Nokea
A primigravida is dilated 5cm just received epidural for pain. She complains of feeling lightheaded within 10 minutes after the
- A. Her BP was 120/80 before procedure and now 80/
Correct Answer: A
Rationale: The incomplete statement suggests a potential medical emergency where the patient's blood pressure may have dropped significantly after the epidural procedure. The drop in blood pressure could be causing the patient to feel lightheaded. In this scenario, the most appropriate course of action would be to promptly address the drop in blood pressure to prevent any potential complications.
You may also like to solve these questions
Which contraceptive method is best for a woman with multiple sex partners?
- A. Intrauterine device.
- B. Female condom.
- C. Bilateral tubal ligation.
- D. Birth control pills.
Correct Answer: B
Rationale: Female condoms provide dual protection against pregnancy and STIs.
A client is warm and asks for a fan to put in the room. The nurse enters the room to assess the mother and infant and finds the infant unwrapped in his crib with the fan blowing on them on high. The nurse instructs the mother that the fan should not be directed at the newborn and the infant should be wrapped in a blanket. The mother asks why?
- A. The baby may lose heat by convection which means he may lose heat from his body by the cooler ambient air, you should keep him wrap and prevent cool air from blowing on him
Correct Answer: A
Rationale: The correct answer is A. Directing a fan towards a newborn can cause heat loss by convection. Convection is the transfer of heat through the movement of air or water. In this case, the fan blowing cool air directly on the infant can cause heat loss from the baby's body. Newborns have limited ability to regulate their body temperature, so it's important to keep them comfortably warm by using appropriate clothing and blankets rather than exposing them to direct air flow from a fan.
Although circumcision continues to be a controversial procedure, many parents in the United States elect to have this surgery performed on their newborn sons. It is believed that newborns do not feel pain; therefore, this is the optimum time for the procedure to be done and no anesthesia is required.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Newborns do feel pain, and current guidelines recommend using analgesia during circumcision.
What intervention is highest priority for a woman entering the emergency department after a stranger rape?
- A. Create a safe environment.
- B. Offer postcoital contraceptive therapy.
- C. Provide sexually transmitted disease prophylaxis.
- D. Take a thorough health history.
Correct Answer: A
Rationale: Ensuring safety is paramount immediately after trauma.
What is essential for the nurse to teach a woman who has just had an intrauterine device (IUD) inserted?
- A. Palpate her lower abdomen each month to check the patency of the device.
- B. Remain on bed rest for 24 hours after insertion of the device.
- C. Report any complaints of painful intercourse to the physician.
- D. Insert spermicidal jelly within 4 hours of every sexual encounter.
Correct Answer: C
Rationale: Painful intercourse may indicate IUD displacement or complications.