Nokea
What complication can result from untreated respiratory distress in the newborn?
- A. Esophageal atresia
- B. Gastric dilation
- C. Cold stress
- D. Reopening of the foramen ovale
Correct Answer: D
Rationale: Respiratory distress can cause increased pressure in the right ventricle, causing reopening of the foramen ovale.
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Which of the following would the nurse need to keep in mind as a predisposing factor when formulating a teaching plan for child with a urinary tract infection?
- A. A shorter urethra in females
- B. Frequent emptying of the bladder
- C. Increased fluid intake
- D. Ingestion of acidic juices
Correct Answer: A
Rationale: In females, the urethra is shorter than in males. This decreases the distance for organisms to travel, thereby increasing the chance of the child developing a urinary tract infection.
The nurse is reading a pregnant patients history and physical. What information does the nurse recognize might indicate the need for a cesarean delivery? (Select one that does not apply.)
- A. History of childhood rickets
- B. Immobile coccyx
- C. Prepregnant weight of 100 pounds
- D. Pelvic Fracture
Correct Answer: C
Rationale: Pelvic conditions that may predispose to a cesarean delivery are childhood rickets, pelvic fracture, and immobile coccyx. 'E' refers to pelvic fracture 3 years ago.
When assessing an 18-month old, the nurse notes a characteristics protruding abdomen. Which of the following would explain the rationale for this findings?
- A. Increased food intake owing to age
- B. Underdeveloped abdominal muscles
- C. Bowlegged posture
- D. Linear growth curve
Correct Answer: B
Rationale: Underdeveloped abdominal muscles cause the protruding abdomen typical in toddlers.
What is the total number of chromosomes contained in a mature sperm or ovum?
- A. 22
- B. 23
- C. 44
- D. 46
Correct Answer: B
Rationale: Gametes (sex chromosomes) contain 23 chromosomes.
When assessing the neonate's eyes, the nurse notes the following: absence of tears, corneas of unequal size, constriction of the pupils in response to bright light, and the presence of red circles on the pupils on ophthalmic examination. Which of these findings needs further assessment?
- A. The absence of tears.
- B. Comeas of unequal size.
- C. Constriction of the pupils.
- D. The presence of red circles on the pupils.
Correct Answer: B
Rationale: Corneas of unequal size may indicate a congenital anomaly or injury and require further assessment.