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Which stage of labor is characterized by the birth of the baby?
- A. First stage
- B. Second stage
- C. Third stage
- D. Fourth stage
Correct Answer: B
Rationale: The correct answer is B: Second stage. This stage of labor is characterized by the birth of the baby. It begins with complete dilation of the cervix and ends with the delivery of the baby. During this stage, contractions are strong and frequent, helping to push the baby out. The first stage (choice A) involves the onset of labor and the opening of the cervix. The third stage (choice C) involves the delivery of the placenta. The fourth stage (choice D) is the immediate postpartum period. Choices E, F, and G are not relevant to the stages of labor.
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A nurse who is caring for a client who is at 15 weeks of gestation, is Rh-negative, and has just had an amniocentesis. Which of the following interventions is the nurse's priority following the procedure?
- A. Check the client's temperature.
- B. Observe for uterine contractions.
- C. Administer Rh(0) Immune globulin.
- D. Monitor the FHR.
Correct Answer: C
Rationale: Administering Rh(0) Immune globulin is a priority for Rh-negative clients after amniocentesis to prevent Rh sensitization, which can occur if fetal blood enters the maternal circulation.
Which of the following is a potential complication of a vaginal birth after cesarean (VBAC)?
- A. Uterine rupture
- B. Postpartum hemorrhage
- C. Maternal infection
- D. All of the above
Correct Answer: A
Rationale: Uterine rupture is a potential complication of VBAC.
Which stage of labor is characterized by the period between full cervical dilation and delivery of the fetus?
- A. First stage
- B. Second stage
- C. Third stage
- D. Fourth stage
Correct Answer: B
Rationale: The second stage of labor begins with full cervical dilation and ends with the delivery of the fetus.
Which of the following is a potential complication of jaundice in a newborn?
- A. Kernicterus
- B. Hypoglycemia
- C. Respiratory distress
- D. Sepsis
Correct Answer: A
Rationale: The correct answer is A: Kernicterus. Kernicterus is a rare but serious complication of severe jaundice in newborns, where bilirubin levels become excessively high and cross the blood-brain barrier, leading to brain damage. Other choices are incorrect because: B) Hypoglycemia is not directly related to jaundice, C) Respiratory distress may occur but is not a direct complication of jaundice, and D) Sepsis is a separate condition from jaundice.
A nurse is teaching a client who has pregestational type 1 diabetes mellitus about management during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to increase my insulin doses during the first trimester.
- B. I should engage in moderate exercise for 30 minutes if my blood glucose is 250 or greater.
- C. I will continue taking my insulin if I experience nausea and vomiting.
- D. I will ensure that my bedtime snack is high in refined sugar.
Correct Answer: C
Rationale: Continuing to take insulin as prescribed, even when experiencing nausea and vomiting, is essential for maintaining blood glucose control during pregnancy.