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A nurse is reinforcing teaching with a client who is at 10 weeks of gestation regarding the purposes of laboratory tests.
Which of the following statements by the client indicates an understanding of the teaching?
- A. White blood cell count is an indicator of anemia.
- B. Platelet count identifies if I am at risk for bleeding.
- C. Sedimentation rate checks for signs of cancer.
- D. Urine specific gravity identifies my risk for pregnancy-induced hypertension.
Correct Answer: B
Rationale: Platelet count assesses bleeding risk, indicating the client understands its purpose in monitoring clotting ability.
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A nurse is collecting data from a newborn.
The nurse should recognize that which of the following images demonstrates a positive Babinski reflex?
- A. Image showing toes fanning out when the sole is stroked.
- B. Image showing the newborn grasping a finger when the palm is touched.
- C. Image showing the newborn turning the head when the cheek is stroked.
- D. Image showing the newborn making stepping movements when held upright.
Correct Answer: A
Rationale: The image showing toes fanning out when the sole of the foot is stroked demonstrates a positive Babinski reflex, a normal newborn response indicating immature nervous system development.
A nurse is reviewing the facility protocol about newborn identification and safety with a new parent.
Which of the following information should the nurse include?
- A. We will scan your baby's identification bracelet each shift.
- B. You should check the identity of individuals who come to remove your baby from the room.
- C. We will match the bracelet on your baby with his footprints each shift.
- D. Your baby will wear an electronic bracelet when he is out of your room.
Correct Answer: B
Rationale: Parents checking identities of individuals removing the baby enhances security, a key safety measure for newborns.
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. Oligohydramnios.
- B. Breech presentation.
- C. Retained placental fragments.
- D. Urinary tract infection.
Correct Answer: C
Rationale: Retained placental fragments prevent uterine contraction, a significant risk factor for postpartum hemorrhage.
A nurse is planning to administer Rh(D) immune globulin to a client who is postpartum.
Which of the following actions should the nurse take?
- A. Verify that the newborn is Rh-negative.
- B. Verify that the client's Coombs test is positive.
- C. Administer the medication into the client's abdomen.
- D. Administer the medication within 72 hours after birth.
Correct Answer: D
Rationale: Administering Rh(D) immune globulin within 72 hours prevents Rh sensitization in Rh-negative mothers, crucial for future pregnancies.
A nurse is reviewing the facility protocol about newborn identification and safety with a new parent.
Which of the following information should the nurse include?
- A. We will scan your baby's identification bracelet each time we check on him.
- B. You should check the identity of individuals who come to remove your baby from the room.
- C. We will match the bracelet on your baby with his footprint record each shift.
- D. Your baby will wear an electronic bracelet when he is out of your room.
Correct Answer: B
Rationale: Parents should verify the identity of anyone taking the baby from the room. This prevents unauthorized individuals from removing the baby, enhancing security and safety.