Nokea
Which assessment finding suggests that the laboring client's
- B. Reflex grade 0
- C. Urine output 60
- D. Generalized seizure
Correct Answer: D
Rationale: The correct answer is D, Generalized seizure. During labor, a generalized seizure is a critical finding that indicates eclampsia, a severe complication of pregnancy characterized by seizures, hypertension, and proteinuria. This requires immediate medical intervention to prevent harm to the mother and baby. Reflex grade 0 (choice B) is not a typical assessment finding during labor, and it does not indicate any immediate life-threatening condition. Urine output of 60 (choice C) is within the normal range and does not suggest any immediate critical issue. Therefore, choice D is the correct answer due to the urgency and severity of the condition it represents.
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The nurse is teaching a client about morning sickness. What recommendation should the nurse provide?
- A. Eat large meals three times a day.
- B. Drink fluids with meals.
- C. Consume dry crackers before getting out of bed.
- D. Avoid eating before bedtime.
Correct Answer: C
Rationale: The correct answer is C: Consume dry crackers before getting out of bed. This recommendation helps alleviate morning sickness by providing a bland and easily digestible snack to settle the stomach before getting up. By consuming dry crackers, the client can avoid an empty stomach, which can contribute to nausea. Eating large meals three times a day (A) can worsen morning sickness due to heavy digestion, while drinking fluids with meals (B) may exacerbate nausea. Avoiding eating before bedtime (D) is generally recommended, but it does not specifically address morning sickness.
The nurse is assessing a client with suspected preterm labor. Which finding confirms the diagnosis?
- A. Regular uterine contractions every 10 minutes.
- B. Cervical dilation of 3 cm.
- C. Lower back pain and cramping.
- D. Positive fetal fibronectin test.
Correct Answer: B
Rationale: The correct answer is B: Cervical dilation of 3 cm. This finding confirms preterm labor as it indicates cervical changes associated with labor progression. Regular uterine contractions every 10 minutes (choice A) may suggest labor but alone doesn't confirm preterm labor. Lower back pain and cramping (choice C) are common symptoms but not specific to preterm labor. A positive fetal fibronectin test (choice D) may indicate an increased risk of preterm labor but doesn't confirm the diagnosis definitively.
Which condition is a transient self-limiting mood disorder that affects new moms after childbirth?
- A. Postpartum blues
- B. Postpartum depression
- C. Postpartum psychosis
- D. Generalized anxiety disorder
Correct Answer: A
Rationale: The correct answer is A: Postpartum blues. This condition is a common, self-limiting mood disorder that affects new moms after childbirth. It is characterized by mild symptoms such as mood swings, weepiness, and irritability, usually resolving within a few weeks. Postpartum depression (B) is more severe and long-lasting, with persistent feelings of sadness, hopelessness, and anxiety. Postpartum psychosis (C) is a rare but serious condition marked by hallucinations, delusions, and extreme mood swings, requiring immediate medical attention. Generalized anxiety disorder (D) is a chronic condition characterized by excessive worry and anxiety unrelated to specific events, different from the transient nature of postpartum blues.
After ovulation, what does the ruptured follicle in the ovary transform into?
- A. Corpus luteum
- B. Corpus cavernosum
- C. Corpus callosum
- D. Corpus albicans
Correct Answer: A
Rationale: After ovulation, the ruptured follicle transforms into the corpus luteum. This structure secretes hormones like progesterone to prepare the uterus for potential pregnancy. The other choices are incorrect because:
B: Corpus cavernosum is erectile tissue found in the penis.
C: Corpus callosum is a structure in the brain connecting the two hemispheres.
D: Corpus albicans is the remnant of the corpus luteum if pregnancy doesn't occur.
A nurse is completing a health history for a client who is at 6-week gestation. The client informs the nurse that she smokes one park of cigarettes per day. The nurse should advise the client that smoking places the client9s newborn at risk for what complication?
- A. Hearing loss
- B. Intrauterine growth restriction
- C. Type 1 diabetes mellitus
- D. Congenital heart defects
Correct Answer: B
Rationale: The correct answer is B: Intrauterine growth restriction (IUGR). Smoking during pregnancy can restrict blood flow to the fetus, leading to inadequate oxygen and nutrients, resulting in IUGR. This can lead to low birth weight and potential health complications for the newborn. Hearing loss (A) is not directly associated with smoking during pregnancy. Type 1 diabetes mellitus (C) is an autoimmune condition not caused by maternal smoking. Congenital heart defects (D) can be a risk with smoking during pregnancy, but the most direct risk is IUGR.