Nokea
The nurse is educating a client about complications of pregnancy. Which symptom requires immediate medical attention?
- A. Mild swelling in the feet.
- B. Heartburn after eating.
- C. Severe headache and visual disturbances.
- D. Frequent urination.
Correct Answer: C
Rationale: Severe headache and visual disturbances may indicate preeclampsia or other serious conditions requiring prompt evaluation.
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The nurse is teaching a prenatal class about fetal circulation. What structure allows blood to bypass the fetal lungs?
- A. Ductus arteriosus.
- B. Ductus venosus.
- C. Foramen ovale.
- D. Umbilical vein.
Correct Answer: A
Rationale: The ductus arteriosus shunts blood from the pulmonary artery to the aorta, bypassing the fetal lungs.
The nurse is monitoring a client receiving magnesium sulfate for preeclampsia. What finding indicates the need to discontinue the infusion?
- A. Urine output of 50 mL/hour.
- B. Respiratory rate of 10 breaths per minute.
- C. Blood pressure of 140/90 mmHg.
- D. Deep tendon reflexes +3.
Correct Answer: B
Rationale: A respiratory rate below 12 breaths per minute is a sign of magnesium sulfate toxicity, requiring immediate discontinuation.
What information should be included in teaching a breastfeeding woman about Seasonale (ethinyl estradiol and levonorgestrel)?
- A. The woman will menstruate every 8 to 9 weeks.
- B. The pills are taken for 3 out of every 4 weeks.
- C. Breakthrough bleeding is a common side effect.
- D. Breastfeeding is compatible with the medication.
Correct Answer: C
Rationale: Breakthrough bleeding is a known side effect of hormonal contraceptives.
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.
Upon delivery of the newborn, the nursing intervention that most promotes parental attachment is:
- A. Placing the infant under the radiant warmer
- B. Allowing the mother to rest immediately after delivery
- C. Placing the newborn on mother's chest and abdomen
- D. Taking the newborn to the nursery for the initial assessment
Correct Answer: C
Rationale: Skin-to-skin contact enhances bonding.