Nokea
Which laboratory is important to know when a client is having an amniocentesis?
- A. Blood type
- B. CBC
- C. Rh
- D. PT and PTT
Correct Answer: C
Rationale: Step-by-step rationale:
1. Rh factor is crucial to know to prevent Rh incompatibility issues during pregnancy.
2. Amniocentesis can pose a risk for Rh sensitization in Rh-negative mothers.
3. Knowing the Rh status helps determine if Rhogam (anti-D) is needed after amniocentesis.
4. Blood type (A) and CBC (B) are important but not directly relevant to amniocentesis.
5. PT and PTT (D) are coagulation tests, typically not required for routine amniocentesis.
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A nurse is teaching a family about health care plans. Which information from the nurse indicates a correct understanding of the Affordable Care Act?
- A. A family can choose whether to have health insurance with no consequences.
- B. Primary care physician payments from Medicaid services can equal Medicare.
- C. Adult children up to age 26 are allowed coverage on the parent’s plan.
- D. Private insurance companies can deny coverage for any reason.
Correct Answer: C
Rationale: Adult children up to the age of 26, regardless of student status, are allowed to be covered under their parents’ health insurance plan.
For which patient would an L/S ratio of 2:1 potentially be considered abnormal?
- A. A 38-year-old gravida 2, para 1, who is 38 weeks' gestation
- B. A 24-year-old gravida 1, para 0, who has diabetes
- C. A 44-year-old gravida 6, para 5, who is at term
- D. An 18-year-old gravida 1, para 0, who is in early labor at term
Correct Answer: B
Rationale: The correct answer is B. An L/S ratio of 2:1 is indicative of fetal lung maturity. This means that the lungs of the fetus are likely mature enough to function outside the womb. In choice B, the patient is 24 years old with diabetes, a condition that can affect fetal lung development, making it crucial to assess lung maturity.
Choice A is less likely to have abnormal lung maturity at 38 weeks' gestation. Choice C, a 44-year-old gravida 6, para 5, is more likely to have mature fetal lungs due to multiple pregnancies. Choice D, an 18-year-old in early labor at term, may not necessarily have abnormal lung maturity as she is at term and in labor.
A 32-week-gravid client presents in the emergency department with severe abdominal pain, rigid abdomen, and scant dark red bleeding. The nurse should assess this client for which of the following?
- A. Signs of pulmonary edema.
- B. Enlarging abdominal girth measurements.
- C. Hyporeflexia and confusion.
- D. Signs of diabetic coma and ketosis.
Correct Answer: B
Rationale: Severe abdominal pain, rigidity, and dark red bleeding could indicate placental abruption, which may cause enlarging abdominal girth due to internal bleeding.
A client, 6 cm and 80% effaced, has just received Demerol (meperidine) 50 mg IV for pain. Which of the following fetal heart changes would the nurse expect to observe on the internal fetal monitor tracing?
- A. Drop in baseline heart rate.
- B. Increase in number of variable decelerations.
- C. Decrease in variability.
- D. Rise in number of early decelerations.
Correct Answer: C
Rationale: Demerol can cross the placenta and cause decreased variability in the fetal heart rate.
A birth plan is being developed by a pregnant couple. Which of the following items should be included in the plan?
- A. The method of infant feeding the mother plans on using.
- B. The name and address of her health care insurance company.
- C. The couple's baby name preferences.
- D. The couple's cell phone numbers.
Correct Answer: A
Rationale: A birth plan typically includes the mother's preferences for labor, delivery, and postpartum care, including infant feeding methods.