Nokea
What is important for the nurse to provide a woman with bacterial vaginosis?
- A. The woman must be careful to observe for signs of preterm labor.
- B. The woman must advise her partner to seek therapy as soon as possible.
- C. A common side effect of the medicine is a copious vaginal discharge.
- D. A repeat culture should be taken two weeks after completing the therapy.
Correct Answer: A
Rationale: Bacterial vaginosis increases the risk of preterm labor in pregnant women.
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A mother's laboratory results indicate the presence of cocaine and alcohol. The characteristic in her newborn that would indicate to the nurse that the baby has been affected with fetal alcohol syndrome would be:
- A. Cleft lip
- B. Polydactyly
- C. Umbilical Hernia
- D. Small upturned nose
Correct Answer: D
Rationale: Small upturned nose is a feature of fetal alcohol syndrome.
A 9-month-old with glaucoma requires surgery. The infant's parents are divorced. To obtain informed consent, which action would be most appropriate?
- A. Contacting the father for informed consent
- B. Obtaining informed consent from the mother
- C. Seeking a court ruling on the course of care
- D. Determining sole or joint custody by the parents
Correct Answer: D
Rationale: The most appropriate action would be to determine legal custody by court decree. If the parents have joint custody, then either parent may give consent, but it is always best to have consent given by both parents.
What occurred after childbirth migrated from the home to the hospital?
- A. Infection rates dropped in the hospital.
- B. Laboring persons were given greater support in labor.
- C. The childbirth model became a medical model.
- D. Pain relief allowed laboring persons to spend more time with their partners in labor.
Correct Answer: C
Rationale: The correct answer is C: The childbirth model became a medical model. This occurred because as childbirth moved from the home to the hospital, it shifted from a natural, family-centered event to a medicalized process. Hospitals introduced medical interventions, procedures, and protocols, making childbirth more clinical and less holistic. This transition from a social and emotional experience to a medical one changed the way labor and delivery were managed.
Explanation of why other choices are incorrect:
A: Infection rates dropped in the hospital - This is not necessarily a direct result of childbirth moving to the hospital, as infection rates can be influenced by various factors such as hygiene practices and medical advancements.
B: Laboring persons were given greater support in labor - While support during labor is important, the movement of childbirth to hospitals did not necessarily guarantee greater support, as medical interventions sometimes took precedence over emotional support.
D: Pain relief allowed laboring persons to spend more time with their partners in labor - Although pain relief may have benefits, it is
What signs/symptoms should the nurse suspect in a bulimic client?
- A. Significant weight loss and hyperkalemia.
- B. Respiratory acidosis and hypoxemia.
- C. Dental caries and scars on her knuckles.
- D. Hyperglycemia and large urine output.
Correct Answer: C
Rationale: Dental erosion and scars from induced vomiting are classic signs of bulimia.
The newborn's mother is concerned about the shape of the baby's head after delivery. She states that the baby looks like a "cone head." What is the most appropriate response by the nurse?
- A. You don't need to worry about it. It is perfectly normal after birth.
- B. It is molding caused by the pressure during birth and will disappear in a few days.
- C. I will report it to the physician and recommend a diagnostic scan.
- D. It is a collection of blood related to the trauma of delivery and will absorb in a few weeks.
Correct Answer: B
Rationale: Molding is a normal finding after birth and resolves spontaneously.