Nokea
Indicate whether the following statements are TRUE (T) or FALSE (F): a) The most common cause of immediate postpartum haemorrhage is trauma to the genital tract during delivery. b) There are four major principles to follow in the specific management of a mother with immediate postpartum haemorrhage.
- A. TRUE
- B. FALSE
- C. TRUE
- D. FALSE
Correct Answer: B
Rationale: The most common cause of postpartum haemorrhage is uterine atony, not trauma.
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Postmaturity is pregnancy equal to or more than
- A. 38 completed weeks
- B. 42 completed weeks
- C. 40 completed weeks
- D. 36 completed weeks
Correct Answer: B
Rationale: Postmaturity refers to pregnancies that last beyond 42 weeks.
Priority nursing diagnoses for Mrs. Q (Breech presentation):
- A. Risk of uterine rupture, risk of fetal distress, pain
- B. Risk of infection, risk of fetal distress, risk of preterm birth
- C. Risk of hemorrhage, risk of cord prolapse, pain
- D. Risk of fetal malpresentation, impaired maternal coping
Correct Answer: A
Rationale: Nursing diagnoses include risks of uterine rupture, fetal distress, and pain management.
Which one of the following positions is SAFEST for a woman in labor with a cord prolapse?
- A. Lithotomy
- B. Trendelenburg
- C. Fowler’s
- D. Prone
Correct Answer: B
Rationale: The Trendelenburg position helps reduce pressure on the umbilical cord during prolapse.
Lester R. is a 58-year-old male who is being evaluated for nocturia. He reports that he has to get up 2 to 3 times nightly to void. Additional assessment reveals urinary urgency and appreciable post-void dribbling. A digital rectal examination reveals a normal-sized prostate with no appreciable hypertrophy. The best approach to this patient includes
- A. Administration of the American Urological Association (AUA) Symptom Scale
- B. Laboratory assessment to include a PSA
- C. Ordering a prostate ultrasound
- D. Assessment of nonprostate causes of nocturia
Correct Answer: C
Rationale: In this case, the best approach to the patient includes assessment of nonprostate causes of nocturia. Despite the lack of significant prostate hypertrophy on digital rectal examination, the patient is experiencing bothersome lower urinary tract symptoms such as nocturia, urinary urgency, and post-void dribbling. These symptoms suggest the need to consider alternative causes beyond prostate enlargement. Factors such as overactive bladder, urinary tract infections, diabetes, sleep apnea, medications, or other systemic conditions could be contributing to the patient's symptoms. Therefore, a comprehensive evaluation to identify potential nonprostate causes of the patient's nocturia is warranted before considering more invasive prostate-specific tests like PSA, ultrasound, or symptom scales.
Which of the following is associated with diazygotic twinning?
- A. Conjoined twins
- B. Polyhydramnious
- C. Superfecundation
- D. Foetus compressus
Correct Answer: C
Rationale: Superfecundation can occur with dizygotic twinning, leading to multiple paternity.