Nokea
A patient presents with symptoms of abruptio placentae. To facilitate uterine-placental perfusion in what position would the nurse place the patient?
- A. Prone position
- B. Trendelenburg's position
- C. Supine position
- D. Modified side-lying position
Correct Answer: D
Rationale: A modified side-lying position facilitates uterine-placental perfusion.
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The nurse is assessing a "kick count" for a patient with gestational hypertension. What result should be a cause for concern?
- A. Less than three kicks per hour
- B. Less than five kicks per hour
- C. Less than seven kicks per hour
- D. Less than nine kicks per hour
Correct Answer: A
Rationale: A kick count of fewer than three per hour is considered serious and a cause for concern.
The nurse explains that severe ___ needs to be controlled because it can develop into another syndrome called HELLP (Hypertension Elevated Liver enzymes and Low Platelets).
Correct Answer: preeclampsia
Rationale: Progressive preeclampsia can develop into HELLP syndrome.
What is the usual treatment for severe postpartum depression?
- A. Improved nutrition
- B. Vitamin therapy
- C. Pharmacologic interventions
- D. Support group therapy
Correct Answer: C
Rationale: Support therapy is not enough for major PPD. Pharmacologic interventions are needed in most instances.
A nursery nurse is implementing phototherapy for a jaundiced infant. What is the purpose of the phototherapy?
- A. It is initiated when the bilirubin level reaches 5 mg/dL.
- B. It converts bilirubin to a water-soluble form to be excreted in the urine.
- C. It changes bilirubin to a bile salt to be excreted through the bowel.
- D. It requires eye patches to remain in place 24 hours a day.
Correct Answer: B
Rationale: Phototherapy converts the bilirubin into a water-soluble form to be excreted by the kidneys. It is initiated when the bilirubin level reaches 12 to 15 mg/dL. The eye patches are worn during therapy, but removed for feeding, bathing, and socialization.
The patient who has taken the ovulation stimulant clomiphene (Clomid) and who has been determined to be pregnant calls the clinic nurse to report that she is bleeding and has passed a small grapelike object. From this information the nurse suspects a ___.
Correct Answer: mole
Rationale: Hydatidiform moles occur frequently in people who have taken Clomid. The physical changes are similar to a real pregnancy until bleeding occurs and some grapelike clusters are passed.