Nokea
The nurse is reading a pregnant patients history and physical. What information does the nurse recognize might indicate the need for a cesarean delivery? (Select one that does not apply.)
- A. History of childhood rickets
- B. Immobile coccyx
- C. Prepregnant weight of 100 pounds
- D. Pelvic Fracture
Correct Answer: C
Rationale: Pelvic conditions that may predispose to a cesarean delivery are childhood rickets, pelvic fracture, and immobile coccyx. 'E' refers to pelvic fracture 3 years ago.
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You are assessing 7-year-old Mary's lymph nodes. Using the distal portion of your fingers, you press gently but firmly in a circular motion along the occipital and post auricular node areas. You record the findings as 'tender, enlarged, and warm lymph nodes.' Which of the following is TRUE?
- A. Your findings are within normal limits for Mary's age.
- B. Your assessment technique was incorrect and should be repeated.
- C. Your findings suggest infection or inflammation in the scalp area or external ear canal.
- D. Your recording of the information is complete because it includes temperature and tenderness.
Correct Answer: C
Rationale: Tender, enlarged, warm lymph nodes suggest infection/inflammation, likely in the scalp or ear canal, not normal for a healthy child.
An urban area has been reported to have a high perinatal mortality rate. What information does this provide?
- A. Maternal and infant deaths per 100,000 live births per year
- B. Deaths of fetuses weighing more than $500 \mathrm{~g}$ per 10,000 births per year
- C. Deaths of infants up to 1 year of age per 1000 live births per year
- D. Fetal and neonatal deaths per 1000 live births per year
Correct Answer: D
Rationale: The perinatal mortality rate includes fetal and neonatal deaths per 1000 live births per year.
You are the clinician on duty at Rabuor health centre when a mother is brought by relatives having delivered at home 2 days ago. When you examine the baby you find a tiny infant weighing $1800 \mathrm{~g}$. The baby is cold with bluish lips and a weak cry. List 4 signs of prematurity. What is one sign?
- A. Low birth weight (<2500 g)
- B. High birth weight (>4000 g)
- C. Thick skin with vernix
- D. Strong sucking reflex
Correct Answer: A
Rationale: Low birth weight (<2500 g) is a hallmark sign of prematurity, consistent with this baby’s 1800 g weight.
What is the total number of chromosomes contained in a mature sperm or ovum?
- A. 22
- B. 23
- C. 44
- D. 46
Correct Answer: B
Rationale: Gametes (sex chromosomes) contain 23 chromosomes.
You’re assessing the one minute APGAR score of a newborn baby. On assessment, you note the following about your newborn patient: heart rate 101, cyanotic body and extremities, no response to stimulation, no flexion of extremities, and strong cry. What is your patient’s APGAR score?
- A. APGAR 4
- B. APGAR 6
- C. APGAR 3
- D. APGAR 2
Correct Answer: A
Rationale: APGAR scoring: Heart rate 101 (2 points), cyanotic body/extremities (0 points), no response to stimulation (0 points), no flexion (0 points), strong cry (2 points). Total = 2 + 0 + 0 + 0 + 2 = 4.