Nokea
Which of the following is a potential complication of maternal obesity during pregnancy?
- A. Gestational diabetes
- B. Preterm labor
- C. Placental abruption
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D, "All of the above." Maternal obesity during pregnancy can lead to gestational diabetes due to insulin resistance, preterm labor due to increased risk of premature birth, and placental abruption due to higher rates of hypertension and vascular complications. Choosing A, B, or C individually would be incorrect as they are all potential complications associated with maternal obesity.
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Click to specify which of the following actions the nurse should anticipate including in the client's plan of care. Select all that apply.
- A. Monitor blood pressure.
- B. Initiate contact precautions.
- C. Prepare for amniocentesis .
- D. Apply internal fecal monitor.
- E. Decrease lighting in the client's room
- F. Check urinary output.
- G. Encourage bed rest.
Correct Answer: A,C,G
Rationale: Reposition the client (Trendelenburg or knee-chest)
What is the recommended method of pain relief during labor for a woman who wants to avoid medication and prefers non-pharmacologic interventions?
- A. Nitrous oxide
- B. Intramuscular opioids
- C. Transcutaneous electrical nerve stimulation (TENS)
- D. All of the above
Correct Answer: C
Rationale: TENS is a non-pharmacologic method of pain relief that allows the woman to avoid medication.
Which of the following is a potential ethical issue related to the use of assisted reproductive technologies in maternal and newborn healthcare?
- A. Use of donor gametes
- B. Multiple gestation pregnancies
- C. Preimplantation genetic diagnosis (PGD)
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Using donor gametes raises ethical concerns about genetic connections and family dynamics. Multiple gestation pregnancies increase maternal and fetal health risks. Preimplantation genetic diagnosis may lead to embryo selection based on desired traits, raising ethical questions about eugenics. Thus, all choices contribute to ethical issues in assisted reproductive technologies.
A nurse is observing a new guardian caring for their crying newborn who is bottle feeding. Which of the following actions by the guardian should the nurse recognize as a positive parenting behavior?
- A. Lays the newborn across their lap and gently sways.
- B. Places the newborn in the crib in a prone position.
- C. Offers the newborn a pacifier dipped in formula.
- D. Prepares a bottle of formula mixed with rice cereal.
Correct Answer: A
Rationale: Laying the newborn across the lap and gently swaying is a positive parenting behavior that can help soothe the newborn and promote bonding.
A nurse is assessing a client who is postpartum and has idiopathic thrombocytopenia purpura (ITP). Which of the following findings should the nurse expect?
- A. Decreased platelet count.
- B. Increased erythrocyte sedimentation rate (ESR).
- C. Decreased megakaryocytes.
- D. Increased WBC.
Correct Answer: A
Rationale: Idiopathic thrombocytopenia purpura (ITP) is characterized by a decreased platelet count, which can lead to an increased risk of bleeding.