Nokea
During a newborn assessment, which symptom would indicate respiratory distress if present in a newborn?
- A. Flaring of the nares.
- B. Shallow and irregular respirations.
- C. Respiratory rate of 50 breaths per minute.
- D. Abdominal breathing with synchronous chest movement.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
In which chromosome pattern is Duchenne disease inherited?
- A. Autosomal dominant
- B. Autosomal recessive
- C. X-linked recessive
- D. Mitochondrial
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During the admission procedure of a 6-year-old, the child states, 'I'm going to have an operation.' Which response is best for the nurse to provide to this child?
- A. Are you scared?
- B. We're going to do everything we can to take very good care of you.
- C. Tell me what an operation is.
- D. I'm glad your mother told you why you were coming to the hospital.
Correct Answer: B
Rationale: In this situation, the most appropriate response for the nurse is to provide reassurance and express care to alleviate the child's anxiety about the upcoming operation. By reassuring the child that everything will be done to take very good care of them, the nurse helps build trust and comfort, creating a positive and supportive environment for the child.
While caring for a laboring client on continuous fetal monitoring, the nurse notes a fetal heart rate pattern that falls and rises abruptly with a 'V' shaped appearance. What action should the nurse take first?
- A. Change the maternal position.
- B. Administer oxygen at 10 L by mask.
- C. Prepare for a potential cesarean.
- D. Allow the client to begin pushing.
Correct Answer: A
Rationale: In cases of fetal heart rate patterns showing abrupt falls and rises with a 'V' shaped appearance, it indicates possible cord compression. Changing the maternal position, such as moving the mother onto her side, can relieve the pressure off the cord and help improve fetal oxygenation, making it the priority intervention to address the decelerations.
A multiparous client is involuntarily pushing while being wheeled into the labor triage area. The nurse observes the fetal head presenting at the perineum. Which action should the nurse take?
- A. Support the infant as it emerges.
- B. Review prenatal laboratory results.
- C. Obtain fetal heart tones.
- D. Apply suprapubic pressure.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A couple has been trying to conceive for nine months without success. Which information obtained from the clients is most likely to have an impact on the couple's ability to conceive a child?
- A. Both partners have a daily exercise regimen that includes running four miles each morning.
- B. The couple has a history of having sexual intercourse 2 to 3 times per week.
- C. The woman's menstrual period occurs every 35 days.
- D. They use lubricants with each sexual encounter to decrease friction.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.