Nokea
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.
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Which comment by a woman shows understanding of diaphragm teaching?
- A. I should regularly put the diaphragm up to the light and look at it carefully.
- B. This is one method that can be used during menstruation.
- C. I can leave the diaphragm in place for a day or two.
- D. The diaphragm should be well powdered before I put it back in the case.
Correct Answer: B
Rationale: Diaphragms can be used during menstruation.
A nurse is assessing a client who is at 31 weeks of gestation. Which of the following findings show potential prenatal complication?
- A. Periodic tingling of fingers
- B. Absence of clonus
- C. Leg cramps
- D. Blurred vision
Correct Answer: D
Rationale: Blurred vision is a potential prenatal complication during the third trimester of pregnancy and can be a sign of conditions such as preeclampsia or gestational diabetes. It is important for the nurse to further assess this finding and consult with the healthcare provider to ensure appropriate management and monitoring of the client's condition. Periodic tingling of fingers, absence of clonus, and leg cramps are common discomforts during pregnancy and do not typically indicate a prenatal complication.
A neonate is being discharged home with a fiber-optic blanket for treatment of physiologic jaundice. What is important for the nurse to include in the discharge instructions?
- A. Cover the infant's eyes during the treatment.
- B. Reduce the daily number of formula feedings.
- C. Encourage frequent feeding to increase intake.
- D. Expect a constipated stool until jaundice clears.
Correct Answer: C
Rationale: Frequent feeding aids in bilirubin excretion.
With regard to the care management of preterm labor should the nurse should be aware of?
- A. The diagnosis of preterm labor is based on gestational age, uterine activity and progressive cervical change
Correct Answer: A
Rationale: Preterm labor is diagnosed based on a combination of factors including gestational age (typically less than 37 weeks), uterine activity (regular, painful contractions), and progressive changes in the cervix (dilation, effacement, or both). It is important for the nurse to be aware of these criteria to promptly recognize and manage preterm labor to reduce the risk of complications for both the mother and the baby. Early detection and timely intervention can help improve outcomes for preterm infants.
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.