Nokea
Preterm labour is defined as spontaneous onset of painful regular uterine contractions at any time prior to:
- A. A stage of fetal viability.
- B. The second stage of labour.
- C. The 32nd week of gestation.
- D. The 37th week of gestation.
- E. The 40th week of gestation.
Correct Answer: D
Rationale: Preterm labor is defined as regular contractions before 37 weeks gestation leading to cervical change. This is the standard cutoff for preterm delivery.
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. A new mother of a full-term, 7-lb newborn asks the nurse how to ensure that her baby is taking the correct amount of formula at each feeding. The nurse explains that the infant needs approximately 3 ounces of fluid per pound of body weight per day. How many ounces of formula should her infant be eating every 4 hours? _________ ounces (Record your answer to the nearest tenth.)
Correct Answer: 3.5
Rationale: Multiplying 3 oz by 7 lb = 21 oz/day. Dividing 21 oz by 6 feedings (every 4 hours) = 3.5 oz per feeding.
Which nursing action would best help the child to cope with the effects of the chemotherapy?
- A. Serve the child a well-balanced meal before beginning the chemotherapy.
- B. Give the child an antiemetic before beginning the chemotherapy.
- C. Encourage the child to get plenty of rest before beginning the chemotherapy.
- D. Give the child pain medication before beginning the chemotherapy.
Correct Answer: B
Rationale: Chemotherapy often causes nausea and vomiting. Administering an antiemetic prophylactically manages these side effects, improving the child's comfort and coping.
Pregnancy induced hypertension is diagnosed when:
- A. Hypertension is encountered after 20 weeks of gestation.
- B. Hypertension gets worse in first week of pregnancy.
- C. Hypertension is not controlled with aldomet.
- D. Hypertension gives rise to left ventricular failure.
- E. Blood urea & creatine levels in blood are abnormal.
Correct Answer: A
Rationale: Pregnancy-induced hypertension (gestational hypertension) is diagnosed when hypertension (BP ≥140/90 mmHg) appears after 20 weeks gestation without proteinuria or other preeclampsia features.
If the parents report all the following history findings to the nurse, which one is most closely correlated with an increased risk of rheumatic fever?
- A. The child was exposed to measles within the past 4 weeks.
- B. The child had a severe sore throat within the past 2 weeks.
- C. The child is lethargic and no longer interested in schoolwork.
- D. The child received a bump on the head while playing.
Correct Answer: B
Rationale: Rheumatic fever is strongly associated with a recent streptococcal infection, such as a sore throat caused by group A Streptococcus. A severe sore throat within the past 2 weeks is a key risk factor, as it may indicate an untreated or inadequately treated streptococcal infection.
Which assessment finding is most indicative of a child with a protein deficiency?
- A. Brittle hair and dry skin
- B. Frequent nosebleeds
- C. High fever and chills
- D. Rapid weight gain
Correct Answer: A
Rationale: Protein deficiency can lead to brittle hair and dry skin due to inadequate protein for tissue repair and maintenance, a hallmark of conditions like kwashiorkor.