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Which aspect of fetal diagnostic testing is most important to expectant parents?
- A. Safety of the fetus
- B. Duration of the test
- C. Cost of the procedure
- D. Physical discomfort caused by the procedure
Correct Answer: A
Rationale: The correct answer is A: Safety of the fetus. Expectant parents prioritize the safety of their unborn child above all else. Ensuring that the fetal diagnostic testing is safe for the fetus is crucial in making informed decisions about the pregnancy. Other choices are less important as safety directly impacts the well-being of the fetus, while the duration, cost, and physical discomfort are secondary considerations in comparison.
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An older adult patient has extensive wound care needs after discharge from the hospital. Which facility should the nurse discuss with the patient?
- A. Hospice
- B. Respite care
- C. Assisted living
- D. Skilled nursing
Correct Answer: D
Rationale: An intermediate care or skilled nursing facility offers skilled care from a licensed nursing staff.
The triage nurse in an obstetric clinic received the following four messages during the lunch hour. Which of the women should the nurse telephone first?
- A. My section incision from last week is leaking a whitish yellow discharge and I have a fever. What should I do?'
- B. I am 39 weeks pregnant with my first baby. I am having contractions about every ten minutes.'
- C. My boyfriend and I had intercourse this morning and our condom broke. What should we do?'
- D. I started my period yesterday. I need some medicine for these terrible menstrual cramps.'
Correct Answer: A
Rationale: A fever and discharge from a surgical incision could indicate an infection, which requires immediate attention. The other situations, while important, are less urgent.
The mother of a neonate with Down syndrome wishes to breastfeed. Which of the following considerations should the nurse make in relation to the mother’s wishes?
- A. The mother should be encouraged to feed expressed breast milk via a bottle.
- B. Down syndrome babies consume more calories than unaffected neonates.
- C. Because of the weight of the neonatal head, the side-lying position must be used.
- D. The baby will likely have a weak suck due to congenitally poor muscle tone.
Correct Answer: D
Rationale: Babies with Down syndrome often have hypotonia, which can affect their ability to suck effectively during breastfeeding.
Which laboratory is important to know when a client is having an amniocentesis?
- A. Blood type
- B. CBC
- C. Rh
- D. PT and PTT
Correct Answer: C
Rationale: Step-by-step rationale:
1. Rh factor is crucial to know to prevent Rh incompatibility issues during pregnancy.
2. Amniocentesis can pose a risk for Rh sensitization in Rh-negative mothers.
3. Knowing the Rh status helps determine if Rhogam (anti-D) is needed after amniocentesis.
4. Blood type (A) and CBC (B) are important but not directly relevant to amniocentesis.
5. PT and PTT (D) are coagulation tests, typically not required for routine amniocentesis.
When a pregnant woman develops ptyalism, which guidance should the nurse provide?
- A. Chew gum or suck on lozenges between meals.
- B. Eat nutritious meals that provide adequate amounts of essential vitamins and minerals.
- C. Take short walks to stimulate circulation in the legs and elevate the legs periodically.
- D. Use pillows to support the abdomen and back during sleep.
Correct Answer: A
Rationale: The correct answer is A: Chew gum or suck on lozenges between meals. Ptyalism is excessive saliva production during pregnancy. Chewing gum or sucking on lozenges can help manage excessive saliva by promoting swallowing and reducing the sensation of saliva accumulation. This guidance addresses the symptom directly. Choices B, C, and D do not specifically address ptyalism. B focuses on nutrition, C on circulation, and D on physical comfort, which are important aspects of pregnancy but not directly related to managing ptyalism.