Nokea
Which of the following is a potential complication of maternal hypertension during pregnancy?
- A. Placental abruption
- B. Fetal growth restriction
- C. Preterm labor
- D. All of the above
Correct Answer: D
Rationale: Maternal hypertension can lead to placental abruption, fetal growth restriction, and preterm labor.
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Which of the following is a potential complication of a cesarean delivery?
- A. Maternal infection
- B. Neonatal respiratory distress syndrome
- C. Postoperative hemorrhage
- D. All of the above
Correct Answer: D
Rationale: Cesarean delivery can lead to maternal infection, neonatal respiratory distress, and postoperative hemorrhage.
A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
- A. You cannot have an amniocentesis until you are at least 35 years of age.
- B. This procedure determines if your baby has genetic or congenital disorders.
- C. Your provider will schedule a chorionic villus sampling to determine the sex of your baby.
- D. We can schedule the procedure for later today if you’d like.
Correct Answer: B
Rationale: The correct response is B: This procedure determines if your baby has genetic or congenital disorders. Amniocentesis is a diagnostic test that involves taking a sample of the amniotic fluid, which can be analyzed for genetic abnormalities like Down syndrome. It is typically performed between 15-20 weeks of gestation, not based on maternal age. Choice A is incorrect as there is no age requirement for amniocentesis. Choice C is incorrect as chorionic villus sampling is a different procedure used for genetic testing earlier in pregnancy. Choice D is incorrect as amniocentesis is a planned procedure that requires preparation and scheduling, not something to be done on the same day.
The nurse suspects the adolescent is experiencing pelvic inflammatory disease and is planning care. Which of the following prescriptions should the nurse expect the provider to prescribe? Drag words from the choices below to fill in each blank in the following sentence. The nurse should anticipate a provider's prescription for ------------------------------ and --------------------------
- A. fuconazole
- B. doxycycline
- C. Ceftriaxone
- D. acyclovir
- E. imiquimod
Correct Answer: B,C
Rationale:
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, or candidiasis. Each finding may support more than one disease process.
- A. Abdominal pain.
- B. Greenish discharge.
- C. Diabetes.
- D. Pain on urination.
- E. Absence of condom.
Correct Answer: B, D
Rationale: Greenish discharge and pain on urination are consistent with gonorrhea. Diabetes and absence of condom use are risk factors but not direct symptoms.
Which of the following actions should the nurse plan to implement? For each potential nursing action, click to specify if the intervention is indicated or contraindicated for the newborn.
- A. Educate the parents to begin range of motion exercises on the affected arm after 1 week.
- B. Assess for grasp reflex in the affected extremity.
- C. Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirt.
- D. Instruct parents to limit physical handling for 2 weeks.
Correct Answer:
Rationale: Educate the parents to begin range of motion exercises on the affected arm after 1 week is indicated. Passive ROM exercises of the arm are indicated to restore function of the extremity. The initiation of these exercises is delayed for approximately 1 week to prevent additional injury to the brachial plexus. Assess for grasp reflex in the affected extremity is indicated. With Erb-Duchenne paralysis, only the upper arm is affected. The function of the wrists and fingers should be unaffected; the nurse should assess for a palmar grasp reflex.Immobilize the arm across the abdomen by pinning the newborn's sleeve to their shirt is indicated. Intermittent immobilization of the affected arm across the newborn's abdomen can be achieved by pinning the sleeve to the shirt.Instruct parents to limit physical handling for 2 weeks is contraindicated. Parents and guardians should participate in the physical care of their newborn to increase parental-infant attachment. Providing education and practice opportunities for the parents will decrease their fears of injuring the newborn and increase confidence and bonding.