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What is the recommended age for the first hepatitis B vaccine for a newborn?
- A. At birth
- B. Within 48 hours of birth
- C. Within 1 week of birth
- D. Within 1 month of birth
Correct Answer: B
Rationale: The correct answer is B: Within 48 hours of birth. This is recommended because newborns are most susceptible to hepatitis B infection during delivery. Administering the vaccine within 48 hours provides early protection. Choice A (At birth) is not specific enough and may delay vaccination. Choices C and D are too late and leave the newborn vulnerable for a longer period.
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The nurse suspects the adolescent is experiencing pelvic inflammatory disease and is planning care. Which of the following prescriptions should the nurse expect the provider to prescribe? Drag words from the choices below to fill in each blank in the following sentence. The nurse should anticipate a provider's prescription for ------------------------------ and --------------------------
- A. fuconazole
- B. doxycycline
- C. Ceftriaxone
- D. acyclovir
- E. imiquimod
Correct Answer: B,C
Rationale:
A nurse is planning care for a client who is 1 hr postpartum and has peripartum cardiomyopathy. Which of the following actions should the nurse plan to take?
- A. Obtain a prescription for misoprostol.
- B. Assess blood pressure twice daily.
- C. Restrict daily oral fluid intake.
- D. Administer an IV bolus of lactated Ringer's.
Correct Answer: B
Rationale: The correct answer is B: Assess blood pressure twice daily. In peripartum cardiomyopathy, monitoring blood pressure is crucial to detect any signs of worsening cardiac function or complications. Regular assessment can help identify hypertension or hypotension, which are common in this condition. Misoprostol (A) is not indicated for peripartum cardiomyopathy. Restricting oral fluid intake (C) can be harmful as adequate hydration is important postpartum. Administering an IV bolus of lactated Ringer's (D) may not be necessary unless specifically ordered by the healthcare provider based on the client's condition.
For each potential assessment finding, click to specity if the assessment finding Is consistent with mastitis or endometritis. Each finding may support more than 1 disease process.
- A. Foul-smelling lochia
- B. Painful, tender breast
- C. Temperature
- D. Chilis
Correct Answer:
Rationale:
Which of the following is a potential benefit of evidence-based practice in maternal and newborn healthcare?
- A. Improved patient outcomes
- B. Increased patient satisfaction
- C. Decreased healthcare costs
- D. All of the above
Correct Answer: D
Rationale: Evidence-based practice can improve outcomes, satisfaction, and reduce costs.
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?
- A. Increased fetal movement.
- B. Leakage of fluid from the vagina.
- C. Upper abdominal discomfort.
- D. Urinary frequency.
Correct Answer: B
Rationale: Leakage of fluid from the vagina after an amniocentesis may indicate rupture of the amniotic membranes, which is a potential complication that requires immediate medical attention.