Nokea
Which of the following is a potential complication of a preterm infant?
- A. Hypoglycemia
- B. Respiratory distress syndrome
- C. Hyperbilirubinemia
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Preterm infants are at increased risk for various complications due to their immature organ systems. Hypoglycemia can occur due to limited glycogen stores. Respiratory distress syndrome results from insufficient surfactant production in underdeveloped lungs. Hyperbilirubinemia is common as the liver may not efficiently process bilirubin. Choosing D is correct as all these complications can affect preterm infants. Options A, B, and C are incorrect as they individually address only one potential complication, whereas D encompasses all possibilities.
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Which of the following is a potential complication of a vaginal birth after cesarean (VBAC)?
- A. Uterine rupture
- B. Postpartum hemorrhage
- C. Maternal infection
- D. All of the above
Correct Answer: A
Rationale: Uterine rupture is a potential complication of VBAC.
A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse Include in the teaching?
- A. A nurse will draw blood from your baby's inner elbow.
- B. This test will be repeated when your baby is 2 months old.
- C. This test should be performed after your baby is 24 hours old
- D. Your baby will be given 2 ounces of water to drink prior to the test
Correct Answer: C
Rationale: Newborn genetic screening should be performed after the baby is 24 hours old to ensure accurate results. Blood is typically drawn from the heel, not the inner elbow, and no water is given prior to the test.
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.
What is the recommended method of contraception for a woman who is breastfeeding?
- A. Combined oral contraceptives
- B. Depo-Provera injection
- C. Copper intrauterine device (IUD)
- D. Progestin-only pills
Correct Answer: D
Rationale: The correct answer is D: Progestin-only pills. Progestin-only pills are recommended for breastfeeding women as they do not affect milk supply. These pills are safe to use during lactation and have minimal impact on the infant. Combined oral contraceptives (A) are not recommended due to potential negative effects on milk supply. Depo-Provera injection (B) may also decrease milk supply. Copper IUD (C) is generally safe but may cause heavier periods. Progestin-only pills (D) are the most suitable option for breastfeeding women due to their minimal impact on milk production and infant health.
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
- A. Thick, white vaginal discharge
- B. Urinary frequency
- C. Vulva lesions
- D. Malodorous discharge
Correct Answer: D
Rationale: The correct answer is D: Malodorous discharge. Trichomoniasis is a sexually transmitted infection caused by a parasite, resulting in a foul-smelling, greenish-yellow vaginal discharge. This characteristic discharge is due to the infection and inflammation of the vaginal mucosa. Option A (Thick, white vaginal discharge) is more indicative of a yeast infection, while option B (Urinary frequency) is not specific to trichomoniasis. Option C (Vulva lesions) is not a common symptom of trichomoniasis. Overall, the malodorous discharge is the key finding in diagnosing trichomoniasis at 20 weeks of gestation.