Nokea
A primigravid client at 38 weeks' gestation is admitted to the labor suite in active labor. The client's physical assessment reveals a chlamydial infection. The nurse explains that if the infection is left untreated, the neonate may develop which of the following?
- A. Conjunctivitis.
- B. Heart disease.
- C. Skin lesions.
- D. Hepatitis.
Correct Answer: A
Rationale: Untreated chlamydia during delivery can cause neonatal conjunctivitis (ophthalmia neonatorum) via transmission through the birth canal. Heart disease, skin lesions, and hepatitis are not associated with chlamydia.
You may also like to solve these questions
At 38 weeks' gestation, a primigravid client with poorly controlled diabetes and severe preeclampsia is admitted for a cesarean delivery. The nurse explains to the client that delivery helps to prevent which of the following?
- A. Neonatal hyperbilirubinemia.
- B. Congenital anomalies.
- C. Perinatal asphyxia.
- D. Stillbirth.
Correct Answer: D
Rationale: Delivery helps prevent stillbirth in high-risk pregnancies.
A nurse is discussing the contraceptive injection with a client. Which of the following benefits should the nurse highlight?
- A. It provides protection against STIs.
- B. It is effective for 3 months per injection.
- C. It requires daily administration.
- D. It guarantees regular periods.
Correct Answer: B
Rationale: The contraceptive injection is effective for 3 months per injection, offering convenient long-term contraception. It does not protect against STIs, is not administered daily, and may cause irregular periods.
As the nurse enters the room of a newly admitted primigravid client diagnosed with severe preeclampsia, the client begins to experience a seizure. The nurse should do which in order of priority from first to last?
- A. Call for immediate assistance.
- B. Turn the client to her side.
- C. Note the time when the seizure began.
- D. Maintain airway.
Correct Answer: A,D,B,C
Rationale: Call for help, ensure the airway is clear, turn the client to prevent aspiration, and document the seizure duration.
When instilling erythromycin ointment into the eyes of a neonate 1 hour old, the nurse would explain to the parents that the medication is used to prevent which of the following?
- A. Chorionetinitis from cytomegalovirus.
- B. Blindness secondary to gonorrhea.
- C. Cataracts from beta-hemolytic streptococcus.
- D. Strabismus resulting from neonatal maturation.
Correct Answer: B
Rationale: Erythromycin ointment is used prophylactically to prevent ophthalmia neonatorum, which can lead to blindness due to gonorrhea exposure during delivery.
A nurse is attempting to resuscitate a neonate. After following the Neonatal Resuscitation Program guidelines, 30 seconds of chest compressions have been completed. The neonate's heart rate remains less than 60 bpm. Epinephrine is to be given. What is the expected outcome for a neonate who has received epinephrine during resuscitation?
- A. Increased urine output.
- B. A normal heart rate.
- C. Pain relief.
- D. Sedation.
Correct Answer: B
Rationale: Epinephrine is used to restore a normal heart rate during resuscitation by stimulating cardiac activity.