Nokea
What drug should be readily available when a woman is receiving heparin therapy?
- A. Vitamin K
- B. Methylergonovine
- C. Ferrous sulfate
- D. Protamine sulfate
Correct Answer: D
Rationale: Protamine sulfate is an antidote to heparin and should be readily available in case of excessive anticoagulation.
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The nurse is aware of concern about the increasing numbers of severe maternal morbidity (SMM). It is believed to be related to changes in the overall health of the population of women giving birth. Which reasons does the nurse identify as causes of SMM? Select all that apply.
- A. Increases in maternal age
- B. Prepregnancy obesity
- C. Cesarean deliveries
- D. Inability to pay for health care
Correct Answer: B
Rationale: The correct answer is B: Prepregnancy obesity. This is because obesity is a well-established risk factor for severe maternal morbidity. Obesity increases the likelihood of complications during pregnancy and childbirth, such as gestational diabetes, preeclampsia, and cesarean deliveries.
A: Increases in maternal age may be a risk factor for certain complications but not directly related to SMM.
C: Cesarean deliveries can be a risk factor for SMM, but it is not the main cause.
D: Inability to pay for health care is a social determinant of health and may impact access to care, but it is not a direct cause of SMM.
A postoperative cesarean section woman is to receive morphine 4 mg q 3 -4 h subcutaneously for pain. The morphine is available on the unit in premeasured syringes 10 mg/1 mL. Each time the nurse administers the medication, how many milliliters (mL) of morphine will be wasted? Calculate to the nearest tenth.
- A. 0.4 mL
- B. 0.6 mL
- C. 0.8 mL
- D. 1.0 mL
Correct Answer: B
Rationale: The nurse needs to administer 4 mg, and the syringe has 10 mg per 1 mL. Therefore, 4 mg will require 0.4 mL, and 0.6 mL will be wasted.
What nursing intervention does the nurse include in the plan of care for a person with mastitis?
- A. Provide antipyretic.
- B. Stop antibiotics when redness is resolved.
- C. Encourage the person to stop breast-feeding.
- D. Start an IV and prepare for signs of sepsis.
Correct Answer: A
Rationale: Antipyretics help manage the symptoms of mastitis.
What nursing intervention does the nurse include in the plan of care for a person with a perineal laceration infection?
- A. Demonstrate the use of a urinary catheter.
- B. Provide an abdominal binder.
- C. Encourage use of the peri-bottle for cleaning front to back.
- D. Discourage use of pain medications.
Correct Answer: C
Rationale: The peri-bottle helps maintain cleanliness and reduce infection risk in perineal lacerations.
The nurse is developing a plan of care for the postpartum client during the 'taking in ' phase. Which of the following should the nurse include in the plan?
- A. Teach baby-care skills like diapering.
- B. Discuss the labor and birth with the mother.
- C. Discuss contraceptive choices with the mother.
- D. Teach breastfeeding skills like pumping.
Correct Answer: B
Rationale: During the 'taking in' phase, the mother is focused on her own recovery and reliving the birth experience. Discussing the labor and birth is appropriate at this time.