Which of the following is a potential cause of recurrent pregnancy loss?
- A. Chromosomal abnormalities
- B. Immunologic factors
- C. Environmental factors
- D. All of the above
Correct Answer: D
Rationale: Recurrent pregnancy loss can be caused by chromosomal abnormalities, immunologic factors, or environmental factors.
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A nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?
- A. Mothers will receive prophylactic treatment with acyclovir prior to delivery.
- B. Transmission can occur via the saliva and urine of the newborn.
- C. Lesions are visible on the mother’s genitalia.
- D. This infection requires that airborne precautions be initiated for the newborn.
Correct Answer: B
Rationale: The correct answer is B because cytomegalovirus can be transmitted through bodily fluids like saliva and urine. This is important for the nurses to understand as they care for newborns who may be infected. The other choices are incorrect because: A) Acyclovir is used for herpes simplex virus, not cytomegalovirus, C) Lesions are not typically visible with cytomegalovirus, D) Airborne precautions are not required for cytomegalovirus, and the other choices are not provided.
Which of the following is a potential complication of a vacuum-assisted delivery?
- A. Fetal distress
- B. Maternal hemorrhage
- C. Intra-abdominal injury
- D. All of the above
Correct Answer: C
Rationale: The correct answer is C: Intra-abdominal injury. During a vacuum-assisted delivery, the vacuum extractor can potentially apply excessive force leading to intra-abdominal injury to the mother. This can include injuries to the uterus, bladder, or other abdominal organs. Fetal distress (choice A) and maternal hemorrhage (choice B) are potential complications of vacuum-assisted delivery as well, but they are not directly related to the mechanical trauma that can cause intra-abdominal injury. Therefore, the correct answer is C as it specifically addresses a unique complication associated with vacuum-assisted delivery.
Which of the following is a potential complication of meconium aspiration syndrome?
- A. Respiratory distress syndrome
- B. Hypoglycemia
- C. Jaundice
- D. All of the above
Correct Answer: A
Rationale: The correct answer is A: Respiratory distress syndrome. Meconium aspiration can lead to airway obstruction, inflammation, and surfactant dysfunction, resulting in respiratory distress syndrome. Hypoglycemia and jaundice are not directly associated with meconium aspiration syndrome. Therefore, choice A is the most appropriate complication.
A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?
- A. Breast tenderness
- B. Tinnitus
- C. Urinary frequency
- D. Chills
Correct Answer: A
Rationale: The correct answer is A: Breast tenderness. Clomiphene citrate is a medication commonly used to treat infertility by inducing ovulation. Breast tenderness is a common adverse effect due to the hormonal changes it causes in the body. This is important for the nurse to include in the teaching as it helps the client anticipate and manage this side effect. Tinnitus (B), urinary frequency (C), and chills (D) are not typically associated with clomiphene citrate use and are less likely to be relevant to discuss with the client in this context.
What is the primary goal of interprofessional collaboration in maternal and newborn healthcare?
- A. To improve communication and coordination of care
- B. To decrease healthcare costs
- C. To increase patient satisfaction
- D. All of the above
Correct Answer: A
Rationale: The primary goal of interprofessional collaboration is to improve communication and coordination of care.