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What complication of delivery should the nurse expect with the birth of multiple fetuses?
- A. An ectopic tendency
- B. Difficulty with breast-feeding
- C. A vaginal delivery
- D. Loss of uterine tone
Correct Answer: D
Rationale: Delivery of multiple fetuses is often complicated by loss of uterine tone. Oftentimes multiple fetuses are delivered by cesarean. An ectopic tendency would present before delivery. While it can be difficult to breastfeed multiple infants, this does not relate to the delivery.
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What test is used to identify the maternal level of Rh antibodies in the mother's blood?
- A. Indirect Coombs' test
- B. Hemolytic test
- C. Rh antibody test
- D. Direct Coombs' test
Correct Answer: A
Rationale: The indirect Coombs' test measures the maternal level of antibodies.
What is the usual treatment for severe postpartum depression?
- A. Improved nutrition
- B. Vitamin therapy
- C. Pharmacologic interventions
- D. Support group therapy
Correct Answer: C
Rationale: Support therapy is not enough for major PPD. Pharmacologic interventions are needed in most instances.
Why is the fetus dependent on the mother for glucose control?
- A. The insulin requirements are higher.
- B. Insulin is destroyed by the placenta.
- C. Insulin does not cross the placenta.
- D. Insulin is absorbed by the fetus.
Correct Answer: C
Rationale: Insulin will not cross the placenta, but high glucose levels do. Therefore, it is imperative that the mother control glucose levels.
What symptom no matter what stage of pregnancy should be reported immediately?
- A. Backache
- B. Urinary frequency
- C. Vaginal bleeding
- D. Uterine tightening
Correct Answer: C
Rationale: Women should be instructed to contact their health care provider if any bleeding occurs during pregnancy.
A patient presents with symptoms of abruptio placentae. To facilitate uterine-placental perfusion in what position would the nurse place the patient?
- A. Prone position
- B. Trendelenburg's position
- C. Supine position
- D. Modified side-lying position
Correct Answer: D
Rationale: A modified side-lying position facilitates uterine-placental perfusion.