Nokea
A client at 35 weeks' gestation with polyhydramnios is being monitored for complications. What condition is the client at increased risk for?
- A. Umbilical cord prolapse.
- B. Placental abruption.
- C. Fetal growth restriction.
- D. Gestational diabetes.
Correct Answer: A
Rationale: Polyhydramnios increases the risk of umbilical cord prolapse due to excessive amniotic fluid and unstable fetal positioning.
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A newborn's birth was prolonged because the shoulders were very wide. The nurse performing the assessment would be particularly observant for a problem with the:
- A. Moro reflex
- B. Plantar reflex
- C. Babinski reflex
- D. Stepping reflex
Correct Answer: B
Rationale: Shoulder dystocia can affect the plantar reflex.
What is the recommended daily calcium intake for persons AFAB aged 51 and above?
- A. 500 mg per day
- B. 800 mg per day
- C. 1,000 mg per day
- D. 1,200 mg per day
Correct Answer: D
Rationale:
What is the rationale for the nurse's questions regarding a nonpregnant young woman diagnosed with bacterial vaginosis?
- A. Clients with BV can infect their sexual partners.
- B. The nurse is required by law to ask the questions.
- C. Clients with BV can become infected with HIV and other sexually transmitted infections more easily than uninfected women.
- D. The laboratory needs a full client history to know for which organisms and antibiotic sensitivities it should test.
Correct Answer: C
Rationale: BV increases susceptibility to other STIs, including HIV.
The nurse's initial action when caring for an infant with a slightly decreased temperature is to:
- A. notify the physician immediately.
- B. place a cap on the infant's head and have the mother perform kangaroo care.
- C. tell the mother that the infant must be kept in the nursery and observed for the next 4 hours.
- D. change the formula, as this is a sign of formula intolerance.
Correct Answer: B
Rationale: Kangaroo care and covering the head help conserve heat.
What is the nurse's role when preparing a mother for epidural anesthesia?
- A. Monitor the mother's contractions
- B. Ensure the mother has an empty bladder
- C. Ensure the mother is in a supine position
- D. Administer a test dose of the epidural medication
Correct Answer: C
Rationale: Ensuring the bladder is empty helps prevent complications during epidural anesthesia.