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Which action is the most appropriate nursing measure when a baby has an unexpected defect at birth?
- A. Remove the baby from the delivery area immediately.
- B. Inform the parents immediately that something is wrong.
- C. Tell the parents that the baby has to go to the nursery immediately.
- D. Explain the defect and show the baby to the parents as soon as possible.
Correct Answer: D
Rationale: When a baby is born with an unexpected defect, it is crucial for the nursing staff to explain the defect to the parents and show the baby to them as soon as possible. This approach allows for open communication, transparency, and the opportunity for the parents to start processing the situation emotionally. By involving the parents and keeping them informed, trust and understanding can be established between the healthcare providers and the family, ultimately fostering a supportive environment for everyone involved in the care of the baby. It is essential to approach the situation with empathy and sensitivity while providing the necessary information to the parents.
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A nurse is caring for a client who is receiving prenatal care and is at her 24- week appointment. Which of the following laboratory tests should the nurse plans to conduct?
- A. Group B strep culture
- B. 1-hr glucose tolerance test
- C. Rubella titer
- D. Blood type and Rh
Correct Answer: D
Rationale: At the 24-week prenatal appointment, it is essential to conduct the blood type and Rh test for the pregnant client. Determining the mother's blood type (A, B, AB, O) and Rh factor (positive or negative) is crucial as it helps identify if the mother is Rh-negative and at risk for Rh incompatibility with her baby. This information is vital for appropriate management to prevent potential complications such as hemolytic disease of the newborn. Conducting the blood type and Rh test at this stage allows healthcare providers to take necessary precautions to protect both the mother and the fetus.
The nurse is reviewing the role of the placenta in fetal development. Which statement should be included?
- A. The placenta stores nutrients for the fetus.
- B. The placenta prevents all infections from reaching the fetus.
- C. The placenta transfers oxygen and nutrients to the fetus.
- D. The placenta produces progesterone only in early pregnancy.
Correct Answer: C
Rationale: The placenta facilitates the transfer of oxygen and nutrients while removing waste products.
An infertility specialist is evaluating whether a woman's cervical mucus contains enough estrogen to support sperm motility. Which of the following tests is the physician conducting?
- A. Ferning capacity
- B. Basal body temperature
- C. Colposcopy
- D. Hysterotomy
Correct Answer: A
Rationale: Ferning capacity refers to the ability of cervical mucus to form a fern-like pattern under a microscope when it is close to ovulation. This pattern indicates the presence of estrogen, which is essential for supporting sperm motility. By assessing ferning capacity, the infertility specialist can determine if the woman's cervical mucus contains enough estrogen to facilitate the movement of sperm for successful fertilization. This test helps in evaluating the quality of cervical mucus and its role in the fertility process. The other options (Basal body temperature, Colposcopy, Hysterotomy) are not directly related to assessing estrogen levels in cervical mucus for sperm motility.
A nurse is assessing a newborn who was born vaginally with vacuum extractor assistance ... that crosses the suture line. The nurse should identify the swellings as which of the following....?
- A. Nevus flammeus
- B. Caput uccedaneum
- C. Cephalohematoma
- D. Erythema toxicum
Correct Answer: C
Rationale: Cephalohematoma is a collection of blood between the skull and its periosteum that occurs due to rupture of blood vessels during birth trauma. It is typically found on one side of the head and does not cross the suture line. In contrast, caput succedaneum is a diffuse swelling that occurs on the newborn's scalp and can cross the suture lines. Nevus flammeus is a vascular birthmark that appears as a pink or red patch on the skin, unrelated to trauma. Erythema toxicum is a benign rash that appears as red spots or patches with a white or yellow papule in the center, also unrelated to trauma.
Which statement by the patient helps the nurse know
- A. Follicle-stimulating hormone she understands the teaching about condom use?
- B. Gonadotropin-releasing hormone
- C. A condom can be worn for two sexual encounters
- D. Progesterone as long as it does not break.
Correct Answer: A
Rationale: The statement "Condoms come in different sizes; it is important I get the right size to ensure proper protection" indicates that the patient understands the teaching about condom use. This statement shows an understanding of the importance of choosing the appropriate condom size for effective protection during sexual encounters. It reflects the patient's grasp of the information provided by the nurse regarding condom use, which is crucial in promoting safe practices to prevent sexually transmitted infections and unintended pregnancies.