Nokea
What is a prominent feature of postpartum depression?
- A. Failure to thrive
- B. Rejection of the infant
- C. Inability to care for the baby
- D. Problems with the baby's father
Correct Answer: B
Rationale: A prominent feature of PPD is rejection of the infant.
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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.
Why do alcohol and illegal drugs endanger the fetus?
- A. Both are absorbed into the bloodstream.
- B. Both affect the mother.
- C. Both cross the placental barrier.
- D. Both increase the heart rate of the fetus.
Correct Answer: C
Rationale: Alcohol and illicit drugs cross the placental barrier and affect the fetus.
A pregnant patient who has type 2 diabetes (NIDDM) may require insulin. Why is the insulin necessary?
- A. The growing baby will require more glucose.
- B. Oral hypoglycemic agents may be teratogenic.
- C. Increased hormone levels raise blood glucose.
- D. Oral hypoglycemics do not reach the fetus.
Correct Answer: B
Rationale: Oral hypoglycemics are discontinued because of teratogenic effects.
Cognitive impairment facial abnormalities and growth retardation are characteristics of which abnormality in a fetus?
- A. Fetal dependency
- B. Fetal immaturity
- C. Malnutrition dependency
- D. Fetal alcohol syndrome
Correct Answer: D
Rationale: Use of alcohol may result in multiple anomalies called fetal alcohol syndrome. The fetus may also be born with alcohol dependency and immaturity, but the characteristics noted are specific for fetal alcohol syndrome.
A woman who is 14 weeks' pregnant calls the clinic nurse to report that after a brief bleeding episode a week ago her uterus seems to have gotten smaller but her periods have not begun. The nurse assesses the indicators for a ___ abortion.
Correct Answer: missed
Rationale: A missed abortion is initiated by a bleeding episode in which the fetus is not expelled. The uterus begins to shrink, but periods do not resume.