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What is the first action when a newborn has a heart rate below 100 bpm immediately after birth?
- A. Provide chest compressions
- B. Administer oxygen and provide stimulation
- C. Delay interventions and reassess in 5 minutes
- D. Start an IV line for medications
Correct Answer: B
Rationale: Providing oxygen and stimulation helps improve heart rate and respiratory status.
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Which signs/symptoms would the nurse expect to see in a client diagnosed with pubic lice?
- A. Macular rash on the labia.
- B. Pruritus.
- C. Hyperthermia.
- D. Foul-smelling discharge.
Correct Answer: B
Rationale: Itching (pruritus) is a hallmark symptom of pubic lice infestation.
The nurse is assessing a client at 36 weeks' gestation who reports sharp abdominal pain and heavy vaginal bleeding. What condition should the nurse suspect?
- A. Abruptio placentae.
- B. Placenta previa.
- C. Preterm labor.
- D. Chorioamnionitis.
Correct Answer: A
Rationale: Abruptio placentae is characterized by painful bleeding and requires immediate intervention.
With regard to the care management of preterm labor should the nurse should be aware of?
- A. The diagnosis of preterm labor is based on gestational age, uterine activity and progressive cervical change
Correct Answer: A
Rationale: Preterm labor is diagnosed based on a combination of factors including gestational age (typically less than 37 weeks), uterine activity (regular, painful contractions), and progressive changes in the cervix (dilation, effacement, or both). It is important for the nurse to be aware of these criteria to promptly recognize and manage preterm labor to reduce the risk of complications for both the mother and the baby. Early detection and timely intervention can help improve outcomes for preterm infants.
The nurse is educating a client about postpartum depression. What statement indicates understanding?
- A. It's normal to feel sad for the first 6 months postpartum.
- B. I should seek help if I have trouble bonding with my baby.
- C. Postpartum depression only occurs in first-time mothers.
- D. I should ignore feelings of hopelessness—they will pass.
Correct Answer: B
Rationale: Difficulty bonding with the baby can be a sign of postpartum depression and should be addressed.
After delivery it is determined there is a placental accreta, what intervention should the nurse anticipate?
- A. Hysterectomy
- B. IV antibiotic
- C. IV Pitocin
- D. 2L oxygen by mask
Correct Answer: A
Rationale: In the case of placental accreta, where the placenta is abnormally attached to the uterine wall, it can be very difficult to detach the placenta without significant bleeding. In severe cases, the safest intervention to prevent life-threatening hemorrhage is a hysterectomy, which involves the removal of the uterus. This is a serious surgical procedure that may be necessary to save the mother's life. Other interventions mentioned in the options (IV antibiotic, IV Pitocin, 2L oxygen by mask) may be part of the management plan but would not address the underlying issue of placental accreta like a hysterectomy would.