Nokea
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.
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The nurse is performing a prenatal assessment. What finding is considered a positive sign of pregnancy?
- A. Positive pregnancy test.
- B. Auscultation of fetal heart tones.
- C. Hegar's sign.
- D. Chadwick's sign.
Correct Answer: B
Rationale: The correct answer is B, auscultation of fetal heart tones, because it is a definitive sign of pregnancy indicating the presence of a fetus. This can be heard around 10-12 weeks of gestation using a Doppler device. It is a positive sign as it directly confirms the existence of a developing fetus.
A: A positive pregnancy test is a probable sign and can indicate pregnancy but is not definitive.
C: Hegar's sign is a probable sign characterized by softening of the lower uterine segment, not specific to pregnancy.
D: Chadwick's sign is a probable sign of pregnancy indicated by bluish discoloration of the cervix, vagina, and labia, not a definitive sign of pregnancy.
A client at 20 weeks' gestation asks about fetal movements. What is the nurse's best response?
- A. Fetal movements are rarely felt before 24 weeks.
- B. You should feel strong, regular movements at this stage.
- C. You may feel fluttering movements, known as quickening.
- D. It is too early to feel any fetal movements.
Correct Answer: C
Rationale: The correct answer is C because quickening, described as fluttering movements, is typically felt by pregnant individuals around 18-20 weeks of gestation. This indicates fetal movement and is an important milestone in pregnancy. Choices A and D are incorrect as fetal movements can be felt as early as 18-20 weeks. Choice B is incorrect as feeling strong, regular movements is not expected until later in the pregnancy.
A nurse is receiving laboratory results for a term newborn who is 24 hr. old. Which of the following results require intervention by the nurse?
- A. WBC count 10,000/mm3
- B. Platelets 180,000/mm3
- C. Hemoglobin 20g/dL
- D. Glucose 20 mg/dL
Correct Answer: D
Rationale: The correct answer is D because a glucose level of 20 mg/dL in a term newborn is significantly low and requires immediate intervention by the nurse. Low glucose levels can lead to hypoglycemia, which can be harmful to the newborn's brain development and overall health. A WBC count of 10,000/mm3 is within normal range for a newborn. Platelets of 180,000/mm3 and hemoglobin of 20g/dL are also within normal limits for a term newborn and do not require intervention.
The nurse is assessing a client in labor and notes persistent late decelerations on the monitor. What is the priority action?
- A. Reposition the client to her left side.
- B. Administer oxygen via face mask.
- C. Increase IV fluids.
- D. Notify the healthcare provider.
Correct Answer: A
Rationale: The correct answer is A: Reposition the client to her left side. This is the priority action because late decelerations indicate uteroplacental insufficiency, possibly due to compression of the umbilical cord. Repositioning the client to her left side can help improve blood flow to the placenta by reducing pressure on the vena cava, thus optimizing fetal oxygenation. Administering oxygen (B) is important but not the immediate priority. Increasing IV fluids (C) may not directly address the cause of late decelerations. Notifying the healthcare provider (D) is important but should come after immediate interventions.
The nurse is assessing a client in the third trimester with suspected gestational diabetes. What symptom is most concerning?
- A. Increased thirst and urination.
- B. Fasting blood glucose of 100 mg/dL.
- C. Weight gain of 1 pound in a week.
- D. Proteinuria of +1.
Correct Answer: A
Rationale: The correct answer is A: Increased thirst and urination. In gestational diabetes, increased thirst and urination can indicate uncontrolled blood sugar levels, which can harm the fetus. This symptom suggests hyperglycemia and requires immediate intervention.
B: Fasting blood glucose of 100 mg/dL is within the normal range for pregnancy and not concerning.
C: Weight gain of 1 pound in a week can be normal in the third trimester and not specific to gestational diabetes.
D: Proteinuria of +1 is more concerning for preeclampsia rather than gestational diabetes.