Nokea
Which of the following is a potential complication of hypothermia in a newborn?
- A. Hypoglycemia
- B. Respiratory distress syndrome
- C. Hypertension
- D. All of the above
Correct Answer: B
Rationale: The correct answer is B: Respiratory distress syndrome. Hypothermia in a newborn can lead to respiratory distress syndrome due to decreased surfactant production. This impairs lung function and oxygen exchange, causing breathing difficulties. Hypoglycemia (choice A) can also occur due to decreased metabolic rate, not directly related to hypothermia. Hypertension (choice C) is not typically associated with hypothermia in newborns. Choice D is incorrect as hypothermia does not directly cause all these complications.
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What is the recommended method of pain relief during labor for a woman who wants to avoid medication and wants to move around freely?
- A. Nitrous oxide
- B. Intramuscular opioids
- C. Transcutaneous electrical nerve stimulation (TENS)
- D. All of the above
Correct Answer: A
Rationale: Nitrous oxide is a non-invasive pain relief option that allows the woman to move freely during labor.
Which of the following is a potential complication of a cesarean delivery?
- A. Hemorrhage
- B. Infection
- C. Uterine rupture
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. A cesarean delivery can lead to hemorrhage due to the incision and removal of the placenta. Infection can occur at the incision site or in the uterus post-surgery. Uterine rupture is a rare but serious complication where the uterus tears open. Choosing D is correct as all these complications can potentially arise after a cesarean delivery. Options A, B, and C are incorrect as they do not encompass all possible complications of a cesarean delivery.
A nurse is assessing a newborn 12 hr after birth. Which of the following manifestations should the nurse report to the provider?
- A. Acrocyanosis.
- B. Transient strabismus.
- C. Jaundice.
- D. Caput succedaneum.
Correct Answer: C
Rationale: Jaundice within the first 24 hours of life is considered pathological and should be reported to the provider, as it may indicate hemolytic disease or other serious conditions.
What is the recommended amount of weight gain during pregnancy for a woman with a normal BMI?
- A. 10-15 pounds
- B. 20-30 pounds
- C. 30-40 pounds
- D. 40-50 pounds
Correct Answer: B
Rationale: The correct answer is B (20-30 pounds). This range is recommended for pregnant women with a normal BMI to support the health of both the mother and the baby. Gaining too little weight can lead to complications like low birth weight, while gaining too much weight increases the risk of gestational diabetes and high blood pressure. The other choices are incorrect because they either fall below or exceed the recommended weight gain range, which can pose risks to the pregnancy. It is crucial for the mother to maintain a healthy weight gain to ensure a safe and successful pregnancy.
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
- A. Oatmeal
- B. Cabbage
- C. Asparagus
- D. Lentils
Correct Answer: D
Rationale: The correct answer is D: Lentils. Lentils have the highest fiber content per cup compared to the other options. Lentils contain around 15.6 grams of fiber per cup, making them an excellent choice to alleviate constipation. Oatmeal, cabbage, and asparagus have lower fiber content per cup compared to lentils. Oatmeal contains around 4 grams of fiber per cup, cabbage has about 2.2 grams, and asparagus has approximately 2.8 grams. Therefore, lentils are the best choice for increasing fiber intake to help with constipation during pregnancy.