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If a woman reports that her neonate cries frantically when hungry, this likely means that
- A. the woman is missing signs of hunger
- B. there is the possibility of an underlying disease process that must be investigated
- C. the woman is not breastfeeding correctly
Correct Answer: A
Rationale: Recognizing early hunger cues enables timely feeding and reduces distress.
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If a quad screen shows high AFP, and normal hCG, uE3 and INH-A, this indicates
- A. neural tube defect
- B. trisomy 21
- C. multiple gestation
Correct Answer: A
Rationale: Elevated AFP suggests open neural tube defects or abdominal wall defects.
When assisting with the lumbar puncture of a preterm neonate, the correct position for the neonate is
- A. lateral with trunk flexed
- B. lateral with trunk in neutral position
- C. sitting with head supported
Correct Answer: A
Rationale: Flexing the trunk maximizes space between vertebrae, facilitating needle insertion.
Which specific instruction should the nurse teach to assist a patient to regain control of her urinary sphincter?
- A. Perform Kegel exercises.
- B. C M U S N T O
- C. Void every hour while awak
Correct Answer: A
Rationale: Performing Kegel exercises strengthens the pelvic floor muscles, which can help improve urinary sphincter control. These exercises involve contracting and releasing the muscles that control urination. This instruction directly targets the issue of regaining control over the urinary sphincter. Choice B is nonsensical and irrelevant. Choice C, voiding every hour while awake, may not address the underlying muscle weakness causing the issue. Choice D is incomplete and does not provide any specific guidance on how to address the problem.
Vitamin K is administered to newborn infants to prevent
- A. bleeding
- B. neonatal jaundice
- C. gonococcal conjunctivitis
Correct Answer: A
Rationale: Vitamin K is essential for blood clotting, and its administration prevents bleeding in newborns who are deficient.
Which of the following statements about the nurse's medical record documentation is correct?
- A. it provides an accurate account of patient status and response to care
- B. it consists of both objective and subjective notes regarding the patient and care provided
- C. the physician's medical record documentation is more important than the nurse's medical record documentation in legal proceeding
Correct Answer: A
Rationale: Accurate documentation is crucial for legal and clinical purposes, providing a clear record of patient care.