Nokea
While performing a neurodevelopmental assessment on a 3-month-old infant, which of the following characteristics would be expected?
- A. A strong Moro reflex
- B. A strong parachute reflex
- C. Rolling from front to back
- D. Lifting of head and chest when prone
Correct Answer: D
Rationale: A 3-month-old is expected to lift the head and chest when prone, reflecting motor development. The Moro reflex diminishes by 3 months, the parachute reflex appears at 9 months, and rolling typically occurs at 5 months.
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A client is admitted to the labor and delivery unit in active labor. Her fetus is at +1 station. The nurse is aware that the fetus' head is:
- A. Not yet engaged
- B. Entering the pelvic inlet
- C. Below the ischial spines
- D. Visible at the vaginal opening
Correct Answer: C
Rationale: A station of +1 indicates that the fetal head is 1 cm below the ischial spines.
A nurse is caring for a client in labor. The nurse-midwife is performing an amniotomy. The nurse explains to the client that after this procedure, she will most likely have:
- A. Less pressure on her cervix
- B. Increased efficiency of contractions
- C. Decreased number of contractions
- D. The need for increased maternal blood pressure monitoring
Correct Answer: B
Rationale: Amniotomy can be used to induce labor when the condition of the cervix is favorable (ripe) or to augment labor if the process begins to slow. Rupturing of membranes allows the fetal head to contact the cervix more directly and may increase the efficiency of contractions.
The uterus is a muscular, pear-shaped organ that is responsible for:
- A. Cyclic menstruation.
- B. Sex hormone production.
- C. Fertilization.
- D. Sexual arousal.
Correct Answer: A
Rationale: The uterus supports menstruation and pregnancy. Hormones and fertilization occur in ovaries, and arousal involves multiple systems, not primarily the uterus.
Which of the following factors might result in a decreased supply of breastmilk in a PP mother?
- A. Supplemental feedings with formula
- B. Maternal diet high in vitamin C
- C. An alcoholic drink
- D. Frequent feedings
Correct Answer: A
Rationale: Routine formula supplementation may interfere with establishing an adequate milk volume because decreased stimulation to the mother's nipples affects hormonal levels and milk production.
From the nurse's perspective, what measure should be the focus of the health care system to reduce the rate of infant mortality further?
- A. Implementing programs to ensure women's early participation in ongoing prenatal care
- B. Increasing the length of stay in a hospital after vaginal birth from 2 to 3 days
- C. Expanding the number of neonatal intensive care units (NICUs)
- D. Mandating that all pregnant women receive care from an obstetrician
Correct Answer: A
Rationale: Early prenatal care prevents complications, reducing infant mortality. Longer stays aid recovery but don't address root causes. NICUs treat post-birth issues, and mandating obstetricians ignores midwife efficacy.