Nokea
What does optimal nursing care after an amniocentesis include?
- A. Pushing fluids by mouth
- B. Monitoring uterine activity
- C. Placing the patient in a supine position for 2 hours
- D. Applying a pressure dressing to the puncture site
Correct Answer: B
Rationale: The correct answer is B: Monitoring uterine activity. After an amniocentesis, it is crucial to monitor uterine activity to detect any signs of preterm labor or uterine contractions. This helps in identifying any potential complications early on and ensures prompt intervention if needed.
A: Pushing fluids by mouth is important for hydration but not directly related to optimal nursing care after an amniocentesis.
C: Placing the patient in a supine position for 2 hours is not recommended as it may increase the risk of hypotension and discomfort for the patient.
D: Applying a pressure dressing to the puncture site is not necessary after an amniocentesis as the risk of bleeding is minimal and pressure dressings may increase the risk of infection.
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The nurse is caring for a client, 37 weeks' gestation, who was just told that she is group B strep + (positive). The client states, 'How could that happen? I only have sex with my husband. Will my baby be OK?' Based on this information, which of the following should the nurse communicate to the client?
- A. The client's partner must have acquired the bacteria during a sexual encounter.
- B. The bacteria do not injure babies, but they could cause the client to have a bad sore throat.
- C. The client is high risk for developing pelvic inflammatory disease from the bacteria.
- D. Antibiotics will be administered during labor to prevent vertical transmission of the bacteria.
Correct Answer: D
Rationale: Group B strep is a common bacteria that can be present in the vaginal or rectal area and is not sexually transmitted. Antibiotics during labor are given to prevent the baby from contracting the bacteria during delivery.
A baby is born addicted to crack cocaine. Which of the following signs/symptoms would the nurse expect to see?
- A. Hyperreflexia.
- B. Anorexia.
- C. Constipation.
- D. Hypokalemia.
Correct Answer: A
Rationale: Neonates born addicted to crack cocaine often exhibit hyperreflexia, irritability, and other signs of withdrawal.
Which information is covered by early pregnancy classes offered in the first and second trimesters?
- A. Methods of pain relief
- B. The phases and stages of labor
- C. Coping with common discomforts of pregnancy
- D. Prebirth and postbirth care of a patient having a cesarean birth
Correct Answer: C
Rationale: The correct answer is C: Coping with common discomforts of pregnancy. Early pregnancy classes in the first and second trimesters focus on providing expecting mothers with strategies to manage common physical and emotional challenges during pregnancy. This includes information on dealing with nausea, fatigue, backaches, and emotional changes. Understanding and coping with these discomforts can help pregnant women have a more comfortable and healthy pregnancy.
A: Methods of pain relief are typically covered in childbirth preparation classes closer to the due date, not in early pregnancy classes.
B: The phases and stages of labor are usually discussed in depth in childbirth education classes taken later in pregnancy, not in early pregnancy classes.
D: Prebirth and postbirth care of a patient having a cesarean birth is a specific topic that may be covered in a separate class for women who are planning or have been recommended to have a cesarean birth, not typically in early pregnancy classes.
A fetus, descending through the birth canal, is going through the cardinal moves of labor. Please place the following moves in chronological order.
- A. External rotation.
- B. Flexion.
- C. Extension.
- D. Internal rotation.
Correct Answer: D
Rationale: The cardinal movements of labor occur in the following order: flexion, internal rotation, extension, external rotation, and expulsion.
The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should consider which information when planning care for this patient?
- A. Capitation provides the hospital with a means of recovering variable charges.
- B. The hospital will be paid for the full cost of the patient’s hospitalization.
- C. Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
- D. Medicare will pay the national average for the patient’s condition.
Correct Answer: C
Rationale: In 1983, Congress established the prospective payment system (PPS), which grouped inpatient hospital services for Medicare patients into diagnosis-related groups (DRGs), each of which provides a fixed reimbursement amount based on assigned DRG, regardless of a patient’s length of stay or use of services.