Nokea
Which will indicate a concealed hemorrhage in an abruptio placenta?
- A. Hard board-like abdomen
- B. Decreased fundal height
- C. Bradycardia
- D. Decreased abdominal pain
Correct Answer: A
Rationale: A concealed hemorrhage in abruptio placentae, also known as a concealed retroplacental hematoma, can cause rapid, significant bleeding behind the placenta with limited visible external bleeding. This internal bleeding can lead to significant blood loss and can cause the uterus to become tense and firm, resulting in a hard board-like abdomen upon palpation. This clinical sign is a key indicator of a concealed hemorrhage in abruptio placentae and should prompt immediate medical attention to prevent maternal and fetal complications. The other choices, such as decreased fundal height, bradycardia, and decreased abdominal pain, are not typically associated with a concealed hemorrhage in abruptio placentae.
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A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of the following actions should the nurse the nurse takes? (Click on the "Exhibit" Button for additional information about the newborn. There are three tabs that contain separate categories of date.)
- A. Administer nitric oxide inhalation therapy to the newborn
- B. Insert an orogastric decompression tube with low wall suction.
- C. Provide the newborn with an iron-rich formula containing vitamin B12 every 2 hr.
- D. Measure the abdominal circumference at the level of the newborn's umbilicus every 2 hr.
Correct Answer: D
Rationale: Since the newborn was born at 35 weeks of gestation, with a birth weight of 2.3 kg and exhibiting clinical signs of hypoglycemia, one of the key priorities in caring for this newborn is monitoring for complications related to prematurity. Measuring the abdominal circumference at the level of the newborn's umbilicus every 2 hours is important in assessing for signs of abdominal distention, which could indicate necrotizing enterocolitis (NEC), a serious condition commonly seen in premature infants. Early detection through frequent abdominal circumference measurements can aid in timely intervention and management to prevent significant complications. Administering nitric oxide inhalation therapy, inserting an orogastric decompression tube with low wall suction, and providing iron-rich formula containing vitamin B12 every 2 hours are not indicated based on the information provided in the exhibit.
What is one characteristic of the Alexander Technique the nurse can explain to a patient?
- A. taught only in person
- B. focused on unmedicated birth
- C. taught by a person who will assess the muscles and posture
- D. only useful for pregnancy but not birth
Correct Answer: C
Rationale: The Alexander Technique involves personalized assessment of posture and muscle tension by a trained instructor.
An infertility specialist is evaluating whether a woman's cervical mucus contains enough estrogen to support sperm motility. Which of the following tests is the physician conducting?
- A. Ferning capacity
- B. Basal body temperature
- C. Colposcopy
- D. Hysterotomy
Correct Answer: A
Rationale: Ferning capacity refers to the ability of cervical mucus to form a fern-like pattern under a microscope when it is close to ovulation. This pattern indicates the presence of estrogen, which is essential for supporting sperm motility. By assessing ferning capacity, the infertility specialist can determine if the woman's cervical mucus contains enough estrogen to facilitate the movement of sperm for successful fertilization. This test helps in evaluating the quality of cervical mucus and its role in the fertility process. The other options (Basal body temperature, Colposcopy, Hysterotomy) are not directly related to assessing estrogen levels in cervical mucus for sperm motility.
The nurse is teaching a client about kick counts. When should the client contact the healthcare provider?
- A. Fewer than 10 movements in 2 hours.
- B. Fewer than 20 movements in 1 hour.
- C. No movement in 4 hours.
- D. No movement after eating a meal.
Correct Answer: A
Rationale: Fewer than 10 fetal movements in 2 hours is concerning and warrants further evaluation.
The nurse is reviewing the role of the placenta in fetal development. Which statement should be included?
- A. The placenta stores nutrients for the fetus.
- B. The placenta prevents all infections from reaching the fetus.
- C. The placenta transfers oxygen and nutrients to the fetus.
- D. The placenta produces progesterone only in early pregnancy.
Correct Answer: C
Rationale: The placenta facilitates the transfer of oxygen and nutrients while removing waste products.