Nokea
Immediately after an uncomplicated delivery without meconium, a full-term newborn is warmed, dried, suctioned, and positioned appropriately but has a heart rate of 80 beats/min. According to neonatal resuscitation guidelines, the next step in managing this infant is
- A. positive-pressure ventilation
- B. chest compression
- C. epinephrine administration
Correct Answer: A
Rationale: A heart rate below 100 beats/min in a newborn requires positive-pressure ventilation to support breathing and increase heart rate.
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What condition would the nurse include when teaching a patient about the potential complications of polycystic ovary syndrome (PCOS)?
- A. breast cancer
- B. cirrhosis of the liver
- C. insulin resistance
- D. insomnia
Correct Answer: C
Rationale: The correct answer is C: insulin resistance. PCOS is associated with insulin resistance, leading to an increased risk of type 2 diabetes. This is crucial for the nurse to include in patient education. A: breast cancer is not a common complication of PCOS. B: cirrhosis of the liver is not directly related to PCOS. D: insomnia is not a typical complication of PCOS. In summary, insulin resistance is the primary concern in PCOS due to its impact on metabolic health.
What are possible characteristics of a patient who is at a higher risk for developing uterine cancer?
- A. 35-year-old patient with 2 vaginal births
- B. 16-year-old patient with 28-day menstrual cycle
- C. 67-year old patient taking only estrogen for HRT
- D. 25-year-old patient taking oral contraceptive pills
Correct Answer: C
Rationale: Step-by-step rationale:
1. Uterine cancer risk increases with age, so a 67-year-old patient is at higher risk.
2. Estrogen-only HRT without progesterone increases uterine cancer risk.
3. Other choices are less likely: A has lower age and childbirth may reduce risk, B's age and menstrual cycle are not typical risk factors, and D's oral contraceptives may decrease uterine cancer risk.
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.
During the process of lactation, the breasts usually begin filling and feel firm and warm by the
- A. first day
- B. second day
- C. third day
Correct Answer: C
Rationale: Milk production typically increases around the third day postpartum, leading to engorgement.
Salpingitis is inflammation of the:
- A. Ovaries
- B. Fallopian tubes
- C. Uterus
- D. Vagina
Correct Answer: B
Rationale: Salpingitis refers to inflammation of the fallopian tubes.