Nokea
The nurse is caring for a client with gestational diabetes. What complication should the nurse monitor for during labor?
- A. Placental abruption.
- B. Macrosomia.
- C. Preterm labor.
- D. Postpartum hemorrhage.
Correct Answer: B
Rationale: Macrosomia is a common complication of gestational diabetes, increasing the risk of delivery challenges.
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A woman with a multiple fetus pregnancy asks, <What are the chances of having an uncomplicated pregnancy?= The nurse's best response is that
- A. Spontaneous abortion is more common with twins
- B. Women pregnant with twins are less likely to develop complications
- C. Twins are less likely to have complications that single babies
- D. Perinatal mortality rate of monoamniotic siblings is 50%
Correct Answer: C
Rationale: The nurse's best response would be that twins are less likely to have complications than single babies. This is because multiple pregnancies do have an increased risk of complications compared to singleton pregnancies, but within the realm of multiple pregnancies, twins typically have better outcomes compared to higher-order multiples like triplets or quadruplets. Twins are more likely to be born at term, have higher birth weights, and are less likely to experience certain complications such as prematurity-related issues. Therefore, the chances of having an uncomplicated pregnancy are generally better with twins compared to higher-order multiples.
Which intervention is most critical for a mother with a uterine atony postpartum?
- A. Perform uterine massage
- B. Administer oxytocin infusion
- C. Monitor blood pressure and pulse frequently
- D. Encourage breastfeeding to stimulate uterine contractions
Correct Answer: A
Rationale: Performing uterine massage helps contract the uterus and reduce bleeding in uterine atony.
A new mother states that her infant must be cold because the baby's head and feet are blue? The nurse should explain that this is a common and temporary condition called:
- A. Acrocyanosis
- B. Vernix caseosa
- C. Erythema neonatorum
- D. Harlequin color
Correct Answer: A
Rationale: Acrocyanosis is a common and benign condition in newborn infants characterized by temporary blueness or cyanosis of the hands, feet, and sometimes the face. This blueness is caused by the temporary constriction of blood vessels in those areas, resulting in reduced blood flow and less oxygen reaching the skin. Acrocyanosis typically resolves on its own and does not indicate any serious health concerns in newborns. It is important for healthcare providers to reassure parents that acrocyanosis is a normal phenomenon in newborns and does not require treatment.
A nurse is assessing a newborn who is 48 hours old and is experiencing opioid withdrawals. Which of the following findings should the nurse expect?
- A. Hypotonicity
- B. Moderate tremors of the extremities
- C. Axillary temperature 36.1°C (96.9 F)
- D. Excessive sleeping
Correct Answer: B
Rationale: Neonatal opioid withdrawal syndrome, also known as neonatal abstinence syndrome (NAS), can occur in newborns who were exposed to opioids in utero. Symptoms of NAS can include tremors, irritability, high-pitched crying, poor feeding, vomiting, diarrhea, sweating, and sneezing. The severity of symptoms can vary depending on the type of opioid exposure, dosage, and duration of exposure. In this case, the nurse should expect to see moderate tremors of the extremities in the newborn experiencing opioid withdrawals at 48 hours old. It is important for the nurse to monitor and manage the newborn's withdrawal symptoms closely to ensure their safety and well-being.
The nurse provides counseling on coitus interruptus. What important counseling should be included?
- A. The partners must communicate well to use this method.
- B. This method is 100 percent effective because semen does not enter the vagina.
- C. BBT must be used with this method.
- D. All persons are able to control ejaculate in time to withdraw.
Correct Answer: A
Rationale: The important counseling that should be included when discussing coitus interruptus (withdrawal method) is that the partners must communicate well to use this method effectively. Coitus interruptus involves the male partner withdrawing his penis from the vagina before ejaculation to prevent sperm from entering the woman's reproductive tract. Effective communication between partners is crucial to ensure that the method is used correctly and consistently. This method does not protect against sexually transmitted infections (STIs), so it's also important to discuss alternative methods of contraception for STI prevention. The statement that this method is 100 percent effective is incorrect, as pre-ejaculate can contain sperm and there is a risk of pregnancy if withdrawal is not done correctly.