Nokea
Perinatal mortality rate is defined as:
- A. Number of perinatal deaths per thousand live births and still births.
- B. Deaths in the first week after birth.
- C. All still births plus deaths in the first week after birth.
- D. Deaths from age 7 days the 27 completed days of life.
- E. Deaths in first week after birth.
Correct Answer: A
Rationale: Perinatal mortality rate is defined as the number of stillbirths and deaths in the first week of life per 1000 live births and stillbirths capturing early neonatal and late fetal losses.
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The physician orders I.V. insulin, and the registered nurse (RN) prepares to give it. The licensed practical nurse (LPN) is assisting the RN with the unstable client. Which of the following types of insulin should the LPN anticipate that the physician will order?
- A. Regular insulin (Humulin R)
- B. Isophane insulin suspension (Humulin N)
- C. Insulin aspart (NovoLog)
- D. None of the above
Correct Answer: A
Rationale: Regular insulin (Humulin R) is used for I.V. administration in DKA because it has a rapid onset and can be titrated to manage hyperglycemia effectively. Other insulins, like NPH or aspart, are not suitable for I.V. use.
The nurse finds documentation in the 4-hour-old newborn’s medical record that states,“Clamping of the umbilical cord was delayed until cord pulsations ceased.” When assessing and collecting additional information about the newborn,what effect should the nurse find as a result of the delayed cord clamping?
- A. More rapid expulsion of meconium by the newborn
- B. Increased level of newborn alertness after birth
- C. An increase in the newborn’s initial temperature
- D. An increase in the newborn’s hemoglobin and hematocrit
Correct Answer: D
Rationale: Newborn Hgb and Hct values will be higher when placental transfusion accomplished through delayed cord clamping occurs at birth. Blood volume increases by up to 50% with delayed cord clamping. Meconium passage alertness and temperature are not affected by delayed clamping.
The nurse is caring for the newborn infant. The nurse should prepare to assess the newborn’s anterior fontanel by which method?
- A. Lay the infant on his or her back.
- B. Stimulate the infant to cry strongly.
- C. Feel near the parietal and occipital bones.
- D. Place the infant in a sitting position.
Correct Answer: D
Rationale: The anterior fontanel is assessed with the infant in a sitting position (45°–90°) to evaluate size and abnormalities. Supine positioning or crying may cause bulging and parietal/occipital bones locate the posterior fontanel.
A 23 years old primigravida comes in labour room for induction of labour. Cervix is closed and 3 cm long. Which of the following medicine will be given to her for cervical ripening?
- A. Methergin.
- B. Salbutamol.
- C. Prostaglandin E2.
- D. Paracetamol.
- E. Methyldopa.
Correct Answer: C
Rationale: Prostaglandin E2 is used for cervical ripening in induction of labor as it softens and dilates the cervix. Other medications are not indicated for this purpose.
Total bishops score is:
- A. 10
- B. 8
- C. 6
- D. 4
- E. 13
Correct Answer: E
Rationale: The Bishop score assesses cervical readiness for labor with a maximum of 13 points (dilation effacement station consistency position). Higher scores indicate better inducibility.