Nokea
In 2000, the perinatal mortality rate in one county was 16. The nurse interprets that information as which of the following?
- A. 16 babies died between 28 and 40 weeks' gestation per 1,000 full-term pregnancies.
- B. 16 babies died between 28 weeks' gestation and 28 days of age per 1,000 live births.
- C. 16 babies died between birth and 1 month of life per 1,000 full-term pregnancies.
- D. 16 babies died between 1 month of life and 1 year of life per 1,000 live births.
Correct Answer: B
Rationale: The perinatal mortality rate includes deaths from 28 weeks of gestation to 28 days after birth per 1,000 live births.
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A nurse has just inserted an orogastric gavage tube into a preterm baby. When would the nurse determine that the tube is in the proper location?
- A. When gastric aspirate is removed from the tube.
- B. When the baby suckles on the tubing.
- C. When respirations are unlabored during tube insertion.
- D. When the tubing can be inserted no farther.
Correct Answer: A
Rationale: The presence of gastric aspirate confirms that the tube is in the stomach, which is the proper location for feeding.
A birth plan is being developed by a pregnant couple. Which of the following items should be included in the plan?
- A. The method of infant feeding the mother plans on using.
- B. The name and address of her health care insurance company.
- C. The couple's baby name preferences.
- D. The couple's cell phone numbers.
Correct Answer: A
Rationale: A birth plan typically includes the mother's preferences for labor, delivery, and postpartum care, including infant feeding methods.
A mother, 39 weeks’ gestation, is admitted to the labor suite with rupture of membranes 15 minutes earlier and contractions q 8 minutes × 30 seconds. On vaginal exam, the cervix is 4 cm dilated and 80% effaced, and the station is –2. The baby is found to be in the LSP position. The fetal heart rate is 144 with average variability and variable decelerations. Which of the following complications of labor must the nurse assess this client for at this time?
- A. Precipitous delivery.
- B. Chorioamnionitis.
- C. Uteroplacental insufficiency.
- D. Prolapsed cord.
Correct Answer: D
Rationale: LSP (left sacrum posterior) position and rupture of membranes increase the risk of a prolapsed umbilical cord, which is a medical emergency.
The clinic nurse is obtaining a health history on a newly pregnant patient. Which is an indication for fetal diagnostic procedures if present in the health history?
- A. Maternal diabetes
- B. Weight gain of 25 lb
- C. Maternal age older than 30 years
- D. Previous infant weighing more than 3000 g at birth
Correct Answer: A
Rationale: The correct answer is A, maternal diabetes. Maternal diabetes increases the risk of fetal anomalies, so fetal diagnostic procedures may be indicated for early detection. Weight gain, maternal age over 30, and previous infant weight do not necessarily indicate a need for fetal diagnostic procedures. Weight gain and older age are common in pregnancy, while the previous infant's weight alone is not a direct indicator of fetal health.
The nurse is obtaining the first postpartum meal for a client who has stated that she practices Mormonism (the Church of Jesus Christ of Latter-Day Saints). Which of the following items should the nurse remove from the clients’ food tray?
- A. Caffeinated coffee.
- B. Cheeseburger.
- C. Fried fish.
- D. Pork sausage.
Correct Answer: A
Rationale: Mormons typically avoid caffeinated beverages as part of their religious practices.