Nokea
If a nursing neonate has a 5:1 suck/swallow ratio, this indicates
- A. non-nutritive suckling
- B. normal suckling
- C. fast but adequate suckling
Correct Answer: B
Rationale: A 5:1 ratio reflects coordinated sucking and swallowing, indicative of efficient feeding.
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The sign most concerning for congenital heart disease in the newborn infant is
- A. fever
- B. central cyanosis
- C. acrocyanosis
Correct Answer: B
Rationale: Central cyanosis indicates poor oxygenation and may suggest underlying cardiac issues.
The antibiotic agent that should be avoided for long-term use while a woman is breastfeeding is
- A. tetracyclines
- B. erythromycin
- C. cephalosporins
Correct Answer: A
Rationale: Tetracyclines can discolor developing teeth and affect bone growth in infants.
The postpartum patient who has undergone a forceps-assisted vaginal delivery is at increased risk for
- A. postpartum hemorrhage
- B. eclampsia
- C. postpartum depression
Correct Answer: A
Rationale: Forceps deliveries can increase the risk of trauma and bleeding, leading to postpartum hemorrhage.
The hormone that stimulates the alveoli to produce milk is
- A. oxytocin
- B. estrogen
- C. prolactin
Correct Answer: C
Rationale: Prolactin drives milk synthesis in mammary glands.
Which hormonal effect is noted during the menstrual cycle?
- A. Luteinizing hormone (LH) and follicle-stimulating hormone (FSH) secretion rise
- C. A negative feedback mechanism is exhibited by the anterior pituitary gland and ovaries.
- D. The posterior pituitary gland secretes LH.
Correct Answer: A
Rationale: The correct answer is A because during the menstrual cycle, LH and FSH secretion rise to stimulate ovarian follicle development and trigger ovulation. This process is crucial for maintaining the menstrual cycle. Choice B is incorrect as it is incomplete. Choice C is incorrect as negative feedback is primarily between the hypothalamus, pituitary gland, and ovaries, not just the anterior pituitary gland and ovaries. Choice D is incorrect because LH is primarily secreted by the anterior pituitary gland, not the posterior pituitary gland.