Which short-term goal is appropriate for a full-term, breastfeeding neonate?
- A. The baby will regain birth weight by 4 weeks of age.
- B. The baby will sleep through the night by 4 weeks of age.
- C. The baby will stool every 2 to 3 hours by 1 week of age.
- D. The baby will urinate 6 to 10 times per day by 1 week of age.
Correct Answer: D
Rationale: Frequent urination indicates adequate hydration.
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A client received general anesthesia during her cesarean section 4 hours ago. Which of the following postpartum nursing interventions is important for the nurse to make?
- A. Place the client flat in bed.
- B. Assess for dependent edema.
- C. Auscultate lung fields.
- D. Check patellar reflexes.
Correct Answer: C
Rationale: General anesthesia can impair lung function, necessitating lung auscultation.
What percentage of weight loss did the baby experience? Calculate to the nearest hundredth.
- A. 5.55%
- B. 7.20%
- C. 6.85%
- D. 6.90%
Correct Answer: B
Rationale: Calculation: (3,278 - 3,042) / 3,278 * 100 = 7.20%
The home health nurse is visiting a client with HIV who is 6 weeks postdelivery. Which of the following findings would indicate that patient teaching by the nurse in the hospital was successful?
- A. The client is breastfeeding her baby every two hours.
- B. The client is using a diaphragm for family planning.
- C. The client is taking her temperature every morning.
- D. The client is seeking care for a recent weight loss.
Correct Answer: D
Rationale: Weight loss may indicate opportunistic infection.
A mother, G4 P4004, is 15 minutes postpartum. Her baby weighed 4,595 grams at birth. For which of the following complications should the nurse monitor this client?
- A. Seizures.
- B. Hemorrhage.
- C. Infection.
- D. Thrombosis.
Correct Answer: B
Rationale: Macrosomic babies increase the risk of postpartum hemorrhage.
The nursery nurse is careful to wear gloves when admitting neonates into the nursery. Which of the following is the scientific rationale for this action?
- A. Meconium is filled with enteric bacteria.
- B. Amniotic fluid may contain harmful viruses.
- C. The high alkalinity of fetal urine is caustic to the skin.
- D. The baby is high risk for infection and must be protected.
Correct Answer: A
Rationale: Meconium contains enteric bacteria, making it important to use gloves to prevent contamination.