Nokea
Which of the following is a potential complication of neonatal hypocalcemia?
- A. Hypoglycemia
- B. Seizures
- C. Respiratory distress syndrome
- D. All of the above
Correct Answer: B
Rationale: Seizures are a potential complication of neonatal hypocalcemia due to the critical role of calcium in nerve and muscle function.
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A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse expect?
- A. Spotting
- B. Nausea
- C. Polyhydramnios
- D. Uterine tenderness
Correct Answer: A
Rationale: Spotting is a common symptom of placenta previa due to the abnormal placement of the placenta near or over the cervix. Nausea, polyhydramnios, and uterine tenderness are not typically associated with this condition.
A nurse is caring for a client who is in labor and notes that the umbilical cord is prolapsed. Which of the following actions should the nurse take?
- A. Evaluate uterine tone.
- B. Loosely wrap the cord with petroleum gauze.
- C. Apply fundal pressure.
- D. Place the client in Trendelenburg position
Correct Answer: D
Rationale: Placing the client in the Trendelenburg position helps reduce pressure on the prolapsed cord, preventing fetal distress. Other actions like applying fundal pressure or wrapping the cord are not appropriate.
What is the recommended method of pain relief for a woman who has a cesarean delivery?
- A. Epidural anesthesia
- B. Intravenous opioids
- C. Patient-controlled analgesia
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. After a cesarean delivery, a combination of pain relief methods is often recommended to manage postoperative pain effectively. Epidural anesthesia provides continuous pain relief, intravenous opioids offer immediate relief, and patient-controlled analgesia allows the woman to self-administer pain medication as needed. This multimodal approach ensures adequate pain control while minimizing side effects. Choosing only one method may not address all aspects of pain management. Therefore, utilizing all three options in combination is the most comprehensive and effective approach in managing pain after a cesarean delivery.
Which of the following is a potential ethical issue related to neonatal intensive care?
- A. Allocation of resources
- B. Withholding or withdrawing life-sustaining treatment
- C. Use of alternative therapies without informed consent
- D. All of the above
Correct Answer: D
Rationale: All of the above are potential ethical issues in neonatal intensive care. Allocation of resources raises questions about fairness, withholding or withdrawing treatment involves difficult decisions about quality of life, and using alternative therapies without consent violates patient autonomy.
What is the recommended method of pain relief for a woman who has a perineal laceration after delivery?
- A. Nonsteroidal anti-inflammatory drugs (NSAIDs)
- B. Acetaminophen
- C. Sitz baths
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D, All of the above. After delivery, a woman with a perineal laceration may experience pain and inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Acetaminophen can also provide pain relief without affecting inflammation. Sitz baths can help promote healing and reduce discomfort. Therefore, using all three methods together can provide comprehensive pain relief and aid in the healing process. Options A, B, and C alone may address specific aspects of pain relief but using all three together offers a more holistic approach to managing postpartum perineal pain.