Nokea
What is the initial action for a mother experiencing severe vaginal bleeding during labor?
- A. Monitor vital signs and provide IV fluids
- B. Position the mother on her left side
- C. Administer oxygen at 10L/min via mask
- D. Prepare for an immediate cesarean section
Correct Answer: C
Rationale: Administering oxygen improves maternal and fetal oxygenation during significant bleeding.
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the nurse knows that management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides are for a client with this condition should be aware that which of the following is the optimal pharmacological therapy for pain relief dysmenorrhea? Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a client with this condition should be aware that the optimal pharmacologic therapy for pain relief is:
- A. Acetaminophen.
- B. Oral contraceptives (OCPs). c.Nonsteroidal anti-inflammatory drugs (NSAIDs).
- C. Aspirin
- D. ampicillin
Correct Answer: C
Rationale: Nonsteroidal anti-inflammatory drugs (NSAIDs) are considered the optimal pharmacological therapy for pain relief in primary dysmenorrhea. They work by reducing the production of prostaglandins, which are responsible for causing uterine contractions and pain. NSAIDs such as ibuprofen, naproxen, and mefenamic acid are commonly used to alleviate menstrual cramps. Acetaminophen may also provide pain relief, but it does not have the anti-inflammatory properties of NSAIDs. Oral contraceptives (OCPs) can help regulate menstrual cycles and reduce pain in some individuals, but they are not the first line of treatment for immediate pain relief in primary dysmenorrhea. Aspirin, while an NSAID, is not typically recommended for menstrual pain relief due to its potential side effects on blood clotting and gastrointestinal irritation.
A nurse is providing teaching to a client who is at 38 weeks of gestation and has a prescription to receive misoprostol intravaginally. Which of the following statement should the nurse make?
- A. "You will need to stay in a side-lying position for 30 minutes after each dose."
- B. "You will receive an IV infusion of oxytocin 1 hour after your last dose."
- C. " You will receive a magnesium supplement immediately following therapy."
- D. " You will need to have a full bladder before the therapy begins."
Correct Answer: A
Rationale: The correct statement the nurse should make to the client receiving misoprostol intravaginally is, "You will need to stay in a side-lying position for 30 minutes after each dose." This instruction is important because maintaining a side-lying position can help prevent leakage and promote proper absorption of the medication. It enhances the effectiveness of the medication and reduces the risk of its expulsion before absorption, ultimately leading to a better response to the treatment. The other options are not relevant to the administration of misoprostol intravaginally and do not align with best practice for this specific therapy.
The nurse is caring for a client in labor with meconium-stained amniotic fluid. What is the priority action?
- A. Administer oxygen to the mother.
- B. Notify the healthcare provider.
- C. Prepare for potential neonatal resuscitation.
- D. Increase IV fluid rate.
Correct Answer: C
Rationale: Meconium-stained amniotic fluid poses a risk of aspiration; preparation for neonatal resuscitation is critical.
A couple who has stated that they are LGBTQIA+ during prior visits arrives at the clinic for prenatal care. What can the nurse say in the waiting area to help them feel welcome and safe?
- A. You can take this tablet to an area in the waiting room and check in. Then bring the tablet back to me when you are done.
- B. Are you pregnant? Your paperwork says your name is Tom.
- C. You can have a seat, and a person from the LGBTQIA+ office will come to assist you.
- D. Here is our paperwork. It doesn't have a box for your sex, but you can write it next to the gender box.
Correct Answer: A
Rationale: Providing a neutral and respectful approach helps create a welcoming environment for LGBTQIA+ patients.
What method of heat loss may occur if a newborn is placed on a cold scale or touch with cold hands:
- A. Conduction (occurs when the infant comes in contact with cold objects)
Correct Answer: A
Rationale: Conduction is the transfer of heat between objects that are in direct contact with each other. In the scenario where a newborn is placed on a cold scale or touched with cold hands, heat loss occurs through conduction. The cold temperature of the scale or hands will draw heat away from the infant's body, leading to a drop in body temperature. It is essential to ensure that newborns are not exposed to cold surfaces or objects for prolonged periods to prevent heat loss through conduction and maintain their body temperature within a safe range.