Which of the following drawings is consistent with a baby who was in the frank breech position in utero?
- A. Drawing 1.
- B. Drawing 2.
- C. Drawing 3.
- D. Drawing 4.
Correct Answer: C
Rationale: Frank breech position involves flexed hips and extended knees.
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A nurse is working on the postpartum unit. Which of the following patients should the nurse assess first?
- A. PP1 from vaginal delivery with complaints of burning on urination.
- B. PP2 from forceps delivery with blood loss of 500 mL at time of delivery.
- C. PP3 from vacuum delivery with hemoglobin of 7.2 g/dL.
- D. PO4 from cesarean delivery with complaints of firm and painful breasts.
Correct Answer: C
Rationale: Severe anemia requires immediate attention.
The nurse is teaching the parents of a 1-day-old baby how to give a sponge bath. Which of the following actions should be included?
- A. Clean the eyes from outer canthus to inner canthus.
- B. Cleanse the ear canals with a cotton swab.
- C. Assemble all supplies before beginning the bath.
- D. Check the temperature of the bath water with the fingertips.
Correct Answer: C
Rationale: Preparing supplies ensures efficiency and safety during bathing.
A postpartum woman has been diagnosed with postpartum psychosis. Which of the following is essential to be included in the family teaching for this client?
- A. The woman should never be left alone with her infant.
- B. Symptoms rarely last more than one week.
- C. Clinical response to medications is usually poor.
- D. The woman must have her vitals assessed every two days.
Correct Answer: A
Rationale: Safety is paramount with psychosis.
To reduce the risk of hypoglycemia in a full-term newborn weighing 2,900 grams, what should the nurse do?
- A. Maintain the infant's temperature above 97.7°F.
- B. Feed the infant glucose water every 3 hours until breastfeeding well.
- C. Assess blood glucose levels every 3 hours for the first twelve hours.
- D. Encourage the mother to breastfeed every 4 hours.
Correct Answer: A
Rationale: Maintaining body temperature helps prevent hypoglycemia by reducing metabolic demands.
The nurse is discharging five Rh-negative clients from the maternity unit. The nurse knows that the teaching was successful when the client who had which of the following deliveries asks why she must receive a RhoGAM injection? Select one that doesn't apply
- A. Abortion at 10 weeks' gestation.
- B. Amniocentesis at 16 weeks' gestation.
- C. Fetal demise at 24 weeks' gestation.
- D. Birth of Rh-negative twins at 35 weeks' gestation.
Correct Answer: D
Rationale: RhoGAM is given in cases where there is potential exposure to Rh-positive blood.