindication to the use of oxytocin because it can lead to complications such as umbilical cord prolapse, which can be dangerous for both the mother and the baby. Oxytocin can increase the strength and frequency of contractions, potentially worsening the situation.
Choice A: Post-term with oligohydramnios is not a contraindication to the use of oxytocin. It may actually be a reason to consider augmentation of labor.
Choice B: Chorioamnionitis is an infection of the fetal membranes and amniotic fluid, and while it may require treatment, it is not a contraindication to the use of oxytocin.
Choice D: Diabetes mellitus is not a contraindication to the use of oxytocin unless there are specific complications related to diabetes that would make its use risky.
In summary, the correct answer, shoulder presentation,
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
- A. Swelling of the face
- B. Varicose veins in the calves
- C. Nonpitting 1+ ankle edema
- D. Hyperpigmentation of the cheeks
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. This finding can indicate preeclampsia, a serious pregnancy complication characterized by high blood pressure and protein in the urine. Preeclampsia poses risks to both the mother and the baby, so prompt reporting to the provider is crucial for timely intervention. Varicose veins in the calves (B) are common in pregnancy due to increased pressure on the veins but do not require immediate provider notification. Nonpitting 1+ ankle edema (C) is a common finding in pregnancy and is not typically concerning unless it worsens significantly. Hyperpigmentation of the cheeks (D) is a common benign finding known as melasma and does not require immediate reporting unless accompanied by other concerning symptoms.