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If a newborn is born with acrocyanosis (blue/pale extremities and a pink body), they should be assigned which Apgar score for appearance?
- B. 1
- C. 2
- D. 3
Correct Answer: B
Rationale: Acrocyanosis typically receives a score of 1 for appearance.
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Which finding would lead the nurse to suspect toxic shock syndrome related to tampon use?
- A. Diffuse rash with fever.
- B. Angina.
- C. Hypertension.
- D. Thrombocytopenia with pallor.
Correct Answer: A
Rationale: Toxic shock syndrome often presents with a diffuse rash and fever.
Which contraceptive method is best for a woman with multiple sex partners?
- A. Intrauterine device.
- B. Female condom.
- C. Bilateral tubal ligation.
- D. Birth control pills.
Correct Answer: B
Rationale: Female condoms provide dual protection against pregnancy and STIs.
The nurse is monitoring a client receiving magnesium sulfate for preeclampsia. What finding indicates magnesium toxicity?
- A. Increased urine output.
- B. Deep tendon reflexes +4.
- C. Respiratory rate of 10 breaths per minute.
- D. Blood pressure of 140/90 mmHg.
Correct Answer: C
Rationale: Respiratory depression is a key sign of magnesium sulfate toxicity and requires immediate intervention.
The nurse is teaching a prenatal class about fetal circulation. What structure allows blood to bypass the fetal lungs?
- A. Ductus arteriosus.
- B. Ductus venosus.
- C. Foramen ovale.
- D. Umbilical vein.
Correct Answer: A
Rationale: The ductus arteriosus shunts blood from the pulmonary artery to the aorta, bypassing the fetal lungs.
What is an example of a nurse's question that is part of the Four Cs?
- A. What did you do to cause your injury?
- B. What are you concerned about today?
- C. What kind of problems will your traditions cause for other patients?
- D. When will your family move you in to stay with them?
Correct Answer: B
Rationale: The Four Cs (Concerns, Causes, Comfort, and Collaboration) focus on understanding the patient's perspective and concerns.