Nokea
The nurse is assessing a client at 36 weeks' gestation who reports sharp abdominal pain and heavy vaginal bleeding. What condition should the nurse suspect?
- A. Abruptio placentae.
- B. Placenta previa.
- C. Preterm labor.
- D. Chorioamnionitis.
Correct Answer: A
Rationale: Abruptio placentae is characterized by painful bleeding and requires immediate intervention.
You may also like to solve these questions
A newborn has a respiratory rate of 80 breaths/min, nasal flaring with sternal retractions, a heart rate of 120 beats/min, temperature of 36C and a persisting oxygen saturation of <87%. The nurse interprets these findings as:
- A. Cardiac distress
- B. Respiratory Alkalosis
- C. Bronchial pneumonia
- D. Respiratory Distress
Correct Answer: D
Rationale: These signs indicate respiratory distress.
The parents of a male newborn ask the nurse whether they should have their son circumcised. The nurse ‘s most appropriate response would be:
- A. "It would be a good idea because circumcision is known to prevent penile cancer."
- B. "That's something you both will have to decide after you discuss it thoroughly with your doctor."
- C. "The Academy of Pediatrics recommends that circumcision not be done routinely because of the risks associated with the procedure."
- D. "I'm sure you have discussed this with your doctor, but let's review the benefits and risks of circumcision'.
Correct Answer: B
Rationale: The most appropriate response for the nurse in this situation is to encourage open discussion between the parents and the doctor regarding the decision to circumcise their son. This allows the parents to make an informed decision based on their beliefs, values, and medical advice provided by the healthcare provider. It is important for parents to have all the necessary information and support to make the best decision for their child's well-being. The decision to circumcise is a personal one and should be made after careful consideration and consultation with a healthcare professional.
The nurse is teaching a prenatal class about warning signs in pregnancy. Which symptom should be reported immediately?
- A. Mild swelling in the feet.
- B. Headache unrelieved by rest or medication.
- C. Increased appetite.
- D. Frequent urination.
Correct Answer: B
Rationale: A headache unrelieved by rest or medication may indicate preeclampsia or other serious conditions and should be reported immediately.
The pediatric nurse would be participating in the role of advocate when completing which action?
- A. Instructing parents on the side effects of vaccinations they are requesting for their child
- B. Contributing input on a task force with the aim to reduce the rate of mortality of infants and children
- C. Teaching parents to keep their prescribed medication safely out of reach of children
- D. Explaining to parents the reason for each medication their child was recently prescribed
Correct Answer: B
Rationale: The role of advocacy is being fulfilled when the nurse works to safeguard and advance the interest of children and infants through many means, including contributing to the learning and application of a task force aimed at reducing infant and children mortality.
To meet the goal of promoting infant feeding in a breastfed baby, the nurse should teach the mother to do which of the following? Select all that apply.
- A. Feed the baby on a 3- to 4-hour schedule.
- B. Alternate breast milk and formula for each feeding.
- C. Stop breastfeeding if her nipples get sore.
- D. Maintain on-demand breastfeeding for the first 4 weeks.
Correct Answer: D
Rationale: On-demand feeding and maternal self-care promote successful breastfeeding.