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A male infant delivered at 28 weeks gestation weighs 2 pounds, 12 ounces. When performing an assessment, the nurse would probably observe:
- A. Wide, staring eye
- B. Transparent, red skin
- C. An absence of lanugo
- D. A scrotum with descended testicles
Correct Answer: B
Rationale: A male infant delivered at 28 weeks gestation, as described, would likely have very underdeveloped skin due to the premature birth. The premature skin is often transparent, allowing the prominent blood vessels underneath to be visible, and may also have a reddish hue due to the skin's immaturity. This characteristic appearance is a common finding in premature infants and is a result of their skin being thinner and more fragile than that of full-term infants. The other options, such as a wide, staring eye, an absence of lanugo, and a scrotum with descended testicles, are not specifically associated with premature birth and are not likely to be observed in this scenario.
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A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching?
- A. Vaginal intercourse can be resumed after 2 weeks.
- B. Products of conception will be present in vaginal bleeding.
- C. Increased intake of zinc-rich foods is recommended.
- D. Aspirin may be taken for cramps.
Correct Answer: B
Rationale: Following a dilation and curettage (D&C) procedure for a miscarriage, it is important to inform the client that they may experience vaginal bleeding containing products of conception. This is a normal part of the recovery process after this type of procedure. The presence of these products of conception in the vaginal bleeding should be monitored and reported to the healthcare provider if there are any unusual symptoms or excessive bleeding. It is essential for the nurse to provide appropriate information and guidance to the client about what to expect post-procedure to ensure they can differentiate between normal and abnormal symptoms.
The patient's family history includes sickle cell disease. The patient's partner also has sickle cell disease in the family history. What type of test should the nurse discuss with the couple due to their family history?
- A. carrier screening for both parents
- B. ultrasound at 6 weeks’ gestation
- C. glucose screening for both parents
- D. thyroid testing
Correct Answer: A
Rationale:
A client comes to the labor and delivery with polyhydramnios. She was admitted and her membrane ruptures is clear and odorless, but the fetal heart monitor indicate bradycardia and variable decelerations. What should action should be taken next?
- A. Perform vaginal exam (lot of fluid, check to see where baby is)
- B. High fowler position
- C. Warm saline soak vaginal
- D. Perform Leopold maneuver
Correct Answer: A
Rationale: In this scenario, with the presence of polyhydramnios and clear, odorless amniotic fluid, the fetal heart monitor indicating bradycardia and variable decelerations indicates a potential umbilical cord compression due to excessive amniotic fluid volume. It is crucial to perform a vaginal exam promptly as this can help assess the position of the baby and determine if there is a cord prolapse or any other complications that may be affecting the fetal heart rate. The baby's position needs to be identified quickly to address potential issues and ensure a safe delivery process.
A nurse is caring for a client who is in labor and requests nonpharmacological pain management. Which of the following nursing actions promotes client comfort?
- A. Assisting the client into squatting position
- B. Having the client lie in a supine position
- C. Applying fundal pressure during contractions
- D. Encouraging the client to void every 6 hr.
Correct Answer: A
Rationale: Assisting the client into a squatting position can help relieve pain and discomfort during labor. Squatting can open up the pelvis, allowing the baby to descend and progress through the birth canal more effectively. This position can also help with gravity-assisted delivery, decreasing the pressure on the mother's back and helping to reduce labor pains. Encouraging various positions during labor can provide comfort and promote optimal positioning for delivery.
A Nurse is caring for a client who is 36 weeks9 gestation and who has suspected placenta previa. Which of the following findings support this diagnosis? Intermitted abdominal pain following the passage Abdominal pain with scant red vaginal bleeding Increasing abdominal pain with non-relaxed Painless red vaginal bleeding Dosage 200 A women at 36 weeks of gestation is placed in a supine position for an ultrasound. She begins to complain about feeling dizzy and nauseated. Her skin feels damp and cool. what would be the nurse9s first action? Obtain vital signs Provide the woman with emesis basin Turn the woman on her side Assess the woman9s respiratory rate and effort The nurse explains to a newly diagnosed pregnant woman at 10 weeks9 gestation that her rubella titer indicates that she is not immune. What is the best response by the nurse? Avoid contact with all children during the pregnancy You should receive the rubella vaccine immediately Obtain a repeat tilter in 3 months You will receive the rubella vaccine during the postpartumperiod The clinic nurse explains to Margaret, a newly diagnosed pregnant woman at 10 weeks' gestation, that her rubella titer indicates that she is not immune. Margaret should be advised to (select all that apply): Select one or more:
- A. Avoid contact with all children
- B. Be retested in 3 months c.Receive the rubella vaccine postpartum
- C. Report signs or symptoms of fever, runny nose, and generalized red rash to the health-care provider C, D Filter and block all substances from reaching the fetus Stops estrogen production Provide nutrition to the fetus Provide antibiotics to the fetus Which of the following is NOT a function of the placenta?
- D. respiratory gas transfer
Correct Answer: C
Rationale: The functions of the placenta primarily include nutrient transfer, hormone production, respiratory gas transfer, and waste elimination. The placenta does not have a role in urine formation. Urine formation is a function of the kidneys in the mother, and it is not directly related to the placenta's functions.