Nokea
The nurse is caring for a client with preeclampsia. What is the primary goal of magnesium sulfate therapy?
- A. To reduce blood pressure.
- B. To prevent seizures.
- C. To improve fetal circulation.
- D. To treat headaches.
Correct Answer: B
Rationale: Magnesium sulfate is administered in preeclampsia primarily to prevent eclampsia-related seizures.
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A nurse is planning care for a newborn who is scheduled to start phototherapy using a lamp. Which of the following actions should the nurse include in the plan?
- A. Apply a thin layer of lotion to the newborn skin every 8 hrs.
- B. Give the newborn 1oz of glucose water every 4 hrs.
- C. Ensure the newborn eyes are closed beneath the shield.
- D. Dress the newborn in a thin layer of clothing during therapy
Correct Answer: C
Rationale: The correct action the nurse should include in the care plan for a newborn undergoing phototherapy using a lamp is to ensure that the newborn's eyes are closed beneath the shield. This is important to protect the newborn's eyes from exposure to the bright light emitted during phototherapy, as prolonged exposure can lead to eye damage. Keeping the eyes closed under the shield helps prevent potential harm and ensures the safety and well-being of the newborn during the treatment. Applying a thin layer of lotion, giving glucose water, or dressing the newborn in clothing are not relevant or appropriate actions for phototherapy care in this scenario.
The nurse is assessing a client with suspected gestational diabetes. What is the most reliable diagnostic test?
- A. Random blood glucose test.
- B. Oral glucose tolerance test (OGTT).
- C. Fasting blood glucose test.
- D. Hemoglobin A1C.
Correct Answer: B
Rationale: The oral glucose tolerance test (OGTT) is the standard for diagnosing gestational diabetes.
What are the modes of heat loss in babies? SATA
- A. Radiation
- B. Conduction
- C. Convection
- D. Perspiration (baby's don't perspir
Correct Answer: A
Rationale: A. Radiation: Heat loss through radiation occurs when the baby is near a cold surface or in a drafty room, causing heat to transfer from the baby's body to the surrounding environment.
A nurse is assessing a newborn who was born vaginally with vacuum extractor assistance ... that crosses the suture line. The nurse should identify the swellings as which of the following....?
- A. Nevus flammeus
- B. Caput uccedaneum
- C. Cephalohematoma
- D. Erythema toxicum
Correct Answer: C
Rationale: Cephalohematoma is a collection of blood between the skull and its periosteum that occurs due to rupture of blood vessels during birth trauma. It is typically found on one side of the head and does not cross the suture line. In contrast, caput succedaneum is a diffuse swelling that occurs on the newborn's scalp and can cross the suture lines. Nevus flammeus is a vascular birthmark that appears as a pink or red patch on the skin, unrelated to trauma. Erythema toxicum is a benign rash that appears as red spots or patches with a white or yellow papule in the center, also unrelated to trauma.
According to the ACC/AHA guidelines, what factors are considered to assess a person's 10-year risk of developing a first cardiovascular event?
- A. age, sex, race, blood pressure, and smoking status
- B. age, sex, race, total cholesterol, HDL cholesterol, systolic blood pressure, blood pressure–lowering medication use, diabetes status, and smoking status
- C. blood pressure, cholesterol levels, diabetes status, and weight
- D. age, sex, race, and weight
Correct Answer: B
Rationale: