The expected physiologic weight loss in the term newborn's first week of life is
- A. up to 20% of birth weight
- B. no weight loss
- C. up to 10% of birth weight
Correct Answer: C
Rationale: Newborns typically lose up to 10% of their birth weight in the first week due to fluid loss and limited intake.
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The most common neonatal bacterial infection is
- A. Staphylococcus aureus
- B. Pseudomonas aeruginosa
- C. Group B Streptococcus
Correct Answer: C
Rationale: Group B Streptococcus is a frequent cause of early-oncome neonatal infections.
During stage two of milk production (the postpartum period), hormonal changes include
- A. increased progesterone and decreased prolactin
- B. increased progesterone and decreased estrogen
- C. decreased progesterone and increased prolactin
Correct Answer: C
Rationale: Progesterone withdrawal and rising prolactin facilitate lactogenesis.
The newborn's sensory capacity to attend to and fixate on a visual stimulus (e.g., caregiver's face) is known as
- A. habituation
- B. orientation
- C. self-quieting
Correct Answer: B
Rationale: Orientation refers to the newborn's ability to focus on and respond to visual stimuli.
What condition would the nurse include when teaching a patient about the potential complications of polycystic ovary syndrome (PCOS)?
- A. breast cancer
- B. cirrhosis of the liver
- C. insulin resistance
- D. insomnia
Correct Answer: C
Rationale: The correct answer is C: insulin resistance. PCOS is associated with insulin resistance, leading to an increased risk of type 2 diabetes. This is crucial for the nurse to include in patient education. A: breast cancer is not a common complication of PCOS. B: cirrhosis of the liver is not directly related to PCOS. D: insomnia is not a typical complication of PCOS. In summary, insulin resistance is the primary concern in PCOS due to its impact on metabolic health.
How should these findings be interpreted?
- A. There is no increased likelihood that the patient will develop breast or ovarian cancer.
- B. There is an increased likelihood only for the development of breast cancer in a woman.
- C. More information is needed to interpret these findings based on the patient’s family history and the patient’s current and past medical history.
- D. A radical bilateral mastectomy is required as soon as possible, since the cancer may have already undergone sub-metastasis.
Correct Answer: C
Rationale: The correct answer is C because interpreting medical findings requires a comprehensive understanding of the patient's full medical history, including family history. It is essential to consider all relevant information before making any conclusions or decisions. Options A and B provide oversimplified and potentially incorrect interpretations without considering the full context. Option D is extreme and unwarranted without a thorough evaluation. The correct approach is to gather more information to make an informed interpretation based on the individual patient's unique circumstances.