Nokea
Which of the following is a potential complication of a forceps-assisted delivery?
- A. Shoulder dystocia
- B. Hemorrhage
- C. Birth trauma
- D. All of the above
Correct Answer: C
Rationale: The correct answer is C: Birth trauma. Forceps-assisted delivery can result in birth trauma due to the application of forceps on the baby's head, leading to injuries such as facial bruising or lacerations. Shoulder dystocia (choice A) is a complication during natural delivery, not specific to forceps. Hemorrhage (choice B) can occur post-delivery and is not directly related to forceps. Choice D is incorrect as not all complications listed are directly associated with forceps-assisted delivery.
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A nurse is caring for a newborn who is 12 hr old and is experiencing jitteriness. Which of the following laboratory findings should the nurse identify as the priority?
- A. Blood glucose
- B. Total bilirubin
- C. Hemoglobin
- D. Blood calcium
Correct Answer: A
Rationale: The correct answer is A: Blood glucose. In a newborn experiencing jitteriness, the priority is to assess blood glucose levels to rule out hypoglycemia. Newborns are at risk for hypoglycemia due to limited glycogen stores and high metabolic demands. Untreated hypoglycemia can lead to serious complications like seizures and brain damage. Total bilirubin (choice B) is important for assessing jaundice but is not the priority in this case. Hemoglobin (choice C) and blood calcium (choice D) are not typically the first considerations for jitteriness in a newborn.
A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse expect?
- A. Spotting
- B. Nausea
- C. Polyhydramnios
- D. Uterine tenderness
Correct Answer: A
Rationale: Spotting is a common symptom of placenta previa due to the abnormal placement of the placenta near or over the cervix. Nausea, polyhydramnios, and uterine tenderness are not typically associated with this condition.
Which of the following is a potential complication of a cesarean delivery?
- A. Postpartum hemorrhage
- B. Infection
- C. Deep vein thrombosis (DVT)
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Postpartum hemorrhage can occur due to surgical trauma, infection can develop at the incision site, and deep vein thrombosis (DVT) can result from immobility post-surgery. Choosing A, B, or C alone would be incorrect as cesarean delivery carries risks of all these complications. Selecting E, F, or G is incorrect due to lack of relevance to cesarean delivery complications.
What is the most common type of anesthesia used during labor?
- A. Epidural
- B. Spinal
- C. General
- D. Local
Correct Answer: A
Rationale: The correct answer is A: Epidural. Epidural anesthesia is the most common type used during labor because it provides pain relief while allowing the mother to remain awake and actively participate in the delivery. It works by blocking nerve signals in the lower spine, numbing the lower half of the body. This allows the mother to have a more comfortable labor experience without losing consciousness. Spinal anesthesia (B) is similar but is typically used for cesarean sections. General anesthesia (C) is rarely used during labor due to the potential risks to the baby. Local anesthesia (D) is not commonly used for labor as it only numbs a small area and is not sufficient for the pain relief needed during childbirth.
Which of the following is a potential legal issue related to maternal and newborn healthcare?
- A. Informed consent
- B. Patient confidentiality
- C. Medical malpractice
- D. All of the above
Correct Answer: D
Rationale: Legal issues include informed consent, patient confidentiality, and medical malpractice.