Nokea
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
- A. Hematuria
- B. Proteinuria 2+
- C. Leukorrhea
- D. Positive clonus
- E. BUN 40 mg/dL
- F. Platelet count 110,000/mm3
Correct Answer:
Rationale:
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What is the most common type of anesthesia used during labor?
- A. Epidural
- B. Spinal
- C. General
- D. Local
Correct Answer: A
Rationale: The correct answer is A: Epidural. Epidural anesthesia is the most common type used during labor because it provides pain relief while allowing the mother to remain awake and actively participate in the delivery. It works by blocking nerve signals in the lower spine, numbing the lower half of the body. This allows the mother to have a more comfortable labor experience without losing consciousness. Spinal anesthesia (B) is similar but is typically used for cesarean sections. General anesthesia (C) is rarely used during labor due to the potential risks to the baby. Local anesthesia (D) is not commonly used for labor as it only numbs a small area and is not sufficient for the pain relief needed during childbirth.
Which of the following is a potential complication of gestational diabetes?
- A. Polyhydramnios
- B. Preterm labor
- C. Neonatal hypoglycemia
- D. All of the above
Correct Answer: D
Rationale: Gestational diabetes can lead to polyhydramnios, preterm labor, and neonatal hypoglycemia.
Which of the following is a potential complication of a postpartum infection?
- A. Septicemia
- B. Anemia
- C. Thrombocytopenia
- D. All of the above
Correct Answer: A
Rationale: Correct Answer: A (Septicemia)
Rationale:
1. Postpartum infection can lead to septicemia, a severe systemic infection caused by bacteria entering the bloodstream.
2. Septicemia can result in life-threatening complications such as septic shock and organ failure.
3. Anemia is not a direct complication of postpartum infection but can occur secondarily due to blood loss.
4. Thrombocytopenia is a separate condition characterized by low platelet levels and is not directly caused by postpartum infection.
5. "All of the above" is incorrect as not all listed complications are potential consequences of postpartum infection.
Summary: Septicemia is the correct answer as it is a serious complication directly associated with postpartum infection, while anemia and thrombocytopenia are not typically direct consequences of this condition.
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding. Which of the following actions should the nurse take?
- A. Administer betamethasone IM.
- B. Avoid performing sterile vaginal examinations.
- C. Anticipate a prescription for misoprostol.
- D. Obtain a specimen for a Kleihauer-Betke test.
Correct Answer: C
Rationale: The correct answer is C: Anticipate a prescription for misoprostol. Misoprostol is a medication used to help contract the uterus and control postpartum hemorrhage caused by uterine atony. It helps stimulate uterine contractions and reduce bleeding. Administering betamethasone (choice A) is not indicated for uterine atony and postpartum hemorrhage. Avoiding sterile vaginal examinations (choice B) does not address the underlying issue of uterine atony. Obtaining a specimen for a Kleihauer-Betke test (choice D) is used to assess the amount of fetal-maternal hemorrhage and is not an immediate intervention for uterine atony.
A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
- A. To allow manifestations of infection to be identified
- B. The newborn weighs less than 2.5 kg (5.5 lb)
- C. The newborn was delivered via cesarean birth
- D. To facilitate bonding between the newborn and parent
Correct Answer: D
Rationale: The correct answer is D: To facilitate bonding between the newborn and parent. Delaying the instillation of antibiotic ointment allows for immediate skin-to-skin contact and bonding between the newborn and parent, promoting attachment and emotional connection. This is a crucial aspect of postnatal care and has long-term benefits for the newborn's emotional and psychological development. Choices A, B, and C are incorrect because delaying antibiotic ointment instillation for reasons such as identifying infection, low birth weight, or mode of delivery could potentially result in harm to the newborn by not providing immediate protection against eye infections, which can be serious and lead to vision impairment.