Nokea
The nurse is preparing a client for cesarean delivery. What is the priority nursing action?
- A. Obtain baseline vital signs.
- B. Insert an indwelling urinary catheter.
- C. Verify signed informed consent.
- D. Administer prophylactic antibiotics.
Correct Answer: C
Rationale: Ensuring informed consent is signed is a priority before any surgical procedure.
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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.
What is a common risk factor for breast cancer? Select all that apply.
- A. being assigned female at birth
- B. having a first-degree relative with breast cancer
- C. carrying mutations in BRCA1 and BRCA2 genes
- D. being of African American ethnicity
Correct Answer: A,B,C
Rationale:
What is the purpose of a birth plan?
- A. dream about birth
- B. learn about birth options and determine personal preferences
- C. list all things not wanted for the birth
- D. ensure an unmedicated birth
Correct Answer: B
Rationale: A birth plan helps individuals explore options and articulate their preferences for childbirth.
Magnesium sulfate is given to a pregnant client for which of the following reasons? (Select all that apply) Provide fetal neuroprotection Improve patellar reflexes and increase respiratory efficiency Induction of labor Prevent seizures Stop/decrease uterine contractions The clinical nurse talks with a client about her possible pregnancy. The client has experienced amenorrhea for 2 months, nausea during the day with vomiting every other morning, and breast tenderness. What are these symptoms best described as? Possible signs of pregnancy Positive signs pregnancy Presumptive signs of pregnancy Probable signs of pregnancy The clinic nurse talks with a patient about her possible pregnancy. The patient has experienced amenorrhea for 2 months, nausea during the day with vomiting every other morning, and breast tenderness. She is convinced she is pregnant and is reluctant to pay for a pregnancy test. Which action by the nurse is best?
- A. Agree that these signs usually signal pregnancy so no test is needed.
- B. Delete the order for the pregnancy test and inform the provider.
- C. Explain that these symptoms can be caused by other conditions.
- D. Inform the woman that this is standard procedure and must be done.
Correct Answer: C
Rationale: The best action for the nurse to take in this situation is to explain to the patient that these symptoms can be caused by other conditions besides pregnancy. It is important for the nurse to educate the patient that while these symptoms are commonly associated with pregnancy, they are not definitive signs and can also be attributed to other factors or medical conditions. Encouraging the patient to undergo a pregnancy test can help confirm or rule out pregnancy and provide appropriate care and guidance moving forward.
A client at 32 weeks' gestation is diagnosed with oligohydramnios. What complication is associated with this condition?
- A. Fetal macrosomia.
- B. Cord prolapse.
- C. Pulmonary hypoplasia.
- D. Placenta previa.
Correct Answer: C
Rationale: Oligohydramnios can lead to pulmonary hypoplasia due to insufficient amniotic fluid for lung development.