When should the gestational age of the infant be determined?
- A. Within 5 to 10 minutes of delivery
- B. Within 1 to 2 hours of delivery
- C. Within 2 to 8 hours of delivery
- D. Within 12 to 24 hours of delivery
Correct Answer: C
Rationale: The gestational age tests are done within 2 to 8 hours of delivery.
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The nurse reports to the charge nurse that the 3-hour postpartum patient is bleeding excessively as she has saturated one peripad in less than ___ minutes.
Correct Answer: 15
Rationale: The saturation of one peripad within 15 minutes is considered to be excessive bleeding.
The nurse is assessing the newborn and discovers a yellowing of the skin. What is true for jaundice that appears at birth?
- A. Within normal limits
- B. Pathologic
- C. A result of iron deficiency
- D. Indicating possible hepatitis
Correct Answer: B
Rationale: Jaundice observed at birth is considered an indicator of a pathologic condition, erythroblastosis fetalis. It is considered abnormal.
What test is used to identify the maternal level of Rh antibodies in the mother's blood?
- A. Indirect Coombs' test
- B. Hemolytic test
- C. Rh antibody test
- D. Direct Coombs' test
Correct Answer: A
Rationale: The indirect Coombs' test measures the maternal level of antibodies.
Why do alcohol and illegal drugs endanger the fetus?
- A. Both are absorbed into the bloodstream.
- B. Both affect the mother.
- C. Both cross the placental barrier.
- D. Both increase the heart rate of the fetus.
Correct Answer: C
Rationale: Alcohol and illicit drugs cross the placental barrier and affect the fetus.
A patient with hyperemesis gravidarum asks the nurse what would have happened if she had not come to the hospital. What result is the best response by the nurse?
- A. A large for gestational age infant
- B. Anorexia nervosa
- C. Preterm delivery
- D. Maternal or fetal death
Correct Answer: D
Rationale: If untreated, hyperemesis gravidarum can result in maternal or fetal death.
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