Nokea
A 29-year-old low-risk primiparous patient has just placental abruption?
- A. Mild: Grade 1
- B. Moderate: Grade 2
- C. Marked: Grade 3
- D. Severe: Grade 4
Correct Answer: B
Rationale: Placental abruption is classified based on the severity of symptoms and extent of separation of the placenta from the uterine wall. In a low-risk primiparous patient like the one described, a moderate placental abruption (Grade 2) is likely when there is some vaginal bleeding, mild to moderate abdominal pain, and signs of fetal distress such as abnormal fetal heart rate patterns.
You may also like to solve these questions
A 2-week-old neonate is admitted to the hospital with a diagnosis of possible sepsis. The neonate weighs 3.2 kg, The health care provider prescribes the following orders for the neonate and signs the order sheet. Which order would the nurse question? Progress Notes: 12/01/22- 10am
- A. Acetaminophen (Tylenol) 10mg/kg per rectum every 4-6 hours prn for pain
- B. Ampicillin 200mg/kg IV every 6 hours in D5.45 NSSIV @ 125ml/hr.
- C. Mom may breastfeed ad lib
- D. Draw blood cultures x 3 in A.M.
Correct Answer: B
Rationale: Ampicillin dosage exceeds recommended levels for neonates.
What findings would make the nurse suspicious of anorexia in a client?
- A. Aversion to exercise and food allergies.
- B. Significant weight loss and amenorrhea.
- C. Respiratory distress and thick oral mucus.
- D. Cardiac arrhythmias and anasarca.
Correct Answer: B
Rationale: Weight loss and amenorrhea are hallmark signs of anorexia.
The nurse assures the breastfeeding mother that she will know that her infant is getting an adequate supply of breast milk if the infant gains weight and:
- A. Rarely sucks on a pacifier.
- B. Ha several hard stools daily
- C. Voids 6 or more times a day
- D. Awakens to feed every 4 hours
Correct Answer: C
Rationale: Frequent voiding indicates adequate intake.
What is the first action when a newborn has a heart rate below 100 bpm immediately after birth?
- A. Provide chest compressions
- B. Administer oxygen and provide stimulation
- C. Delay interventions and reassess in 5 minutes
- D. Start an IV line for medications
Correct Answer: B
Rationale: Providing oxygen and stimulation helps improve heart rate and respiratory status.
What is an example of a nurse's question that is part of the Four Cs?
- A. What did you do to cause your injury?
- B. What are you concerned about today?
- C. What kind of problems will your traditions cause for other patients?
- D. When will your family move you in to stay with them?
Correct Answer: B
Rationale: The Four Cs (Concerns, Causes, Comfort, and Collaboration) focus on understanding the patient's perspective and concerns.