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How should a nurse respond to a mother asking about newborn hearing screening?
- A. Explain that hearing screening is optional
- B. Reassure the mother that this is a routine test
- C. Inform the mother that hearing screening is mandatory
- D. Provide resources for further testing if needed
Correct Answer: B
Rationale: Hearing screening is a routine test to identify hearing issues early and ensure proper interventions.
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The nurse is caring for a patient who could be at risk for uterine
- A. What should the nurse be monitoring the fetus closely for? SATA
- B. Loss of ability to determine fetal station
- C. Bradycardia
- D. Late decelerations
Correct Answer: A
Rationale: A. What should the nurse be monitoring the fetus closely for? SATA
The nurse is performing an assessment of a postpartum client. Which finding requires immediate action?
- A. Temperature of 100.4°F.
- B. Foul-smelling lochia.
- C. Fundus firm and midline.
- D. Breast tenderness on palpation.
Correct Answer: B
Rationale: Foul-smelling lochia may indicate an infection and requires prompt medical evaluation.
Which of the following medications should the nurse plan to administer?
- A. Metronidazole
- B. Penicillin
- C. Acyclovir
- D. Gentamicin
Correct Answer: A
Rationale: Among the medications listed, Metronidazole is commonly used to treat anaerobic bacterial infections, protozoal infections, and certain types of parasitic infections. It is effective against a wide range of pathogens, making it a versatile antibiotic. In this case, the nurse should plan to administer Metronidazole based on the information given in the question. Penicillin is primarily used for Gram-positive bacterial infections, Acyclovir is used for herpes virus infections, and Gentamicin is an aminoglycoside antibiotic typically used for Gram-negative bacterial infections.
The nurse is caring for a client in the second stage of labor. What finding indicates that birth is imminent?
- A. Cervix is fully dilated.
- B. Contractions every 2 minutes.
- C. Fetal heart rate of 140 beats/minute.
- D. Crowning is observed.
Correct Answer: D
Rationale: Crowning, or the appearance of the fetal head at the vaginal opening, indicates that birth is imminent.
In caring for an immediate postpartum client, you note she has
- A. You monitor closely for which clotting disorder? (Which bleeding problem causes this: HEELP
- C. DIC
Correct Answer: A
Rationale: In caring for an immediate postpartum client, you should monitor closely for HELLP syndrome, which stands for Hemolysis, Elevated Liver enzymes, and Low Platelet count. HELLP syndrome is a serious complication of pregnancy characterized by high blood pressure, protein in the urine, and problems with the liver and blood-clotting system. It can lead to severe bleeding issues, organ failure, and other life-threatening complications if not promptly recognized and managed. Therefore, close monitoring for signs of HELLP syndrome is crucial in the postpartum period to ensure timely intervention and prevent adverse outcomes.