Nokea
What is the function of the amniotic fluid during pregnancy?
- A. To protect the fetus from trauma
- B. To regulate fetal temperature
- C. To facilitate fetal movement
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D, "All of the above." Amniotic fluid serves multiple functions during pregnancy. It protects the fetus from trauma by acting as a cushion. It helps regulate fetal temperature by maintaining a stable environment. It also facilitates fetal movement by allowing the fetus to move freely. Therefore, D is the correct choice as it encompasses all the essential functions of amniotic fluid. Choices A, B, and C are incorrect as they only represent individual functions of amniotic fluid, while the correct answer D covers all these functions comprehensively.
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A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take.
- A. Instruct the client to empty their bladder.
- B. Position the client supine with knees flexed and place a small, rolled towel under one of their hips.
- C. Palpate the fetal part positioned in the fundus.
- D. Palpate the fetal parts along both sides of the uterus.
Correct Answer: A, B, C, D
Rationale: The correct order is A, B, C, D. First, instructing the client to empty their bladder ensures better visualization and palpation of the uterus. Second, positioning the client supine with knees flexed and a small towel under the hip optimizes comfort and facilitates proper examination. Third, palpating the fetal part in the fundus helps determine the fetal presentation. Finally, palpating the fetal parts along both sides of the uterus assists in identifying the position and engagement of the fetus. Choices E, F, and G are not relevant to the Leopold maneuvers sequence and do not contribute to the accurate assessment of fetal position and presentation.
A nurse is teaching a new parent about breastfeeding her 2-week-old infant. Which of the following statements by the parent indicates an understanding of the teaching?
- A. After 5 to 10 minutes when the breast is emptied, my baby should be removed from the breast.
- B. Manually expressing my milk will decrease my milk supply.
- C. My baby should always start on the same breast when feeding.
- D. The more my baby is at the breast sucking, the more milk I will produce.
Correct Answer: D
Rationale: Frequent breastfeeding stimulates milk production, ensuring an adequate milk supply for the infant.
A nurse in a prenatal clinic is assessing a group of clients. Which of the following clients should the nurse see first?
- A. A client who is at 11 weeks of gestation and reports abdominal cramping.
- B. A client who is at 15 weeks of gestation and reports tingling and numbness in right hand.
- C. A client who is at 20 weeks of gestation and reports constipation for the past 4 days.
- D. A client who is at 8 weeks of gestation and reports having three bloody noses in the past week.
Correct Answer: A
Rationale: Abdominal cramping in early pregnancy can be a sign of a miscarriage or ectopic pregnancy, both of which require immediate evaluation and intervention.
The nurse suspects the adolescent is experiencing pelvic inflammatory disease and is planning care. Which of the following prescriptions should the nurse expect the provider to prescribe? Drag words from the choices below to fill in each blank in the following sentence. The nurse should anticipate a provider's prescription for ------------------------------ and --------------------------
- A. fuconazole
- B. doxycycline
- C. Ceftriaxone
- D. acyclovir
- E. imiquimod
Correct Answer: B,C
Rationale:
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
- A. Substernal retractions
- B. Acrocyanosis
- C. Overlapping suture lines
- D. Head circumference 33 cm (13 in)
Correct Answer: A
Rationale: The correct answer is A: Substernal retractions. Substernal retractions in a newborn can indicate respiratory distress, which is a critical finding that requires immediate attention from the provider to prevent complications. Acrocyanosis (B) is a common finding in newborns and usually resolves on its own. Overlapping suture lines (C) can be normal in newborns due to the molding process during birth. The head circumference of 33 cm (13 in) (D) is within the normal range for a newborn.