Nokea
Which of the following is a potential complication of a breech delivery?
- A. Fetal distress
- B. Maternal hemorrhage
- C. Birth trauma
- D. All of the above
Correct Answer: C
Rationale: The correct answer is C: Birth trauma. In a breech delivery, where the baby is positioned feet or buttocks first, there is an increased risk of birth trauma due to potential difficulties in delivering the baby's head, leading to possible injuries such as fractures or nerve damage. Fetal distress and maternal hemorrhage can also occur but are not exclusive complications of breech delivery. Choice D, "All of the above," is incorrect as not all potential complications of a breech delivery are listed.
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A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
- A. Use a lubricant during intercourse.
- B. Drink herbal tea two times daily.
- C. Maintain a healthy weight.
- D. Take daily hot baths.
Correct Answer: C
Rationale: Correct Answer: C - Maintain a healthy weight.
Rationale: Maintaining a healthy weight is crucial for fertility as obesity or being underweight can impact fertility. Excess body fat can disrupt hormone levels and ovulation, while being underweight can also affect reproductive function. By suggesting the couple to maintain a healthy weight, the nurse is promoting overall reproductive health.
Summary of other choices:
A: Using a lubricant during intercourse does not address the underlying fertility issues.
B: Drinking herbal tea may not have a direct impact on fertility and lacks scientific evidence.
D: Taking daily hot baths can actually decrease sperm count and affect fertility.
E, F, G: These options are not provided but would likely not be as relevant as maintaining a healthy weight.
Which of the following hormones is responsible for maintaining the uterine lining during pregnancy?
- A. Progesterone
- B. Estrogen
- C. Prolactin
- D. Oxytocin
Correct Answer: A
Rationale: Progesterone is responsible for maintaining the uterine lining during pregnancy, supporting the developing fetus.
Which of the following is a potential complication of oligohydramnios?
- A. Preterm labor
- B. Fetal growth restriction
- C. Polyhydramnios
- D. All of the above
Correct Answer: B
Rationale: The correct answer is B: Fetal growth restriction. Oligohydramnios is a condition characterized by low amniotic fluid levels, which can lead to poor fetal growth due to decreased cushioning and space for the fetus to move and grow. This can result in intrauterine growth restriction and potential complications for the baby. Preterm labor (choice A) can also be associated with oligohydramnios due to issues with placental function, but it is not a direct complication of low amniotic fluid levels. Polyhydramnios (choice C) is the opposite condition of oligohydramnios and is not a potential complication of it. Therefore, the correct answer is B as it directly relates to the impact of oligohydramnios on fetal growth.
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
- A. Acrocyanosis.
- B. Transient strabismus.
- C. Jaundice.
- D. Caput succedaneum.
Correct Answer: C
Rationale: Jaundice within the first 24 hours of life is considered pathological and should be reported to the provider, as it may indicate hemolytic disease or other serious conditions.
Select the 3 findings that require immediate follow-up.
- A. Lateral deviation of the uterus
- B. Deep tendon reflexes 1+
- C. Pain rating of 3 on a scale of 0 to 10 (increased)
- D. Peripheral edema 2+ bilateral lower extremities
- E. Uterine tone soft
- F. Large amount of lochia rubra
- G. Blood pressure 136/86 mm Hg
Correct Answer: A,B,C,G
Rationale: These findings suggest uterine atony and bladder distention, which can lead to postpartum hemorrhage, a life-threatening emergency. Immediate interventions include fundal massage, bladder emptying, and administration of uterotonic medications.