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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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Which of the following hormones is responsible for stimulating milk production during lactation?
- A. Progesterone
- B. Estrogen
- C. Prolactin
- D. Oxytocin
Correct Answer: C
Rationale: Prolactin is the hormone responsible for stimulating milk production during lactation.
Which stage of labor is characterized by the delivery of the placenta?
- A. First stage
- B. Second stage
- C. Third stage
- D. Fourth stage
Correct Answer: C
Rationale: The correct answer is C: Third stage. This stage is characterized by the delivery of the placenta. It occurs after the baby is born (second stage) and involves the detachment and expulsion of the placenta from the uterus. The first stage is characterized by cervical dilation and effacement, while the fourth stage is the immediate postpartum period. The second stage is focused on the actual birth of the baby. Therefore, the delivery of the placenta specifically occurs in the third stage of labor.
What is the recommended method of contraception for a woman who is breastfeeding?
- A. Combined oral contraceptives
- B. Depo-Provera injection
- C. Copper intrauterine device (IUD)
- D. Progestin-only pills
Correct Answer: D
Rationale: The correct answer is D: Progestin-only pills. Progestin-only pills are recommended for breastfeeding women as they do not affect milk supply. These pills are safe to use during lactation and have minimal impact on the infant. Combined oral contraceptives (A) are not recommended due to potential negative effects on milk supply. Depo-Provera injection (B) may also decrease milk supply. Copper IUD (C) is generally safe but may cause heavier periods. Progestin-only pills (D) are the most suitable option for breastfeeding women due to their minimal impact on milk production and infant health.
Which of the following is a potential complication of neonatal hypocalcemia?
- A. Hyperglycemia
- B. Hypoglycemia
- C. Hypotension
- D. All of the above
Correct Answer: C
Rationale: Neonatal hypocalcemia can lead to hypotension due to low calcium levels.
The nurse is reviewing the provider's prescriptions in the adolescent's medical chart.Complete the following sentence by using the list of options. The nurse should first implement ---------------------- and
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- A. Providing education on medications
- B. Administering ceftriaxone
- C. Administering metronidazole and educating on condom use
Correct Answer: A,B
Rationale: Providing education on medications is correct. The nurse should first educate the adolescent regarding medications because clients have the right to know the purpose and potential adverse reactions of all prescribed medications before receiving them. An understanding of the prescribed medications will increase the likelihood that the adolescent will adhere to the prescribed therapy. Scheduling follow-up appointments and administering doxycycline is incorrect. The nurse should schedule the adolescent for a follow-up appointment; however, there is another action that the nurse should take first. The nurse should not administer
doxycycline because it is a prescription for the adolescent to begin once discharged, and the prescription will be provided to the adolescent upon discharge; therefore, there is another action that the nurse should take.Administering ceftriaxone is correct. Ceftriaxone is designated as a NOW prescription, which means it should be given within 90 min of the provider writing the prescription. The nurse should administer ceftriaxone after educating the adolescent about the purpose and potential adverse reactions of the medication. Administering metronidazole and educating on condom use is incorrect. The nurse should not administer metronidazole because it is a prescription for the adolescent to begin once discharged, and the prescription will be provided to the adolescent upon discharge; therefore, there is another action that the nurse should take. The nurse should educate the adolescent regarding condom use; however, there is another action that the nurse should take first.