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Using the graph below, of the following weights, how many grams would a 34-week neonate need to weigh to be labeled appropriate-for-gestational age?
- A. 500 grams.
- B. 1,700 grams.
- C. 2,900 grams.
- D. 4,100 grams.
Correct Answer: C
Rationale: A 34-week neonate weighing 2,900 grams would be considered appropriate-for-gestational age based on standard growth charts.
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A nurse has provided a young woman with preconception counseling. Which of the statements by the woman indicates that the teaching was successful? Select all that apply.
- A. “As soon as I think I may be pregnant, I should stop drinking alcohol.”
- B. “It is important for me to see my medical doctor for a complete physical.”
- C. “I should make sure that my daily multivitamin contains folic acid.”
- D. “When I go to my dentist for a checkup I should state that I may be pregnant.”
Correct Answer: A
Rationale: All the statements indicate successful preconception counseling, covering topics such as alcohol cessation, medical checkups, folic acid intake, dental care, and dietary precautions.
A client's amniocentesis results are reported as 45, X. How should the nurse interpret these findings?
- A. The fetus is nonviable.
- B. The fetus is a normal female.
- C. The baby will be a hermaphrodite.
- D. The girl will be short and sterile.
Correct Answer: D
Rationale: The karyotype 45, X indicates Turner syndrome, which is associated with short stature and infertility.
A 42-week-gestation neonate is being assessed. Which of the following findings would the nurse expect to see?
- A. Folded and flat pinnae.
- B. Smooth plantar surfaces.
- C. Loose and peeling skin.
- D. Short pliable fingernails.
Correct Answer: C
Rationale: Post-term neonates often have loose and peeling skin due to prolonged exposure to amniotic fluid.
When should the nurse begin discharge planning?
- A. When the patient is ready
- B. Close to the time of discharge
- C. Upon admission to the hospital
- D. After an order is written/prescribed
Correct Answer: C
Rationale: Discharge planning begins the moment a patient is admitted to a health care facility.
The nurse is caring for a client being monitored for oligohydramnios. The NST is nonreactive. Which findings correlate with these results?
- A. Less than 2 accelerations in 20 to 40 minutes
- B. Accelerations of at least 15 bpm lasting at least 15 seconds (more than 32 weeks gestation)
- C. Accelerations of at least 10 bpm lasting at least 10 seconds (less than 32 weeks gestation)
- D. Four accelerations in 20 to 40 minutes
Correct Answer: A
Rationale: Step 1: Oligohydramnios indicates decreased amniotic fluid, which can lead to fetal hypoxia.
Step 2: Nonreactive NST suggests lack of appropriate fetal heart rate accelerations in response to fetal movement.
Step 3: Less than 2 accelerations in 20-40 minutes is consistent with nonreactive NST due to decreased fetal movement.
Step 4: Choice A is correct as it reflects the expected findings in a nonreactive NST scenario.
Summary:
- Choice B: The criteria for accelerations are too high for a nonreactive NST.
- Choice C: The criteria for accelerations are too low for a nonreactive NST.
- Choice D: Four accelerations in the given time frame do not correlate with a nonreactive NST.