Nokea
The nurse is assessing a client at 28 weeks' gestation with gestational diabetes. What complication is the client at greatest risk for?
- A. Preterm labor.
- B. Placenta previa.
- C. Macrosomia.
- D. Abruptio placentae.
Correct Answer: C
Rationale: Gestational diabetes increases the risk of fetal macrosomia, which can complicate delivery.
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What is the most common sign/symptom of sexually transmitted infections?
- A. Menstrual cramping.
- B. Heavy menstrual periods.
- C. Flu-like symptoms.
- D. Lack of signs or symptoms.
Correct Answer: D
Rationale: Many STIs are asymptomatic, making regular screening important.
Why is an ultrasound important for a woman who got pregnant with a Copper T intrauterine device (IUD) in place?
- A. To assess for the presence of an ectopic pregnancy.
- B. To check the baby for serious malformations.
- C. To assess for pelvic inflammatory disease.
- D. To check for the possibility of a twin pregnancy.
Correct Answer: A
Rationale: Ectopic pregnancies are a concern with IUD use during pregnancy.
During the first few minutes after birth which physiologic changes occurs in the newborn as response to vascular pressure changes in increased oxygen levels?
- A. Dilation of pulmonary vessel (dilation of pulmonary vessels occurs in response to increased oxygen levels)
Correct Answer: A
Rationale: Immediately after birth, as the newborn takes its first breaths and transitions to breathing air, there is a rapid increase in oxygen levels in the blood. This sudden increase in oxygen causes the pulmonary vessels in the newborn's lungs to dilate. This dilation helps improve blood flow through the lungs, allowing for efficient exchange of oxygen and carbon dioxide. The dilation of pulmonary vessels is a normal physiologic response to the changing environment in the newborn's body after birth.
A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
- A. Urine protein concentration 200 mg/ 24 hr.
- B. Creatinine 0.8 mg/ Dl
- C. Hemoglobin 14.8 g/ dL
- D. Platelet Count 60.000/ mm3
Correct Answer: D
Rationale: A platelet count of 60,000/mm3 is significantly low and can be indicative of thrombocytopenia, a potential complication of preeclampsia known as HELLP syndrome (Hemolysis, Elevated Liver enzymes, and Low Platelet count). Thrombocytopenia increases the risk of bleeding complications during pregnancy and delivery, requiring prompt evaluation and management by the healthcare provider. The nurse should report this finding immediately to prevent any adverse outcomes for the client and baby.
For which conditions is the lactational amenorrhea method of birth control effective?
- A. Being less than 6 months postpartum.
- B. Being amenorrheic since delivery of the baby.
- C. Supplementing with formula no more than once per day.
- D. Losing less than 10% of weight since delivery.
Correct Answer: A
Rationale: Lactational amenorrhea is effective only within 6 months postpartum if exclusively breastfeeding.