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Extract:


Question 1 of 5

A primigravida, 26 years old and 33 weeks gestation, is admitted to the hospital with painless vaginal bleeding. She reports that the bleeding, which started 2 hours ago, has lessened in amount. Which of the following measures should be included in the client's care?

Correct Answer: B

Rationale: Counting the number of pads used quantifies blood loss, aiding in the assessment of conditions like placenta previa, which causes painless bleeding.

Question 2 of 5

The nurse is performing a neurologic assessment on a 1-day-old neonate. Which of the following findings would indicate possible asphyxia in utero? Select all that apply:

Correct Answer: C,D,F

Rationale: Failure of the toes to curl downward when the baby's soles are stroked and lack of response to a loud sound can be evidence that neurological damage from asphyxia has occurred. The normal responses would be that the toes curl downward with stroking and that the arms and legs extend in response to a loud noise. Weak, ineffective sucking is another sign of neurologic damage; a neonate should root and suck when the side of his cheek is stroked. A neonate should also grasp a person's finger when it's placed in the palm of his hand, do stepping movements when held upright with the soles touching a surface, and turn toward an object when his cheek is touched by it.

Question 3 of 5

When the nurse is determining the appropriate size of an oropharyngeal airway to insert, what part of a client's body should she measure?

Correct Answer: A

Rationale: Measuring from the corner of the mouth to the tragus of the ear ensures the oropharyngeal airway is the correct size to maintain an open airway without causing obstruction. Reduction of Risk Potential

Extract:

When assessing for complications of hyperparathyroidism, the nurse should monitor the patient for:


Question 4 of 5

Tetany

Correct Answer: D

Rationale: Hyperparathyroidism causes calcium release from the bones, leaving them porous and weak, leading to bone destruction.

Extract:


Question 5 of 5

A 40-year-old woman is admitted in labor with high blood pressure, edema, and proteinuria. She is started on magnesium sulfate. The nurse caring for her should be sure to keep which drug at the bedside?

Correct Answer: A

Rationale: Magnesium sulfate, used for preeclampsia, can cause toxicity; calcium gluconate is the antidote, reversing respiratory depression or cardiac effects, and must be readily available.

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