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Betamethasone (Celestone) is prescribed to be administered and the patient asks nurse Hope about the purpose of this medication?
- A. Promote fetal lung maturity.
- B. Prevent the premature closure of the ductus arteriosus.
- C. Delay delivery for at 1east 48 hours.
- D. Stop the premature uterine contractions.
Correct Answer: A
Rationale: Betamethasone (Celestone) is a corticosteroid medication that is commonly used to promote fetal lung maturity in pregnant women at risk of preterm delivery. Administering betamethasone to the mother helps accelerate the production of surfactant in the fetal lungs, which is essential for proper lung function and development. This medication is typically given to pregnant women between 24 and 34 weeks of gestation to reduce the risk of respiratory distress syndrome in preterm infants. It does not prevent premature closure of the ductus arteriosus, delay delivery, or stop premature uterine contractions.
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The nurse prepares a care plan for the patient. Based on Ramona Mercer's becoming a mother (BAM) theory, which of the following statements fosters the process of becoming a mother?
- A. The woman becomes comfortable with her identity as a married individual.
- B. It encompasses the dynamic transformation and evolution of a woman's persona.
- C. A woman learns mothering behavior prior as early as a teenager.
- D. It accurately reflects the transitional process from being single to a married relationship.
Correct Answer: B
Rationale: Ramona Mercer's becoming a mother (BAM) theory emphasizes the dynamic transformation and evolution of a woman's persona as she transitions into motherhood. This theory acknowledges that becoming a mother is a process involving significant changes in a woman's identity, roles, and relationships. It goes beyond just the physical aspects of giving birth and delves into the psychological, emotional, and social aspects of motherhood. Therefore, statement B aligns with the core principles of Mercer's BAM theory and fosters the understanding of the process of becoming a mother.
Radical abdominal hysterectomy involves the removal of which structure(s)?
- A. uterus and vagina
- B. uterus and fallopian tubes
- C. uterus and ovaries
- D. uterus, ovaries,ligaments and fallopian tubes
Correct Answer: D
Rationale: Radical abdominal hysterectomy involves the removal of the uterus, ovaries, ligaments (including round ligaments and uterosacral ligaments), and fallopian tubes. This extensive procedure is typically done for cases of invasive gynecologic cancers, most commonly cervical or ovarian cancer. The goal of radical hysterectomy is to remove as much of the cancerous tissue as possible to improve the chances of successful treatment and reduce the risk of cancer recurrence.
A nurse is preparing to perform an intramuscular (IM) injection for a patient. What action should the nurse take to ensure proper injection technique?
- A. Selecting a small-gauge needle to minimize patient discomfort
- B. Administering the injection rapidly to reduce patient anxiety
- C. Aspirating the syringe to confirm needle placement before injection
- D. Inserting the needle at a 90-degree angle into the muscle
Correct Answer: D
Rationale: When performing an intramuscular (IM) injection, the nurse should insert the needle at a 90-degree angle into the muscle. This angle helps ensure proper and deep penetration into the muscle tissue for effective administration of the medication. It also helps prevent leakage or tissue damage at the injection site. Additionally, inserting the needle at a 90-degree angle facilitates accurate delivery of the medication into the muscle where it can be absorbed properly. Therefore, selecting the correct angle for inserting the needle is critical in ensuring the success and effectiveness of the IM injection.
Whose responsibility is it to obtain informed consent?
- A. Nurse Manager
- B. Physician
- C. Anesthesiologist
- D. Midwife
Correct Answer: B
Rationale: The responsibility of obtaining informed consent typically falls on the physician or the healthcare provider who is performing the procedure or treatment. Informed consent is a process where the healthcare provider explains the procedure, its risks, benefits, possible alternatives, and potential outcomes to the patient or their legal representative. The patient must have a comprehensive understanding of these aspects before agreeing to the treatment. While nurses, nurse managers, anesthesiologists, midwives, and other healthcare professionals may assist in the consent process by providing information or clarifications, the ultimate responsibility lies with the physician. This is because the physician is usually the one with the expertise and knowledge about the specific procedure or treatment being performed.
Nurse Lyca is aware that testing of vision in infants and children has been treated separately from the testing of adult. which of the statement is NOT true?
- A. Infants and children often cannot be tested with the same materials and techniques as adults.
- B. Special techniques often must be used, especially to test infants and preschoolers, that cannot be held to the same standards that apply to tests for adults
- C. Some infants who appear visually impaired early in life wil1 not Show normal visual responses several weeks or months later
- D. Course of visual and cognitive development must be taken into account in evaluating infants and children's visual abilities
Correct Answer: E
Rationale: All of the statements (A-D) are true when discussing the testing of vision in infants and children separately from testing in adults. However, statement E is NOT true. The course of visual and cognitive development MUST be taken into account in evaluating infants and children's visual abilities. It is crucial to consider the stage of development a child is in when evaluating their vision, as their visual abilities can change rapidly during early childhood. Ignoring the course of development could lead to incorrect assessments and misunderstandings about the child's visual capabilities.