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.
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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.
A nurse is providing discharge instructions about newborn safety to a client who is 2 days postpartum. Which of the following instructions should the nurse include?
- A. Lay the baby on his stomach to nap during the daytime.
- B. Change smoke detector batteries every other year.
- C. Use a car seat when traveling by airplane
- D. Place a plastic waterproof sheet over the crib bedding
Correct Answer: C
Rationale: Using a car seat during air travel ensures the newborn's safety during takeoff, landing, and turbulence.
Which of the following is a professional standard for nursing practice in maternal and newborn healthcare?
- A. Safety and quality improvement
- B. Patient-centered care
- C. Leadership
- D. All of the above
Correct Answer: D
Rationale: All of the above are professional standards for nursing practice. Safety and quality improvement ensure high standards of care, patient-centered care focuses on individual needs, and leadership promotes effective teamwork and advocacy.
For each finding, click to specity if the finding increases the client's risk for uterine atony or infection.
- A. Prenatal anemia
- B. High parity
- C. Prolonged rupture of membranes
- D. Cesarean birth
- E. Polyhydramnios
Correct Answer:
Rationale:
A nurse is providing teaching to a client who is at 35 weeks of gestation and has a prescription for an amniocentesis. Which of the following client statements indicates an understanding of the teaching?
- A. I should empty my bladder before the procedure.
- B. I will be lying on my side during the procedure.
- C. I will be asleep during the procedure.
- D. I should start fasting 24 hours before the procedure.
Correct Answer: A
Rationale: The correct answer is A: "I should empty my bladder before the procedure." This statement indicates understanding because a full bladder can obstruct visualization during amniocentesis. Choice B is incorrect because the client should lie flat on their back during the procedure. Choice C is incorrect as the client is awake for an amniocentesis. Choice D is incorrect because fasting is not required before the procedure.