Nokea
Early decelerations with a normal fetal heart rate variability during labor have which of the following indications?
- A. they often indicate fetal congenital heart disease
- B. they do not indicate fetal hypoxia
- C. they may indicate fetal acidemia
Correct Answer: B
Rationale: Early decelerations are typically benign and related to head compression during contractions.
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When expressing milk from the breast, a woman should
- A. alternate between the C and the U hold in fixed positions
- B. start with the C hold but move about the breast clockwise
- C. use the C hold and hold the hand in a fixed position
Correct Answer: B
Rationale: Rotating hand placement ensures even emptying of the breast.
In caring for a family who has experienced a perinatal fetal death, it is helpful to
- A. share personal stories of recovery that have been witnessed in the past
- B. maximize consistency in assigned nursing staff
- C. guide the family to a bereavement room as soon as possible, to allow privacy in mourning
Correct Answer: B
Rationale: Consistent nursing staff can provide continuity of care and emotional support during this difficult time.
Which piece of the usual equipment setup for a pelvic examination is omitted with a Pap test?
- A. Lubricant
- B. Speculum
- C. Fixative agent
- D. Gloves and eye protectors
Correct Answer: A
Rationale: The correct answer is A: Lubricant. During a Pap test, lubricant should not be used as it can interfere with the cytology sample collection. The speculum is needed to visualize the cervix, the fixative agent is used to preserve the sample, and gloves and eye protectors are essential for safety. Omitting lubricant ensures accurate sample collection for Pap testing, making it the correct choice.
The expected physiologic weight loss in the term newborn's first week of life is
- A. up to 20% of birth weight
- B. no weight loss
- C. up to 10% of birth weight
Correct Answer: C
Rationale: Newborns typically lose up to 10% of their birth weight in the first week due to fluid loss and limited intake.
After delivery, a woman is likely to exhibit signs and symptoms of hypovolemic shock with blood loss greater than
- A. 500 mL
- B. 1000 mL
- C. 1500 mL
Correct Answer: B
Rationale: Significant hemorrhage exceeding 1