For each finding, click to specity if the finding increases the client's risk for uterine atony or infection.
- A. Prenatal anemia
- B. High parity
- C. Prolonged rupture of membranes
- D. Cesarean birth
- E. Polyhydramnios
Correct Answer:
Rationale:
You may also like to solve these questions
Which of the following is a potential barrier to implementing evidence-based practice in maternal and newborn healthcare?
- A. Resistance to change
- B. Limited access to technology
- C. Lack of funding
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Resistance to change can hinder implementation as healthcare professionals may be reluctant to adopt new practices. Limited access to technology can impede the use of evidence-based tools and resources. Additionally, lack of funding can prevent healthcare facilities from investing in necessary training and resources for evidence-based practice. Therefore, all these factors collectively serve as potential barriers to implementing evidence-based practice in maternal and newborn healthcare.
Which stage of labor is characterized by the period between the onset of regular contractions and full cervical dilation?
- A. First stage
- B. Second stage
- C. Third stage
- D. Fourth stage
Correct Answer: A
Rationale: The correct answer is A: First stage. This stage of labor begins with the onset of regular contractions and ends with complete cervical dilation at 10 cm. During this stage, the cervix gradually thins and opens to allow the baby to pass through the birth canal. The first stage is further divided into early, active, and transition phases based on the rate of cervical dilation and effacement. The second stage (B) is characterized by the baby's descent through the birth canal and ends with the baby's delivery. The third stage (C) involves the delivery of the placenta. The fourth stage (D) is the immediate postpartum period. These stages come after the first stage of labor.
Which of the following is a potential complication of neonatal hypoglycemia?
- A. Jaundice
- B. Respiratory distress syndrome
- C. Intraventricular hemorrhage
- D. All of the above
Correct Answer: D
Rationale: Neonatal hypoglycemia can lead to jaundice, respiratory distress syndrome, and intraventricular hemorrhage.
A nurse is assessing a newborn who has neonatal abstinence syndrome. Which of the following findings should the nurse expect?
- A. Diminished deep tendon reflexes
- B. Excessive crying
- C. Decreased muscle tone
- D. Absent Moro reflex
Correct Answer: B
Rationale: The correct answer is B: Excessive crying. Neonatal abstinence syndrome (NAS) occurs in newborns exposed to addictive substances in utero. The newborn may exhibit symptoms such as excessive crying due to neurologic irritability. Diminished deep tendon reflexes (A) are not typically associated with NAS. Decreased muscle tone (C) is not a common finding in NAS; infants may actually have increased muscle tone. An absent Moro reflex (D) is not a typical finding in NAS, as hyperreflexia is more common.
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?
- A. A client who is at 11 weeks of gestation and reports abdominal cramping.
- B. A client who is at 15 weeks of gestation and reports tingling and numbness in right hand.
- C. A client who is at 20 weeks of gestation and reports constipation for the past 4 days.
- D. A client who is at 8 weeks of gestation and reports having three bloody noses in the past week.
Correct Answer: A
Rationale: Abdominal cramping in early pregnancy can be a sign of a miscarriage or ectopic pregnancy, both of which require immediate evaluation and intervention.