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A nurse is assisting with the admission of a client who has hyperemesis gravidarum.
Which of the following laboratory tests is the priority to complete?
- A. Serum bilirubin
- B. Liver enzymes
- C. Urinalysis for ketones
- D. CBC
Correct Answer: C
Rationale: Urinalysis for ketones is the priority to assess dehydration and ketosis from severe vomiting in hyperemesis gravidarum, guiding immediate treatment to prevent complications.
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A nurse is assisting with the care of a newborn who has neonatal abstinence syndrome.
Which of the following actions should the nurse take first?
- A. Weigh the newborn's wet diaper.
- B. Determine the newborn's respiratory rate.
- C. Auscultate the newborn's bowel sounds.
- D. Swaddle the newborn impretermn blankets.
Correct Answer: B
Rationale: Determining the respiratory rate is critical first, as neonatal abstinence syndrome can cause respiratory distress, requiring immediate intervention for the newborn's safety.
A nurse is reinforcing teaching with a client who is at 24 weeks of gestation and has opioid use disorder.
Which of the following statements should the nurse make?
- A. You will be prescribed methadone.
- B. You will be prescribed aripiprazole.
- C. You will be prescribed naloxone.
- D. You will be prescribed diazepam.
Correct Answer: A
Rationale: Methadone maintenance therapy is a commonly used treatment for opioid use disorder in pregnant women. Methadone helps to manage withdrawal symptoms, reduce cravings, and stabilize the individual, promoting healthier outcomes for both the mother and the baby.
A nurse in an obstetric clinic is caring for four clients.
The nurse should identify that an intrauterine device is contraindicated for which of the following clients?
- A. A client who smokes one pack of cigarettes per day
- B. A client who has a history of gallbladder disease
- C. A client who has a positive pregnancy test
- D. A client who is nulliparous
Correct Answer: C
Rationale: An IUD should not be inserted in a client who has a positive pregnancy test. Inserting an IUD during pregnancy can lead to complications such as infection, miscarriage, and preterm birth. It is crucial to confirm the absence of pregnancy before IUD insertion.
A nurse in a provider's office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test.
Which of the following statements should the nurse make?
- A. You will not be able to eat or drink anything for 8 hours prior to the test.
- B. You will be required to lie flat on your back for the duration of the test
- C. You will receive medication through an IV line to stimulate contractions.
- D. You will press the provided button when you feel the baby moving during the test.
Correct Answer: D
Rationale: Pressing a button when feeling fetal movement during a nonstress test correlates movement with heart rate changes, assessing fetal well-being accurately.
A charge nurse is discussing risk factors for postpartum hemorrhage with a newly licensed nurse.
Which of the following conditions should the nurse include as a risk factor?
- A. Retained placental fragments
- B. Urinary tract infection
- C. Oligohydramnios
- D. Breech presentation
Correct Answer: A
Rationale: Retained placental fragments can lead to postpartum hemorrhage due to incomplete expulsion, causing ongoing bleeding. Failure of the uterus to contract effectively increases bleeding risk, making it a significant factor.