Nokea
Compared to older infants of comparable weight how much higher is the morbidity and mortality rate for preterm infants?
- A. One to two times
- B. Two to three times
- C. Three to four times
- D. Four to five times
Correct Answer: C
Rationale: The morbidity and mortality rate for preterm infants is higher by three to four times that of an older infant of similar weight.
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When should the gestational age of the infant be determined?
- A. Within 5 to 10 minutes of delivery
- B. Within 1 to 2 hours of delivery
- C. Within 2 to 8 hours of delivery
- D. Within 12 to 24 hours of delivery
Correct Answer: C
Rationale: The gestational age tests are done within 2 to 8 hours of delivery.
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 patient in her second trimester of pregnancy arrives at the hospital complaining of bright red painless vaginal bleeding. What condition should the nurse immediately suspect?
- A. Abruptio placentae
- B. Hemorrhage
- C. Placenta previa
- D. Placentitis
Correct Answer: C
Rationale: Placenta previa is a serious condition that consists of bright red painless vaginal bleeding occurring after 20 weeks of pregnancy. The major symptoms of abruptio placentae are severe abdominal pain and uterine rigidity.
The nurse is assessing a "kick count" for a patient with gestational hypertension. What result should be a cause for concern?
- A. Less than three kicks per hour
- B. Less than five kicks per hour
- C. Less than seven kicks per hour
- D. Less than nine kicks per hour
Correct Answer: A
Rationale: A kick count of fewer than three per hour is considered serious and a cause for concern.
A nursery nurse is implementing phototherapy for a jaundiced infant. What is the purpose of the phototherapy?
- A. It is initiated when the bilirubin level reaches 5 mg/dL.
- B. It converts bilirubin to a water-soluble form to be excreted in the urine.
- C. It changes bilirubin to a bile salt to be excreted through the bowel.
- D. It requires eye patches to remain in place 24 hours a day.
Correct Answer: B
Rationale: Phototherapy converts the bilirubin into a water-soluble form to be excreted by the kidneys. It is initiated when the bilirubin level reaches 12 to 15 mg/dL. The eye patches are worn during therapy, but removed for feeding, bathing, and socialization.