Nokea
What is the function of the placenta during pregnancy?
- A. To protect the fetus from infection
- B. To remove waste products from the fetus
- C. To facilitate nutrient and gas exchange between the mother and fetus
- D. All of the above
Correct Answer: D
Rationale: The placenta protects the fetus, removes waste, and facilitates nutrient and gas exchange.
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Which of the following actions should the nurse plan to implement? For each potential nursing action, click to specify if the intervention is indicated or contraindicated for the newborn.
- A. Educate the parents to begin range of motion exercises on the affected arm after 1 week.
- B. Assess for grasp reflex in the affected extremity.
- C. Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirt.
- D. Instruct parents to limit physical handling for 2 weeks.
Correct Answer:
Rationale: Educate the parents to begin range of motion exercises on the affected arm after 1 week is indicated. Passive ROM exercises of the arm are indicated to restore function of the extremity. The initiation of these exercises is delayed for approximately 1 week to prevent additional injury to the brachial plexus. Assess for grasp reflex in the affected extremity is indicated. With Erb-Duchenne paralysis, only the upper arm is affected. The function of the wrists and fingers should be unaffected; the nurse should assess for a palmar grasp reflex.Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirt is indicated. Intermittent immobilization of the affected arm across the newborn's abdomen can be achieved by pinning the sleeve to the shirt.Instruct parents to limit physical handling for 2 weeks is contraindicated. Parents and guardians should participate in the physical care of their newborn to increase parental-infant attachment. Providing education and practice opportunities for the parents will decrease their fears of injuring the newborn and increase confidence and bonding.
What is the role of the fallopian tubes in fertilization?
- A. Production of ova
- B. Production of sperm
- C. Transport of ova to the uterus
- D. Transport of sperm to the uterus
Correct Answer: C
Rationale: The correct answer is C: Transport of ova to the uterus. The fallopian tubes are responsible for capturing the released egg after ovulation and providing a site for fertilization to occur. They transport the egg from the ovary to the uterus for potential implantation. This process is essential for successful fertilization and pregnancy. Choices A and B are incorrect as the fallopian tubes do not produce ova or sperm. Choice D is incorrect as the fallopian tubes do not transport sperm to the uterus.
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
- A. Swelling of the face
- B. Varicose veins in the calves
- C. Nonpitting 1+ ankle edema
- D. Hyperpigmentation of the cheeks
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. This finding could indicate a serious condition like preeclampsia, which is characterized by hypertension and proteinuria and poses a risk to both the mother and baby. Swelling of the face is a significant sign that warrants immediate reporting to the provider for further evaluation and management. Varicose veins in the calves (B) and nonpitting 1+ ankle edema (C) are common in pregnancy and usually not concerning at this stage. Hyperpigmentation of the cheeks (D) is also a common finding known as melasma and does not require immediate reporting.
Which of the following hormones stimulates uterine contractions during labor?
- A. Progesterone
- B. Estrogen
- C. Prolactin
- D. Oxytocin
Correct Answer: D
Rationale: Oxytocin is the hormone responsible for stimulating uterine contractions during labor.
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
- A. You should have your provider refit you for a new diaphragm.'
- B. You should use an oil-based vaginal lubricant when inserting your diaphragm.'
- C. You should keep the diaphragm in place for at least 4 hours after intercourse.'
- D. You should store your diaphragm in sterile water after each use.'
Correct Answer: A
Rationale: The correct answer is A: "You should have your provider refit you for a new diaphragm." After giving birth, a woman's body goes through changes, including weight loss, which can affect the fit and effectiveness of the diaphragm. It is essential for the client to be refitted by a healthcare provider to ensure proper fit and efficacy of the contraception.
Choice B is incorrect because oil-based lubricants can damage the diaphragm material.
Choice C is incorrect because diaphragms should be kept in place for at least 6 hours after intercourse.
Choice D is incorrect because diaphragms should be stored in a cool, dry place, not in sterile water.