Nokea
Which of the following is a potential complication of a nuchal cord?
- A. Fetal distress
- B. Maternal hemorrhage
- C. Amniotic fluid embolism
- D. All of the above
Correct Answer: A
Rationale: The correct answer is A: Fetal distress. A nuchal cord occurs when the umbilical cord is wrapped around the baby's neck. This can potentially lead to decreased blood flow and oxygen supply to the baby, resulting in fetal distress. Maternal hemorrhage and amniotic fluid embolism are not direct complications of a nuchal cord. Therefore, the correct answer is A as it directly relates to the potential consequence of a nuchal cord.
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A nurse is assessing a client who is at 6 weeks of gestation and adheres to a vegan diet. Which of the following questions should the nurse ask to assess the client’s dietary intake?
- A. How much protein do you eat in a day?
- B. Are you taking a Vitamin C supplement?
- C. Have you considered eating shellfish?
- D. When was the last time you ate meat?
Correct Answer: A
Rationale: The correct answer is A: "How much protein do you eat in a day?" This question is important because as a vegan, the client may have a higher risk of protein deficiency due to the lack of animal protein in their diet. By asking about their protein intake, the nurse can assess if the client is meeting their protein needs for a healthy pregnancy.
Choice B, asking about a Vitamin C supplement, is incorrect as Vitamin C deficiency is not typically a concern for vegans and is not specifically related to gestational nutrition. Choice C, suggesting shellfish, is incorrect as it goes against the client's vegan dietary preferences. Choice D, asking about the last time the client ate meat, is also incorrect as it is not relevant to assessing their current dietary intake as a vegan.
Which of the following is a potential cause of male infertility?
- A. Varicocele
- B. Cryptorchidism
- C. Testicular cancer
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D - All of the above. Varicocele, Cryptorchidism, and Testicular cancer are all potential causes of male infertility. Varicocele is an abnormal enlargement of the veins within the scrotum, which can lead to reduced sperm quality. Cryptorchidism is a condition where one or both testicles fail to descend into the scrotum, affecting sperm production. Testicular cancer can also impact fertility by affecting the function of the testes. Therefore, all three conditions can contribute to male infertility. Choices A, B, and C are incorrect because each of them individually can cause male infertility, making D the most comprehensive and correct answer.
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?
- A. Minimal arm recoil
- B. Popliteal angle of 90°
- C. Creases over the entire foot sole
- D. Raised areolas with 3 to 4 mm buds
Correct Answer: A
Rationale: The correct answer is A: Minimal arm recoil. In premature newborns, the lack of muscle tone results in minimal arm recoil, which is a characteristic finding in the New Ballard Score for assessing gestational age. This is due to the immaturity of the neuromuscular system in premature infants. Choice B, popliteal angle of 90°, is incorrect as flexion of the hips and knees is more common in preterm infants. Choice C, creases over the entire foot sole, is incorrect as full development of foot sole creases is seen in term infants. Choice D, raised areolas with 3 to 4 mm buds, is incorrect as these are signs of breast development and are not specific to gestational age assessment.
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
- A. Allow the medication to reach room temperature prior to administration.
- B. Place the client in a semi-Fowler’s position for 1 hr after administration.
- C. Instruct the client to avoid urinary elimination until after administration.
- D. Verify that informed consent is obtained prior to administration.
Correct Answer: D
Rationale: The correct answer is D: Verify that informed consent is obtained prior to administration. This is crucial because obtaining informed consent ensures that the client understands the risks, benefits, and alternatives of the procedure. It also respects the client's autonomy and right to make decisions about their care.
A: Allowing the medication to reach room temperature is not necessary for the administration of dinoprostone insert.
B: Placing the client in a semi-Fowler's position after administration is not a standard practice for dinoprostone insert.
C: Instructing the client to avoid urinary elimination is not necessary and could potentially harm the client by causing urinary retention.
Summary: The correct action is to ensure informed consent is obtained, as it is a fundamental ethical and legal requirement in healthcare.
Which of the following findings should the nurse report to the provider? (Select all that apply.)
- A. Coombs test result
- B. Mucous membrane assessment
- C. Intake and output
- D. Respiratory rate
- E. Head assessment finding
- F. Heart rate
- G. Sclera color
Correct Answer: A,B,C,G
Rationale: