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What is the recommended method of feeding for a full-term newborn who is not at risk for hypoglycemia?
- A. Breastfeeding
- B. Formula feeding
- C. Tube feeding
- D. All of the above
Correct Answer: A
Rationale: Breastfeeding is the recommended method of feeding for full-term newborns who are not at risk for hypoglycemia.
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What is the primary intervention for postpartum hemorrhage?
- A. Oxytocin infusion
- B. Methylergonovine injection
- C. Misoprostol administration
- D. Blood transfusion
Correct Answer: A
Rationale: The correct answer is A: Oxytocin infusion. Oxytocin is the first-line medication for postpartum hemorrhage as it helps to contract the uterus, reducing bleeding. It stimulates uterine contractions, which helps to control bleeding by compressing blood vessels. Methylergonovine (B) is contraindicated in hypertensive disorders, Misoprostol (C) is an alternative if oxytocin is not available, and Blood transfusion (D) is a supportive measure after the bleeding is controlled.
What is the recommended method of pain relief for a woman who has a cesarean delivery?
- A. Epidural anesthesia
- B. Intravenous opioids
- C. Patient-controlled analgesia
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. After a cesarean delivery, a combination of pain relief methods is often recommended to manage postoperative pain effectively. Epidural anesthesia provides continuous pain relief, intravenous opioids offer immediate relief, and patient-controlled analgesia allows the woman to self-administer pain medication as needed. This multimodal approach ensures adequate pain control while minimizing side effects. Choosing only one method may not address all aspects of pain management. Therefore, utilizing all three options in combination is the most comprehensive and effective approach in managing pain after a cesarean delivery.
What is the recommended method of pain relief during labor for a woman who wants to avoid medication and wants to move around freely?
- A. Nitrous oxide
- B. Intramuscular opioids
- C. Transcutaneous electrical nerve stimulation (TENS)
- D. All of the above
Correct Answer: A
Rationale: Nitrous oxide is a non-invasive pain relief option that allows the woman to move freely during labor.
A nurse is caring for a client who is at 38 weeks of gestation. Which of the following actions should the nurse take prior to applying an external transducer for fetal monitoring?
- A. Determine progression of dilatation and effacement.
- B. Perform Leopold maneuvers.
- C. Complete a sterile speculum exam.
- D. Prepare a Nitrazine paper test.
Correct Answer: B
Rationale: Performing Leopold maneuvers helps the nurse determine the fetal position and presentation, which is essential for accurate placement of the external transducer.
A nurse in a clinic is caring for a 16-year-old adolescent. Which of the following findings should the nurse report to the provider? (Select all that apply.)
- A. Abdominal assessment
- B. Vaginal discharge
- C. Heart rate
- D. Temperature
- E. Dyspareunia
- F. Condom usage
Correct Answer: A,B,D,E,F
Rationale: The correct findings to report to the provider are A, B, D, E, and F. Abdominal assessment (A) is important to assess for any underlying issues. Vaginal discharge (B) could indicate infection. Temperature (D) may suggest infection or illness. Dyspareunia (E) could indicate underlying gynecological issues. Condom usage (F) is important for assessing sexual activity and risk. Heart rate (C) is a normal vital sign and doesn't necessarily require immediate reporting.