Nokea
What does the nursing process describe?
- A. what nurses do
- B. how nurses think
- C. where nurses provide care
- D. who nurses care for
Correct Answer: A
Rationale: The nursing process outlines the systematic approach to providing patient care, focusing on what nurses do—assess, diagnose, plan, implement, and evaluate.
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Which statement is most accurate regarding delivery of a newborn?
- A. Infants delivered via cesarean section are at lower risk of transitional problems.
- B. Vaginal deliveries increase the risk of infants aspirating lung fluid.
- C. Cesarean deliveries do not allow for thoracic squeeze of fluid.
- D. Vaginal deliveries are often avoided in term infants.
Correct Answer: C
Rationale: The correct answer is C. Cesarean deliveries do not allow for thoracic squeeze of fluid. During vaginal delivery, the infant's thorax undergoes a squeezing motion which helps to expel the amniotic fluid from the lungs, reducing the risk of respiratory issues. In contrast, infants delivered via cesarean section do not experience this thoracic squeeze, potentially leading to a higher risk of respiratory problems.
A is incorrect because infants delivered via cesarean section may actually have higher risks of transitional problems due to the lack of thoracic squeeze. B is incorrect as vaginal deliveries facilitate the natural process of clearing lung fluid. D is incorrect as vaginal deliveries are the preferred method for term infants when possible, as they provide various benefits for both the mother and the baby.
A student nurse is verbalizing disappointment in a new mothers seeming lack of interest in her newborn baby. The student complains to the registered nurse that the mother just wants to sleep and have someone else care for the infant. What response by the registered nurse is best?
- A. Assess closely; we may need to call social work.
- B. Dont judge other people until you have had a baby.
- C. The mother may be completely exhausted from the childbirth experience.
- D. We have to accept that everyones experience is different.
Correct Answer: C
Rationale: After a long and possibly difficult birth
The nurse provides education on care after a first trimester loss. What is an example of communication with a patient that demonstrates effective aftercare education?
- A. You will need to follow up with us in several weeks. We want to make sure you are doing well.
- B. You should call us if you are bleeding and soaking 4 maxi pads in a day.
- C. Your period will return in 2 weeks.
- D. You should wait 2 months before having intercourse.
Correct Answer: A
Rationale: Follow-up care ensures the patient's physical and emotional well-being.
A 29-year-old Chinese American patient is admitted for IUFD. Her blood pressure (BP) is 90/60, body mass index (BMI) is 41, and the medical and surgical history is noncontributory. She does not smoke or have substance use disorder. What part of her history places her at risk for IUFD?
- A. age
- B. obesity
- C. hypotension
- D. ethnicity
Correct Answer: B
Rationale: Obesity is a recognized risk factor for intrauterine fetal death (IUFD).
A premature newborn requires assistance with ventilation and oxygenation. What method of respiratory support is most likely to be utilized if the newborn requires PPV at birth and continues to need assistance?
- A. bag mask positive pressure ventilation (PPV)
- B. extracorporeal membrane oxygenation (ECMO)
- C. continuous positive airway pressure (CPAP)
- D. nasal cannula at 1 L
Correct Answer: A
Rationale: Bag-mask PPV is commonly used initially for premature infants requiring respiratory support.