A patient, who delivered her third child yesterday, has just learned that her two school-age children have contracted chickenpox. What should the nurse tell her?

Correct Answer: D

Rationale: The correct answer is D because the patient, having just given birth, is at a higher risk of complications from chickenpox. By staying away from her home until her children are no longer contagious, she reduces the risk of contracting the illness and potentially passing it on to her newborn. This is crucial for the safety of both the mother and the baby. Choice A is incorrect because treating the children with acyclovir does not prevent the mother from contracting chickenpox. Choice B is incorrect as immunity is not transferred from the children to the mother or newborn. Choice C is incorrect because even with gowns and masks, the risk of transmission is still present, especially for a postpartum mother and a newborn.

Correct Answer: B

Rationale: The correct answer is B because perinatal mortality is two to three times more likely in multiple gestation pregnancies compared to single births. This is due to the increased risk of complications such as preterm birth, low birth weight, and other neonatal issues. Postpartum hemorrhage (A) is a potential complication but not specific to multiple gestation pregnancies. Optimal psychological adjustment (C) and maternal mortality during the prenatal period (D) are not directly related to the increased risks associated with multiple gestation pregnancies.

Correct Answer: A

Rationale: The correct answer is A: Twin gestation. In twin gestation, there is an increased risk of hypotonic uterine dystocia due to the higher likelihood of uterine overdistention. This can lead to decreased uterine muscle tone and ineffective contractions, resulting in difficulty in the progress of labor. Summary: B: Gestational anemia does not directly increase the risk for hypotonic uterine dystocia. C: Hypertonic contractions are associated with hyperactivity of the uterus, not hypotonic uterine dystocia. D: Gestational hypertension may lead to other complications but is not directly related to hypotonic uterine dystocia in a postpartum client.

Correct Answer: C

Rationale: Late decelerations of the fetal heart rate are most commonly associated with uteroplacental insufficiency. During contractions, there is reduced blood flow to the placenta, leading to hypoxia and acidosis in the fetus, resulting in late decelerations. Head compression (A) typically causes early decelerations. Maternal hypothyroidism (B) does not directly affect fetal heart rate. Umbilical cord compression (D) can cause variable decelerations, not late decelerations. Therefore, the correct answer is C.

Correct Answer: B

Rationale: The correct answer is B: Checking the client's reflexes. This is important in assessing for signs of worsening preeclampsia, such as hyperreflexia. It helps determine the severity of the condition and guides further interventions. Calling the primary health care provider (A) may be necessary but not the immediate next step. Determining the client's blood type (C) is important but not urgent in this situation. Establishing an IV line (D) is important for treatment but assessing reflexes takes priority in preeclampsia management.