Nokea
Which of the following is a potential complication of neonatal respiratory distress syndrome?
- A. Hypoglycemia
- B. Pneumonia
- C. Patent ductus arteriosus
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Neonatal respiratory distress syndrome can lead to complications such as hypoglycemia due to increased metabolic demands, pneumonia due to weakened immune system, and patent ductus arteriosus due to increased pulmonary blood flow. Hypoglycemia, pneumonia, and patent ductus arteriosus are all potential complications associated with neonatal respiratory distress syndrome. The other choices are incorrect as they do not encompass the range of potential complications associated with this condition.
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What is the recommended method of feeding for a preterm infant?
- A. Breastfeeding
- B. Formula feeding
- C. Bottle feeding with breast milk
- D. Parenteral nutrition
Correct Answer: C
Rationale: The correct answer is C: Bottle feeding with breast milk. Preterm infants may have difficulty latching onto the breast due to their immature sucking reflex. Bottle feeding with breast milk allows for easier feeding and enables monitoring of intake. Breast milk provides essential nutrients and antibodies crucial for preterm infant development. Formula feeding (B) may lack these benefits. Breastfeeding (A) may be challenging for preterm infants initially. Parenteral nutrition (D) is typically used when a baby cannot tolerate oral feedings.
A nurse is caring for a client who is at 37 weeks of gestation and is being tested for group B streptococcus ß-hemolytic (GBS). The client is multigravida and multipara with no history of GBS. She asks the nurse why the test was not conducted earlier in her pregnancy. Which of the following is an appropriate response by the nurse?
- A. You didn't report any symptoms of GBS during your pregnancy.'
- B. Your previous deliveries were all negative for GBS.'
- C. There was no indication of GBS in your earlier prenatal testing.'
- D. We need to know if you are positive for GBS at the time of delivery.'
Correct Answer: D
Rationale: The correct answer is D: "We need to know if you are positive for GBS at the time of delivery." This response is appropriate because GBS status can change throughout pregnancy, and testing closer to delivery provides the most accurate information to guide treatment and prevent transmission to the newborn.
Choice A is incorrect as GBS is often asymptomatic and can be present without any noticeable symptoms. Choice B is incorrect because GBS status can change between pregnancies. Choice C is incorrect as GBS testing at 37 weeks is standard practice regardless of earlier prenatal testing results.
Which of the following hormones stimulates uterine contractions during labor?
- A. Progesterone
- B. Estrogen
- C. Prolactin
- D. Oxytocin
Correct Answer: D
Rationale: Oxytocin is the hormone responsible for stimulating uterine contractions during labor.
Which of the following is a potential complication of neonatal hypernatremia?
- A. Hyperglycemia
- B. Hypoglycemia
- C. Dehydration
- D. All of the above
Correct Answer: C
Rationale: Neonatal hypernatremia can lead to dehydration due to excessive sodium levels.
A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of the following findings contraindicates the initiation of the oxytocin infusion and should be reported to the provider?
- A. Late decelerations.
- B. Moderate variability of the FHR.
- C. Cessation of uterine dilation.
- D. Prolonged active phase of labor.
Correct Answer: A
Rationale: Late decelerations in the fetal heart rate are a sign of fetal distress and contraindicate the use of oxytocin, as it can exacerbate the distress.