Nokea
Put the embryonic/fetal characteristics in the correct order of occurrence from week 3 to week 36 of gestation. Put a comma and space between each answer choice (a, b, c, d, etc.)
- A. Subcutaneous fat is present.
- B. Bone marrow forms blood cells.
- C. Spinal cord and brain appear.
- D. Skull and jaw ossify.
Correct Answer: C
Rationale: Primitive spinal cord and brain appear at 3 weeks. Neural tube closes at 4 weeks. Skull and jaw ossify at 6 weeks. Spleen stops forming blood cells and bone marrow takes over at 29 weeks. Subcutaneous fat is present at 36 weeks. This sequence reflects the chronological progression of key developmental milestones.
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A nurse is caring for a postpartum person who is breastfeeding. What is the most important action to support successful breastfeeding?
- A. educate the person on proper latch
- B. support skin-to-skin contact
- C. promote frequent feeding
- D. educate on postpartum care
Correct Answer: B
Rationale: The correct answer is B: support skin-to-skin contact. Skin-to-skin contact immediately after birth helps regulate the baby's body temperature, promotes bonding, and enhances breastfeeding success by stimulating the baby's natural instincts to latch on and feed. This action establishes a strong foundation for successful breastfeeding.
Rationale:
1. Skin-to-skin contact promotes bonding and attachment between the parent and baby, creating a supportive environment for breastfeeding.
2. It helps regulate the baby's body temperature, ensuring they are comfortable and more willing to breastfeed effectively.
3. Skin-to-skin contact triggers the baby's natural feeding reflexes, making it easier for them to latch on properly.
4. This action fosters a positive breastfeeding experience for both the parent and baby, setting the stage for successful breastfeeding.
Summary:
- Choice A: educating on proper latch is important, but skin-to-skin contact is more crucial for establishing successful breastfeeding.
- Choice C: promoting frequent feeding is beneficial, but skin-to
The nurse is caring for a 15-year-old female who is pregnant with her first child. In her previous prenatal visit, the patient tested negative for chlamydia, syphilis, gonorrhea, and HIV. Based on the information provided, which condition is the patient's baby at higher risk for?
- A. Intestinal problems
- B. Neonatal conjunctivitis
- C. Blindness
- D. Pneumonia
Correct Answer: B
Rationale: Step 1: The patient tested negative for chlamydia, syphilis, gonorrhea, and HIV, reducing the risk of transmission of these infections to the baby.
Step 2: Neonatal conjunctivitis is commonly caused by exposure to maternal genital tract bacteria during birth.
Step 3: Since the patient tested negative for the common infections, neonatal conjunctivitis becomes the higher risk for the baby.
Summary: A, C, and D are not directly related to the information provided, making them incorrect choices. Neonatal conjunctivitis is the most likely risk due to maternal genital tract bacteria exposure during birth.
A nurse is providing discharge instructions to a postpartum person who had a cesarean birth. What is the most important instruction to include?
- A. avoid heavy lifting
- B. encourage deep breathing exercises
- C. encourage early ambulation
- D. avoid sexual activity
Correct Answer: B
Rationale: The correct answer is B: encourage deep breathing exercises. Deep breathing helps prevent complications like pneumonia after surgery, aids in lung expansion, and promotes overall respiratory health. Choice A is important but not the most crucial post-cesarean. Choice C promotes mobility but doesn't address immediate respiratory needs. Choice D is important but not the most vital in the early postpartum period.
Put the embryonic/fetal characteristics in the correct order of occurrence from week 3 to week 36 of gestation. Put a comma and space between each answer choice (a, b, c, d, etc.)
- A. Subcutaneous fat is present.
- B. Bone marrow forms blood cells.
- C. Spinal cord and brain appear.
- D. Skull and jaw ossify.
Correct Answer: C
Rationale: Primitive spinal cord and brain appear at 3 weeks. Neural tube closes at 4 weeks. Skull and jaw ossify at 6 weeks. Spleen stops forming blood cells and bone marrow takes over at 29 weeks. Subcutaneous fat is present at 36 weeks. This sequence reflects the chronological progression of key developmental milestones.
A woman is 36 weeks’ gestation. Which of the following tests will be done during her prenatal visit?
- A. Glucose challenge test.
- B. Amniotic fluid volume assessment.
- C. Vaginal and rectal cultures.
- D. Karyotype analysis.
Correct Answer: C
Rationale: Vaginal and rectal cultures are performed to check for Group B Streptococcus (GBS), which can affect the newborn. Glucose challenge tests are typically done earlier in pregnancy, and karyotype analysis is not routine.