Nokea
What is the recommended method of administering vitamin K to a newborn?
- A. Intramuscular injection
- B. Oral administration
- C. Topical application
- D. Subcutaneous injection
Correct Answer: A
Rationale: The correct method is A: Intramuscular injection. This route ensures rapid and reliable absorption of vitamin K, crucial for preventing bleeding disorders in newborns. Oral administration may be less effective due to variable absorption. Topical application is not recommended as it may not provide sufficient absorption. Subcutaneous injection can lead to variable absorption rates and is not as reliable as the intramuscular route for vitamin K administration.
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A nurse is providing discharge teaching about car seat safety to a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?
- A. I can turn my baby's car seat around when she weighs 15 pounds.
- B. I can place my baby in the front seat with the airbag turned off.
- C. I will position my baby at a 45-degree angle in the car seat
- D. I will place my baby in a forward-facing car sees in my back seat.
Correct Answer: C
Rationale: Positioning the baby at a 45-degree angle in the car seat ensures proper airway alignment and safety. Turning the car seat around or placing the baby in the front seat is unsafe.
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
- A. You cannot have an amniocentesis until you are at least 35 years of age.
- B. This procedure determines if your baby has genetic or congenital disorders.
- C. Your provider will schedule a chorionic villus sampling to determine the sex of your baby.
- D. We can schedule the procedure for later today if you’d like.
Correct Answer: B
Rationale: The correct response is B: This procedure determines if your baby has genetic or congenital disorders. Amniocentesis is a diagnostic test that involves taking a sample of the amniotic fluid, which can be analyzed for genetic abnormalities like Down syndrome. It is typically performed between 15-20 weeks of gestation, not based on maternal age. Choice A is incorrect as there is no age requirement for amniocentesis. Choice C is incorrect as chorionic villus sampling is a different procedure used for genetic testing earlier in pregnancy. Choice D is incorrect as amniocentesis is a planned procedure that requires preparation and scheduling, not something to be done on the same day.
Which of the following is a potential indication for a forceps-assisted delivery?
- A. Fetal distress
- B. Maternal hemorrhage
- C. Prolonged second stage of labor
- D. All of the above
Correct Answer: C
Rationale: A prolonged second stage of labor is a common indication for a forceps-assisted delivery.
A nurse is teaching a postpartum client about steps the nurses will take to promote the security and safety of the client's newborn. Which of the following statements should the nurse make?
- A. "The nurse will carry your baby in their arms to the nursery for scheduled procedures."
- B. "We will document the relationship of visitors in your medical record."
- C. "It's okay for your baby to sleep in the bed with you while in the hospital."
- D. "Staff members who take care of your baby will be wearing a photo identification badge."
Correct Answer: D
Rationale: Correct Answer: D
Rationale:
1. Staff wearing photo ID badges ensures proper identification for security.
2. Visual verification protects against unauthorized individuals caring for the baby.
3. ID badges indicate staff members have been vetted and authorized to care for newborns.
4. Promotes safety by ensuring only qualified individuals handle the baby.
Summary:
A: Carrying the baby to the nursery poses security risks and disrupts mother-infant bonding.
B: Documenting visitor relationships is important but does not directly address newborn security.
C: Co-sleeping with the baby in the hospital increases the risk of accidental suffocation.
D: Correct choice, as it directly addresses security and safety measures for the newborn.
E:
F:
G:
A nurse is collecting data from a client who is at 30 weeks of gestation. Which of the following findings should the nurse identify as a manifestation of pyelonephritis?
- A. Epigastric discomfort
- B. Flank pain
- C. Temperature 37.7°C (99.8°F)
- D. Abdominal cramping
Correct Answer: B
Rationale: The correct answer is B: Flank pain. Pyelonephritis is an infection of the kidneys, which commonly presents with symptoms like flank pain. This pain is typically described as a dull ache in the lower back or sides. Other options are incorrect because: A) Epigastric discomfort is more indicative of gastrointestinal issues; C) A temperature of 37.7°C (99.8°F) is within normal range and not specific to pyelonephritis; D) Abdominal cramping is more likely related to gastrointestinal or uterine issues in pregnancy.