Nokea
Which of the following is a potential complication of a postpartum hemorrhage?
- A. Hypertension
- B. Anemia
- C. Thrombocytopenia
- D. All of the above
Correct Answer: B
Rationale: The correct answer is B: Anemia. Postpartum hemorrhage can lead to excessive blood loss, causing a drop in red blood cell count and hemoglobin levels, resulting in anemia. Hypertension is not a typical complication of postpartum hemorrhage, as it is more commonly associated with conditions like preeclampsia. Thrombocytopenia, a low platelet count, may occur in severe cases of postpartum hemorrhage but is not a common complication compared to anemia. Choice D, "All of the above," is incorrect as only anemia is a direct potential complication of postpartum hemorrhage.
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A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding. Which of the following actions should the nurse take?
- A. Administer betamethasone IM.
- B. Avoid performing sterile vaginal examinations.
- C. Anticipate a prescription for misoprostol.
- D. Obtain a specimen for a Kleihauer-Betke test.
Correct Answer: C
Rationale: The correct answer is C: Anticipate a prescription for misoprostol. Misoprostol is a medication used to help contract the uterus and control postpartum hemorrhage caused by uterine atony. It helps stimulate uterine contractions and reduce bleeding. Administering betamethasone (choice A) is not indicated for uterine atony and postpartum hemorrhage. Avoiding sterile vaginal examinations (choice B) does not address the underlying issue of uterine atony. Obtaining a specimen for a Kleihauer-Betke test (choice D) is used to assess the amount of fetal-maternal hemorrhage and is not an immediate intervention for uterine atony.
What is the recommended method of administering the second dose of hepatitis B vaccine to a newborn?
- A. Intramuscular injection
- B. Oral administration
- C. Topical application
- D. Subcutaneous injection
Correct Answer: A
Rationale: Intramuscular injection is the recommended method for administering the second dose of the hepatitis B vaccine to a newborn, as it ensures proper absorption and effectiveness.
Which of the following is a potential complication of a postpartum hemorrhage?
- A. Disseminated intravascular coagulation (DIC)
- B. Anemia
- C. Hyperglycemia
- D. All of the above
Correct Answer: A
Rationale: Postpartum hemorrhage can lead to disseminated intravascular coagulation (DIC), a serious condition where blood clotting is disrupted.
A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication?
- A. Hyperglycemia
- B. Bilateral crackles
- C. Hypotension
- D. Polyuria
Correct Answer: C
Rationale: Correct Answer: C - Hypotension
Rationale: Opioid analgesics can cause hypotension as a side effect by vasodilation and reduced cardiac output. The epidural route can further exacerbate this effect due to the potential spread of the medication to sympathetic nerves, resulting in vasodilation and decreased blood pressure. Monitoring for hypotension is crucial to prevent complications such as decreased tissue perfusion and potential cardiovascular collapse.
Incorrect Choices:
A: Hyperglycemia - Opioids do not typically cause hyperglycemia.
B: Bilateral crackles - Crackles are not a common adverse effect of opioids.
D: Polyuria - Opioids do not usually cause polyuria.
Which of the following is a potential ethical issue related to neonatal organ donation?
- A. Informed consent
- B. Allocation of resources
- C. End-of-life decision making
- D. All of the above
Correct Answer: A
Rationale: Informed consent is a key ethical issue in neonatal organ donation.