Nokea
A nurse is providing teaching about immunizations to a client who is pregnant. Which of the following statements should the nurse include in the teaching?
- A. The immunization for varicella should be given at least 1 month prior to delivery.
- B. You can receive the rubella immunization during the third trimester of pregnancy.
- C. The hepatitis B immunization should not be obtained until after you finish breastfeeding.
- D. You can receive the immunization for influenza at any time during your pregnancy.
Correct Answer: D
Rationale: The influenza vaccine is safe and recommended during any trimester of pregnancy to protect both the mother and the baby.
You may also like to solve these questions
Which of the following hormones is responsible for stimulating uterine contractions during labor?
- A. Progesterone
- B. Estrogen
- C. Prolactin
- D. Oxytocin
Correct Answer: D
Rationale: Oxytocin is the correct answer as it is the hormone responsible for stimulating uterine contractions during labor. Oxytocin is produced by the pituitary gland and plays a crucial role in initiating and sustaining labor contractions. It acts on the smooth muscle cells of the uterus, causing them to contract and aiding in the progression of labor. Progesterone and estrogen are involved in preparing the uterus for pregnancy but do not directly stimulate contractions. Prolactin is responsible for milk production, not uterine contractions. Therefore, D is the correct answer due to its specific role in labor contractions.
Which of the following is a potential complication of maternal hypothyroidism during pregnancy?
- A. Preterm labor
- B. Fetal growth restriction
- C. Preeclampsia
- D. All of the above
Correct Answer: D
Rationale: Maternal hypothyroidism can lead to preterm labor, fetal growth restriction, and preeclampsia, among other complications.
A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which of the following statements by a parent indicates an understanding of the teaching?
- A. I can use a sleep sack to keep my baby warm in the car seat.'
- B. My baby will need a car seat challenge test before discharge.'
- C. The car seat should be positioned in the car at a 45-degree angle.'
- D. When my baby is 1 year old, I can turn their car seat facing forward.'
Correct Answer: C
Rationale: The correct answer is C: "The car seat should be positioned in the car at a 45-degree angle." This is correct because newborns and premature babies (delivered at 38 weeks) have less muscle tone and are at risk of airway compromise if the head falls forward in the car seat. Placing the car seat at a 45-degree angle helps keep the baby's airway open and prevents slumping.
A: "I can use a sleep sack to keep my baby warm in the car seat." - This is incorrect as bulky clothing or blankets should not be used in the car seat as they can compress in a crash and create a loose harness fit.
B: "My baby will need a car seat challenge test before discharge." - This is incorrect as car seat challenge tests are usually done for premature infants born before 37 weeks.
D: "When my baby is 1 year old, I can turn their car seat facing forward." - This is incorrect as rear
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?
- A. Minimal arm recoil
- B. Popliteal angle of 90°
- C. Creases over the entire foot sole
- D. Raised areolas with 3 to 4 mm buds
Correct Answer: A
Rationale: The correct answer is A: Minimal arm recoil. In premature newborns, the lack of muscle tone results in minimal arm recoil, which is a characteristic finding in the New Ballard Score for assessing gestational age. This is due to the immaturity of the neuromuscular system in premature infants. Choice B, popliteal angle of 90°, is incorrect as flexion of the hips and knees is more common in preterm infants. Choice C, creases over the entire foot sole, is incorrect as full development of foot sole creases is seen in term infants. Choice D, raised areolas with 3 to 4 mm buds, is incorrect as these are signs of breast development and are not specific to gestational age assessment.
A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse Include in the teaching?
- A. This test will be repeated when your baby is 2 months old.
- B. A nurse will draw blood from your baby's inner elbow.
- C. This test should be performed after your baby is 24 hours old.
- D. Your baby will be given 2 ounces of water to drink prior to the test.
Correct Answer: C
Rationale: Newborn genetic screening is typically performed after 24 hours of birth to ensure accurate results and allow time for metabolic processes to stabilize.