Nokea
Cognitive impairment facial abnormalities and growth retardation are characteristics of which abnormality in a fetus?
- A. Fetal dependency
- B. Fetal immaturity
- C. Malnutrition dependency
- D. Fetal alcohol syndrome
Correct Answer: D
Rationale: Use of alcohol may result in multiple anomalies called fetal alcohol syndrome. The fetus may also be born with alcohol dependency and immaturity, but the characteristics noted are specific for fetal alcohol syndrome.
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A patient is admitted to the hospital with hyperemesis gravidarum. The patient is malnourished and severely dehydrated. The care plan should be altered to include which interventions?
- A. Hyperalimentation
- B. IV fluids and electrolyte replacement
- C. Hormone replacement therapy
- D. Vitamin supplements
Correct Answer: B
Rationale: Medical treatment is aimed at meeting fluid and electrolyte replacement.
What is the usual treatment for severe postpartum depression?
- A. Improved nutrition
- B. Vitamin therapy
- C. Pharmacologic interventions
- D. Support group therapy
Correct Answer: C
Rationale: Support therapy is not enough for major PPD. Pharmacologic interventions are needed in most instances.
The patient who has taken the ovulation stimulant clomiphene (Clomid) and who has been determined to be pregnant calls the clinic nurse to report that she is bleeding and has passed a small grapelike object. From this information the nurse suspects a ___.
Correct Answer: mole
Rationale: Hydatidiform moles occur frequently in people who have taken Clomid. The physical changes are similar to a real pregnancy until bleeding occurs and some grapelike clusters are passed.
A neonate is born with weak muscle tone froglike extremities and ears that fold easily. From these observations what gestational age should the nurse give this infant?
- A. Full term
- B. Small for gestational age
- C. Preterm
- D. Postterm
Correct Answer: C
Rationale: Preterm infant posture is froglike, the muscle tone is weak, and the ears are easily folded.
A pregnant woman comes to the hospital 3 weeks before her estimated date of birth (EDB) complaining of severe pain and a rigid abdomen. What should the nurse immediately suspect as the cause of the pain?
- A. Placenta previa
- B. Appendicitis
- C. Ectopic pregnancy
- D. Abruptio placentae
Correct Answer: D
Rationale: The major symptoms of abruptio placentae are severe pain and a rigid abdomen. Placenta previa consists of painless bleeding. Appendicitis is not usually accompanied by a rigid abdomen. Symptoms of an ectopic pregnancy would usually occur in the first trimester.