Nokea
If bleeding continues after delivery of the placenta using management, the FIRST thing you should do is call for help and:
- A. Massage the uterus
- B. Insert a urinary catheter
- C. Start an IV
- D. Check the placenta to ensure completeness
Correct Answer: A
Rationale: The correct answer is A: Massage the uterus. This is the first action to take as uterine massage helps to contract the uterus, which can help stop the bleeding. By massaging the uterus, you are promoting the expulsion of any retained products and enhancing uterine tone. Calling for help is essential for additional support. Inserting a urinary catheter (B) is not the priority in managing postpartum bleeding. Starting an IV (C) may be necessary to administer medications, but addressing the bleeding is the immediate priority. Checking the placenta for completeness (D) is important but not the first step in managing postpartum bleeding.
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Which of the following nursing interventions are appropriate to address parasitism issues?
- A. Administering broad-spectrum antihelminthic treatment to patients
- B. Emphasizing the importance of thoroughly washing vegetables, especially if consumed raw
- C. Instructing on proper stool disposal and emphasizing not to use it as fertilizer
- D. Promoting hand washing before and after meals
Correct Answer: C
Rationale: The correct answer is C because proper stool disposal and advising against using it as fertilizer are crucial in preventing the spread of parasites. This intervention targets the source of parasitic infections. Choice A is incorrect as administering antihelminthic treatment is reactive, not preventive. Choice B is important for preventing bacterial contamination, not specifically for parasitism. Choice D is a general hygiene measure and does not directly address parasitism issues. Thus, choice C is the most appropriate nursing intervention for addressing parasitism.
The appropriate order of steps in active management of the third stage of labor include:
- A. Cord clamping and cutting, controlled cord traction, ergometrine administration, and inspection to be sure the placenta is intact.
- B. Intravenous oxytocin, cord clamping and cutting, and fundal massage
- C. Intramuscular injection oxytocin, controlled cord traction with counter traction to the uterus, uterine massage
- D. Controlled cord traction, fundal massage and oxytocin
Correct Answer: C
Rationale: The correct order of steps in active management of the third stage of labor includes: 1) Intramuscular injection of oxytocin to prevent postpartum hemorrhage, 2) Controlled cord traction with counter traction to the uterus to facilitate placental delivery, and 3) Uterine massage to aid in uterine contraction and reduce bleeding.
Rationale for Correct Answer (C):
- Intramuscular oxytocin is administered first to prevent excessive bleeding.
- Controlled cord traction with counter traction assists in the gentle delivery of the placenta.
- Uterine massage helps the uterus contract and reduce the risk of hemorrhage.
Summary of Incorrect Choices:
- A (Incorrect): Incorrect order of steps, ergometrine administration is not recommended.
- B (Incorrect): Incorrect order, fundal massage should be done after cord traction.
- D (Incorrect): Incorrect order, oxytocin should be administered before cord traction.
What action should be taken by nurses in the local community regarding the trash in the stream?
- A. Hold a dialogue with community members about the problem and its effects
- B. Advocate for stronger littering laws and harsher penalties
- C. Educate community organizations about the importance of clean water for recreational activities
- D. Ensure personal trash is disposed of in appropriate receptacles
Correct Answer: A
Rationale: The correct answer is A: Hold a dialogue with community members about the problem and its effects. Nurses should engage in open communication with the community to raise awareness and understanding of the impact of trash in the stream. This approach promotes community involvement and empowers individuals to take responsibility for the issue.
B: Advocating for stronger littering laws and harsher penalties may not address the root cause of the problem and may not engage the community effectively.
C: Educating community organizations about the importance of clean water for recreational activities is important but may not directly involve the broader community in addressing the issue.
D: Ensuring personal trash is disposed of properly is important on an individual level but does not address the larger community-wide problem of trash in the stream.
When caring for a first-time mom and baby, the community RN would focus on which of the following as the first priority when developing appropriate interventions?
- A. Education
- B. Safety
- C. Policy-making
- D. Vaccination
Correct Answer: B
Rationale: The correct answer is B: Safety. The first priority when caring for a first-time mom and baby should be ensuring their safety. Safety is crucial to prevent harm and promote well-being. Prioritizing safety includes addressing physical, emotional, and environmental factors that may impact the mother and baby. Education (choice A) is important but comes after ensuring safety. Policy-making (choice C) and vaccination (choice D) are important but not immediate priorities when caring for a first-time mom and baby.
The Filipino Food Guide Pyramid strongly emphasizes which of the following?
- A. Ensuring a variety of foods every day
- B. Eating a diet low in fats and sugar
- C. Maintaining specific daily servings of food groups
- D. Avoiding poor eating habits
Correct Answer: C
Rationale: The correct answer is C: Maintaining specific daily servings of food groups. The Filipino Food Guide Pyramid emphasizes this to ensure a balanced and nutritious diet. By following specific daily servings of food groups, individuals can meet their nutritional needs and maintain overall health. Choice A is too general and does not address the importance of specific food group servings. Choice B focuses only on fats and sugar, neglecting other essential nutrients. Choice D is vague and does not provide actionable guidance for healthy eating.