The normal volume of amniotic fluid is approximately __ $\mathrm{mL}$ at 37 weeks gestation.
- A. 500
- B. 750
- C. 1000
- D. 1250
Correct Answer: C
Rationale: The volume of amniotic fluid steadily increases from about $30 \mathrm{~mL}$ at 10 weeks of pregnancy to $350 \mathrm{~mL}$ at 20 weeks. The volume of fluid is about $1000 \mathrm{~mL}$ at 37 weeks.
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When assessing an 18-month old, the nurse notes a characteristics protruding abdomen. Which of the following would explain the rationale for this findings?
- A. Increased food intake owing to age
- B. Underdeveloped abdominal muscles
- C. Bowlegged posture
- D. Linear growth curve
Correct Answer: B
Rationale: Underdeveloped abdominal muscles cause the protruding abdomen typical in toddlers.
When assessing a child with a cleft palate, the nurse is aware that the child is at risk for more frequent episodes of otitis media due to which of the following?
- A. Lowered resistance from malnutrition
- B. Ineffective functioning of the Eustachian tubes
- C. Plugging of the Eustachian tubes with food particles
- D. Associated congenital defects of the middle ear.
Correct Answer: B
Rationale: Because of the structural defect, children with cleft palate may have ineffective functioning of their Eustachian tubes creating frequent bouts of otitis media.
How many hours of hospital stay does legislation currently allow for a postpartum patient who has delivered vaginally without complications?
- A. 24
- B. 48
- C. 36
- D. 72
Correct Answer: B
Rationale: Postpartum patients who deliver vaginally stay in the hospital for an average of 48 hours; patients who have had a cesarean delivery usually stay 4 days.
Which of the following toys should the nurse recommend for a 5-month-old?
- A. A big red balloon
- B. A teddy bear with button eyes
- C. A push-pull wooden truck
- D. A colorful busy box
Correct Answer: D
Rationale: A busy box facilitates the fine motor development that occurs between 4 and 6 months. Balloons are contraindicated because small children may aspirate balloons. Because the button eyes of a teddy bear may detach and be aspirated, this toy is unsafe for children younger than 3 years. A 5-month-old is too young to use a push-pull toy.
An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
- A. Maternal and infant deaths per 100,000 live births per year
- B. Deaths of fetuses weighing more than $500 \mathrm{~g}$ per 10,000 births per year
- C. Deaths of infants up to 1 year of age per 1000 live births per year
- D. Fetal and neonatal deaths per 1000 live births per year
Correct Answer: D
Rationale: The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
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