Nokea
The nurse is monitoring a client receiving magnesium sulfate for preeclampsia. What finding indicates magnesium toxicity?
- A. Increased urine output.
- B. Deep tendon reflexes +4.
- C. Respiratory rate of 10 breaths per minute.
- D. Blood pressure of 140/90 mmHg.
Correct Answer: C
Rationale: Respiratory depression is a key sign of magnesium sulfate toxicity and requires immediate intervention.
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The pediatric nurse would be participating in the role of advocate when completing which action?
- A. Instructing parents on the side effects of vaccinations they are requesting for their child
- B. Contributing input on a task force with the aim to reduce the rate of mortality of infants and children
- C. Teaching parents to keep their prescribed medication safely out of reach of children
- D. Explaining to parents the reason for each medication their child was recently prescribed
Correct Answer: B
Rationale: The role of advocacy is being fulfilled when the nurse works to safeguard and advance the interest of children and infants through many means, including contributing to the learning and application of a task force aimed at reducing infant and children mortality.
Which contraceptive method is best for a woman with multiple sex partners?
- A. Intrauterine device.
- B. Female condom.
- C. Bilateral tubal ligation.
- D. Birth control pills.
Correct Answer: B
Rationale: Female condoms provide dual protection against pregnancy and STIs.
Although circumcision continues to be a controversial procedure, many parents in the United States elect to have this surgery performed on their newborn sons. It is believed that newborns do not feel pain; therefore, this is the optimum time for the procedure to be done and no anesthesia is required.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Newborns do feel pain, and current guidelines recommend using analgesia during circumcision.
In what way is the Mongan Method of childbirth education beneficial to birthing people?
- A. It helps people push with great effort in second stage labor.
- B. Birthing people feel confident about the use of an epidural to relax the body.
- C. People are taught how to release fear to decrease pain.
- D. HypnoBirthing is proven to be 100 percent effective in relieving pain in labor.
Correct Answer: C
Rationale: The Mongan Method focuses on releasing fear to reduce pain, promoting a calm birthing experience.
The nurse assures the breastfeeding mother that she will know that her infant is getting an adequate supply of breast milk if the infant gains weight and:
- A. Rarely sucks on a pacifier.
- B. Ha several hard stools daily
- C. Voids 6 or more times a day
- D. Awakens to feed every 4 hours
Correct Answer: C
Rationale: Frequent voiding indicates adequate intake.