What is the recommended method of screening for hepatitis B during pregnancy?
- A. Hepatitis B surface antigen (HBsAg) test
- B. Hepatitis B core antibody (HBcAb) test
- C. Hepatitis B e antigen (HBeAg) test
- D. All of the above
Correct Answer: A
Rationale: The HBsAg test is the recommended method for screening for hepatitis B during pregnancy.
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Which of the following is a potential complication of neonatal sepsis?
- A. Hypoglycemia
- B. Respiratory distress syndrome
- C. Meningitis
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Neonatal sepsis can lead to various complications. Hypoglycemia may occur due to the body's response to infection. Respiratory distress syndrome can develop as a result of sepsis-induced lung damage. Meningitis is a serious complication of sepsis, affecting the brain and spinal cord. Choosing D is correct because sepsis can affect multiple systems, resulting in these varied complications. Choices A, B, and C are incorrect because they represent individual complications of sepsis, whereas D encompasses all the potential complications that can arise from neonatal sepsis.
Which stage of labor is characterized by the period between the end of the third stage and the mother's recovery from delivery?
- A. First stage
- B. Second stage
- C. Third stage
- D. Fourth stage
Correct Answer: D
Rationale: The correct answer is D: Fourth stage. The fourth stage of labor is the period immediately following the delivery of the baby and placenta, lasting up to 2 hours. This stage is crucial for monitoring the mother's vital signs and ensuring she recovers from the delivery process. It is characterized by postpartum uterine contractions, monitoring for excessive bleeding, and observing for signs of maternal complications. The first stage refers to the onset of labor until full dilation, the second stage is active labor and delivery of the baby, and the third stage is the delivery of the placenta. Therefore, the fourth stage is specifically focused on the mother's recovery from delivery, making it the correct choice.
Which stage of labor is characterized by cervical dilation from 4-10 cm?
- A. First stage
- B. Second stage
- C. Third stage
- D. Fourth stage
Correct Answer: A
Rationale: The correct answer is A: First stage. This stage of labor is characterized by cervical dilation from 4-10 cm. During this stage, the cervix prepares for childbirth by thinning and opening up to allow the baby to pass through the birth canal. The first stage is further divided into early labor (0-4 cm dilation) and active labor (4-10 cm dilation). It is crucial for monitoring progress and determining when to move to the next stage of labor. The other choices are incorrect because the second stage is characterized by pushing and delivery of the baby, the third stage is delivery of the placenta, and the fourth stage is the postpartum period immediately after delivery.
A nurse is making an initial postpartum home visit. Which of the following client statements should the nurse identity as a manifestation of Increased risk for child abuse?
- A. I want to meet other parents to see if they are going through the same things.
- B. I try to respond to the baby quickly so she doesn't cry very long.
- C. I think the baby should be sleeping through the night by now.
- D. I have several friends who come by to help out with the baby.
Correct Answer: C
Rationale: Expecting a newborn to sleep through the night is unrealistic and may indicate frustration or lack of understanding, which are risk factors for child abuse. Other statements reflect normal parental concerns or support systems.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing. 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
- A. Place newborn skin to skin on birthing parents chest, Encourage birthing parents to breastfeed, Obtain prescription for arterial blood gases, Plan to initiate phototherapy, Perform neonatal abstinence system scoring
- B. Cold stress, Acute bilirubin encephalopathy, Respiratory distress syndrome, Neonatal abstinence syndrome (NAS)
- C. Stool output, Temperature, Lung sounds, Blood glucose level, Bilirubin level
Correct Answer:
Rationale: