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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A nurse is caring for a client who is 12 hr postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer?
- A. Bisacodyl 10 mg rectal suppository
- B. Magnesium hydroxide 30 mL PO
- C. Famotidine 20 mg PO
- D. Loperamide 4 mg PO
Correct Answer: A
Rationale: A rectal suppository like bisacodyl is appropriate for relieving constipation in a postpartum client with a perineal laceration, as it avoids straining. Loperamide is an antidiarrheal and not indicated here.
Which of the following is a potential complication of neonatal sepsis?
- A. Hypoglycemia
- B. Respiratory distress syndrome
- C. Meningitis
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Neonatal sepsis can lead to various complications. Hypoglycemia may occur due to the body's response to infection. Respiratory distress syndrome can develop as a result of sepsis-induced lung damage. Meningitis is a serious complication of sepsis, affecting the brain and spinal cord. Choosing D is correct because sepsis can affect multiple systems, resulting in these varied complications. Choices A, B, and C are incorrect because they represent individual complications of sepsis, whereas D encompasses all the potential complications that can arise from neonatal sepsis.
What is the recommended method of administering hepatitis B vaccine to a newborn?
- A. Intramuscular injection
- B. Oral administration
- C. Topical application
- D. Subcutaneous injection
Correct Answer: A
Rationale: The correct answer is A: Intramuscular injection. Administering hepatitis B vaccine via intramuscular injection ensures proper absorption and immune response. Injecting into the muscle allows for efficient delivery to the bloodstream. Oral administration (B) is not effective as the vaccine may be degraded in the digestive system. Topical application (C) and subcutaneous injection (D) are not recommended for hepatitis B vaccine due to inadequate absorption and immune response.
A nurse is admitting a client to the labor and delivery unit when the client states, 'My water just broke.' Which of the following interventions is the nurse's priority?
- A. Perform Nitrazine testing.
- B. Assess the fluid.
- C. Check cervical dilation.
- D. Begin FHR monitoring.
Correct Answer: D
Rationale: The priority intervention is to begin FHR (fetal heart rate) monitoring to ensure the fetus is not in distress after the rupture of membranes. This is critical for fetal well-being.
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
- A. Administer penicillin G 2.4 million units IM to the client.
- B. Instruct the client to schedule an annual pelvic examination.
- C. Tell the client they will start medication for HIV immediately after delivery.
- D. Report the client’s condition to the local health department.
Correct Answer: D
Rationale: Reporting the client’s HIV status to the local health department is a legal requirement to ensure proper public health tracking and intervention.