Nokea
The nurse advises the client to clean the newborn's umbilical cord with which substance?
- A. Alcohol or antiseptic as prescribed
- B. Soap and water
- C. Hydrogen peroxide
- D. No cleaning needed
Correct Answer: A
Rationale: Cleaning with alcohol or antiseptic as prescribed prevents infection until the cord stump falls off.
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Which food provides the best alternative source of calcium?
- A. Organ meats
- B. White bread
- C. Leafy green vegetables
- D. Dark turkey meat
Correct Answer: C
Rationale: Leafy green vegetables, such as kale and spinach, are rich in calcium and a good alternative for those who dislike milk.
The nurse is caring for the pregnant client at 20 weeks’ gestation. At what level should the nurse expect to palpate the client’s uterine height?
- A. Two finger-breadths above the symphysis pubis
- B. Halfway between the symphysis pubis and the umbilicus
- C. At the level of the umbilicus
- D. Two finger-breadths above the umbilicus
Correct Answer: C
Rationale: At 20 gestational weeks, the uterus should be at the level of the umbilicus. The uterine height is too low for 20 weeks’ gestation. At 13 weeks, the uterus would be approximately two finger-breadths above the symphysis pubis. The uterine height is too low for 20 weeks’ gestation. At 16 weeks, the uterus would be approximately halfway between the umbilicus and symphysis pubis. The uterine height is too high for 20 weeks’ gestation. At 22 weeks, the uterus would be two finger-breadths above the umbilicus.
When the client asks the nurse about the viability of the ovum after ovulation, the nurse correctly explains that after ovulation, the ovum remains alive for how many hours?
- A. 2 hours
- B. 24 hours
- C. 48 hours
- D. 72 hours
Correct Answer: B
Rationale: The ovum remains viable for approximately 24 hours after ovulation, during which it can be fertilized by sperm.
The nurse correctly sends a requisition and specimen for which laboratory test?
- A. Alpha-fetoprotein (AFP)
- B. Corticotropin-releasing hormone (CRH)
- C. Human chorionic gonadotropin (hCG)
- D. Follicle-stimulating hormone (FSH)
Correct Answer: C
Rationale: Human chorionic gonadotropin (hCG) is the hormone tested to confirm pregnancy, as it is produced by the placenta shortly after implantation.
When the nurse discusses the tasks to be accomplished during the client's visit at 24 weeks' gestation, which routine test will be performed?
- A. Coombs' test
- B. Glucose tolerance test
- C. Urinalysis
- D. Rubella titer
Correct Answer: B
Rationale: The glucose tolerance test is routinely performed around 24-28 weeks to screen for gestational diabetes.