Nokea
The nurse is performing a prenatal assessment. What finding is considered a probable sign of pregnancy?
- A. Positive pregnancy test.
- B. Fetal movement felt by the mother.
- C. Visualization of the fetus on ultrasound.
- D. Auscultation of fetal heart tones.
Correct Answer: A
Rationale: A positive pregnancy test is a probable sign but not definitive, as it could result from other conditions.
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A nurse is assessing a newborn immediately following a vaginal birth. For which of the following findings should the nurse intervene?
- A. Molding
- B. Vernix Caseosa
- C. Acrocyanosis
- D. Sternal retractions
Correct Answer: D
Rationale: Sternal retractions in a newborn may indicate respiratory distress or difficulty breathing. It is important for the nurse to intervene and assess the newborn's respiratory status further as this finding could be a sign of underlying respiratory issues that require immediate attention. The nurse should monitor the newborn's oxygen saturation, respiratory rate, and any other signs of distress to ensure appropriate intervention is provided promptly.
The pediatric nurse is being pulled to the nursery for the day. The census is six neonates. Which 3 neonates are the best client care assignment for the pediatric nurse?? Select all that apply:
- A. An 18-hour post term, breast-fed neonate with jaundice
- B. A 2-day old who has not passed a meconium stool
- C. A recent admission with Apgar score of 8 out of 10
- D. A 1-day-old with caput succedaneum
Correct Answer: A
Rationale: - A. An 18-hour post-term, breast-fed neonate with jaundice would be a good assignment for the pediatric nurse because a neonate with jaundice requires close monitoring of bilirubin levels and feeding patterns. Breastfeeding can also affect jaundice levels, so the nurse can provide education and support to ensure successful breastfeeding and manage jaundice effectively.
The patient's family history includes sickle cell disease. The patient's partner also has sickle cell disease in the family history. What type of test should the nurse discuss with the couple due to their family history?
- A. carrier screening for both parents
- B. ultrasound at 6 weeks’ gestation
- C. glucose screening for both parents
- D. thyroid testing
Correct Answer: A
Rationale:
Early PPH is defined as blood loss greater than ____ 24h after delivery
- A. 500 mL 24h after normal delivery
- B. 1000 48h after c/s (lat
- C. 1500 mL after 48hr
- D. 750 mL after 24h vaginal delivery
Correct Answer: D
Rationale: Early postpartum hemorrhage (PPH) is defined as blood loss greater than 500 mL within the first 24 hours after vaginal delivery. This definition is crucial because it helps healthcare providers identify and promptly address any excessive bleeding that may occur in the immediate postpartum period. Monitoring postpartum bleeding is essential to prevent complications related to PPH, such as maternal anemia, hypovolemic shock, and even maternal death. By knowing the definition of early PPH, healthcare providers can take timely interventions to manage and treat postpartum hemorrhage effectively.
The nurse is caring for a client with gestational hypertension. What symptom should be reported immediately?
- A. Headache unrelieved by acetaminophen.
- B. Slight swelling of the hands.
- C. Mild nausea after eating.
- D. Fatigue at the end of the day.
Correct Answer: A
Rationale: Headache unrelieved by medication may indicate worsening gestational hypertension or preeclampsia.