Nokea
A patient with Type 1 Diabetes delivers a 9-pound 10 oz. baby by cesarian birth in her 36th week of pregnancy. When monitoring the infant of a mother with diabetes, the nurse should monitor for signs of:
- A. Meconium ileus
- B. Respiratory distress
- C. Physiologic jaundice
- D. Increased intracranial pressure
Correct Answer: B
Rationale: Infants of diabetic mothers are at higher risk for respiratory distress.
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What assessment is most accurate for a young woman admitted without memory of the previous evening?
- A. The woman is spoiled and is exhibiting attention-seeking behavior.
- B. The woman is experiencing a psychotic break.
- C. The woman regrets having had consensual sex.
- D. The woman unknowingly ingested a date rape drug.
Correct Answer: D
Rationale: Date rape drugs impair memory and judgment.
What is the most appropriate response by the nurse to a young woman stating she is pregnant and wants to do something about it?
- A. You can take medicine to abort the pregnancy so your parents won't know.
- B. Let's talk about your options.
- C. The best thing for you to do is to have the baby and to give it up for adoption.
- D. I can help you tell your parents.
Correct Answer: B
Rationale: Exploring options empowers the client to make informed decisions.
Which comment indicates effective teaching about infection control in adolescents?
- A. I don't have to worry about getting infected if I have oral sex.
- B. Teen women are most high risk for sexually transmitted infections (STI).
- C. The best thing to do if I have sex a lot is to use spermicide each and every time.
- D. Boys get human immunodeficiency virus (HIV) easier than girls do.
Correct Answer: B
Rationale: Adolescent women are at higher risk for STIs due to biological and behavioral factors.
What is an appropriate statement for the nurse to make to a woman with a swollen eye and bruised cheek?
- A. I am required by law to notify the police department of your injuries.
- B. Women who are abused often have injuries like yours.
- C. You must leave your partner before you are injured again.
- D. It is important that you refrain from doing things that anger your partner.
Correct Answer: B
Rationale: Acknowledging patterns of abuse encourages disclosure.
To prevent the kidnapping of newborns from the hospital, the nurse should:
- A. instruct the mother not to give her infant to anyone except the one nurse assigned to her that day.
- B. question anyone who is seen walking in the hallways carrying an infant.
- C. allow no visitors in the maternity area except those who have identification bracelets.
- D. restrict the amount of time infants are out of the nursery.
Correct Answer: B
Rationale: Questioning individuals carrying infants ensures security.