Nokea
What is the term for the cream cheese-like substance that protects the infant's skin from amniotic fluid?
- A. Lanugo
- B. Meconium
- C. Desquamation
- D. Vernix caseosa
Correct Answer: D
Rationale: At birth, the skin is covered with a yellowish-white cream cheese-like substance called vernix caseosa.
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A new Native American mother tells the nurse that when she goes home her mother-in-law will be caring for the baby while she rests. The nurse has concerns. What should the nurse do?
- A. Explain the importance of ambulating to recover.
- B. Explain the importance of maternal-infant bonding.
- C. Explore ways to blend this with safe health teaching.
- D. Encourage this cultural behavior.
Correct Answer: C
Rationale: Follow principles that facilitate nursing practice within transcultural situations.
Which tests are performed to detect inborn errors of metabolism in the newborn?
- A. Blood glucose
- B. Phenylketonuria (PKU)
- C. Blood urea nitrogen (BUN)
- D. Prothrombin time (PT)
Correct Answer: B
Rationale: State law requires certain diagnostic tests be performed on the newborn, including PKU, which detects an inborn error of metabolism.
After delivery of a 9-lb baby the nurse assesses a perineal laceration extending through the muscles of the perineum. The nurse records this as a ___-degree laceration.
Correct Answer: second
Rationale: A second-degree laceration extends through the superficial tissues into the muscles of the perineum.
A new mother had spinal anesthesia during a cesarean delivery. She now has a desire to void and can wiggle her toes. What should be the nurse's response when the mother asks to go the bathroom?
- A. Assess her blood pressure.
- B. Obtain a wheelchair.
- C. Palpate her bladder.
- D. Put slippers on her feet.
Correct Answer: D
Rationale: The nurse should check that the mother is wearing slippers to ensure better footing. If the mother has a desire to void and can move her toes, there is no need for her to remain bedridden.
The nurse describes the return of the postpartum patient's uterus to a pregravid state as ___.
Correct Answer: involution
Rationale: Involution is the decrease in size of the uterus to a prepregnant state.