Nokea
A woman has just had a macrosomic baby after a 12-hour labor. For which of the following complications should the woman be carefully monitored?
- A. Uterine atony.
- B. Hypoprolactinemia.
- C. Infection.
- D. Mastitis.
Correct Answer: A
Rationale: Macrosomic deliveries increase atony risk.
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A breastfeeding mother who is 2 weeks postpartum is informed by her pediatrician that her 4-year-old has chickenpox (varicella). The mother calls the nursery nurse because she is concerned about having the baby in contact with the sick sibling. The mother had chickenpox as a child. Which of the following responses by the nurse is appropriate?
- A. The baby received passive immunity through the placenta
- B. plus the breast milk will also be protective.
- C. The baby should stay with relatives until the ill sibling recovers from the episode of chickenpox.
- D. Chickenpox is transmitted by contact route so careful hand washing should prevent transmission.
Correct Answer: A
Rationale: Maternal antibodies protect the baby, and breast milk enhances immunity.
The nurse administers RhoGAM to a postpartum client. Which of the following is the goal of the medication?
- A. Inhibit the mother's active immune response.
- B. Aggressively destroy the Rh antibodies produced by the mother.
- C. Prevent fetal cells from migrating throughout the mother's circulation.
- D. Change the maternal blood type to Rh-positive.
Correct Answer: A
Rationale: RhoGAM prevents sensitization.
A woman is receiving Paxil (paroxetine) for postpartum depression. To prevent a drug/food interaction, the client must be advised to refrain from consuming which of the following?
- A. Alcohol.
- B. Grapefruit.
- C. Milk.
- D. Cabbage.
Correct Answer: B
Rationale: Grapefruit affects drug metabolism.
A couple is asking the nurse whether or not their son should be circumcised. On which fact should the nurse's response be based?
- A. Boys should be circumcised for them to establish a positive self-image.
- B. Boys should not be circumcised because there is no medical rationale for the procedure.
- C. Experts from the Centers for Disease Control and Prevention argue that circumcision is desirable.
- D. A statement from the American Academy of Pediatrics asserts that circumcision is optional.
Correct Answer: D
Rationale: Circumcision is considered optional, and parents should make an informed decision.
A mother, 1 day postpartum from a 3-hour labor and a spontaneous vaginal delivery, questions the nurse because her baby's face is"purple." Upon examination, the nurse notes petechiae over the scalp, forehead, and cheeks of the baby. The nurse's response should be based on which of the following?
- A. Petechiae are indicative of severe bacterial infections.
- B. Rapid deliveries can injure the neonatal presenting part.
- C. Petechiae are characteristic of the normal newborn rash.
- D. The injuries are a sign that the child has been abused.
Correct Answer: B
Rationale: Petechiae can result from pressure changes during rapid delivery, particularly affecting the presenting part.