Nokea
What is the usual treatment for severe postpartum depression?
- A. Improved nutrition
- B. Vitamin therapy
- C. Pharmacologic interventions
- D. Support group therapy
Correct Answer: C
Rationale: Support therapy is not enough for major PPD. Pharmacologic interventions are needed in most instances.
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The nurse assures a patient who has become sensitized to the Rh antigen that she can be protected for future pregnancies by receiving what injection?
- A. Iron
- B. Vitamin B12
- C. RhoGAM
- D. Type O blood
Correct Answer: C
Rationale: RhoGAM prevents the development of naturally occurring maternal antibodies.
How should twins who share a placenta and come from one fertilized ovum be identified?
- A. Dizygotic
- B. Trizygotic
- C. Genetically different
- D. Monozygotic
Correct Answer: D
Rationale: Monozygotic twins, also known as identical twins, originate from one fertilized ovum and share a placenta. Monozygotic twins carry the same genetic code. Dizygotic twins are the result of two separate ova being fertilized at the same time.
A patient presents with symptoms of abruptio placentae. To facilitate uterine-placental perfusion in what position would the nurse place the patient?
- A. Prone position
- B. Trendelenburg's position
- C. Supine position
- D. Modified side-lying position
Correct Answer: D
Rationale: A modified side-lying position facilitates uterine-placental perfusion.
The nurse is assessing a "kick count" for a patient with gestational hypertension. What result should be a cause for concern?
- A. Less than three kicks per hour
- B. Less than five kicks per hour
- C. Less than seven kicks per hour
- D. Less than nine kicks per hour
Correct Answer: A
Rationale: A kick count of fewer than three per hour is considered serious and a cause for concern.
A primigravida is Rh negative and her husband is Rh positive. She is concerned about the health of the fetus. The nurse explains that there is little danger to the fetus if it is Rh positive; however the mother would become sensitized during delivery. If this were the case the mother would produce what in subsequent pregnancies?
- A. Rh-negative blood cells
- B. Rh-positive blood cells
- C. Rh-negative antibodies
- D. Rh-positive antibodies
Correct Answer: D
Rationale: If the mother is exposed to the Rh antigen, Rh-positive antibodies will be produced after delivery of an Rh-positive baby. If the baby is Rh negative, no antibodies will be produced.