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A nurse is reviewing the facility protocol about newborn identification and safety with a new parent.
Which of the following information should the nurse include?
- A. We will scan your baby's identification bracelet each shift.
- B. You should check the identity of individuals who come to remove your baby from the room.
- C. We will match the bracelet on your baby with his footprints each shift.
- D. Your baby will wear an electronic bracelet when he is out of your room.
Correct Answer: B
Rationale: Parents checking identities of individuals removing the baby enhances security, a key safety measure for newborns.
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A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia.
Which of the following medications should the nurse plan to administer?
- A. Acyclovir.
- B. Metronidazole.
- C. Tetracycline.
- D. Amoxicillin.
Correct Answer: D
Rationale: Amoxicillin is a safe, effective antibiotic for treating chlamydia in pregnancy, avoiding fetal harm from alternatives like tetracycline.
A nurse is caring for a client who is at 9 weeks of gestation and reports nausea in the morning that continues until midafternoon.
Which of the following actions should the nurse encourage the client to take?
- A. Eat dry, bland foods in the morning.
- B. Take an over-the-counter antacid.
- C. Increase intake of fresh fruits.
- D. Restrict fluids to 1,000 ml/day.
Correct Answer: A
Rationale: Eating dry, bland foods like crackers in the morning can alleviate nausea by absorbing stomach acid, a common remedy for early pregnancy nausea.
A nurse is assisting with the care of a client who has been admitted to the labor and delivery unit.
Which of the following diagnostic results should the nurse address first?
- A. Hematocrit 32% (normal range: 32% to 47%).
- B. Hemoglobin 10 g/dL (normal range: 11 to 16 g/dL).
- C. WBC 20,000/mm³ (normal range: 5,000 to 15,000/mm³).
- D. Maternal blood type O negative.
Correct Answer: C
Rationale: An elevated WBC count of 20,000/mm³ suggests infection or inflammation, a priority during labor requiring immediate attention.
A nurse in an obstetric clinic is caring for four clients.
The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
- A. A client who has a history of gallbladder disease.
- B. A client who has a positive pregnancy test.
- C. A client who smokes one pack of cigarettes per day.
- D. A client who is allergic to latex.
Correct Answer: B
Rationale: A positive pregnancy test contraindicates IUD use as it risks harming the fetus and causing complications like miscarriage or infection.
A nurse in an obstetric clinic is caring for four clients.
The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
- A. A client who has a history of gallbladder disease.
- B. A client who has a positive pregnancy test.
- C. A client who smokes one pack of cigarettes per day.
- D. A client who is nulliparous.
Correct Answer: B
Rationale: An IUD is contraindicated in clients with a positive pregnancy test because it can harm the developing fetus and lead to complications.