A woman is admitted to the labor and delivery unit with active tuberculosis. She has not been under a physician's care and is not on medication. Which of the following actions should the nursery nurse perform when the neonate is delivered?

Correct Answer: A

Rationale: In this scenario, the correct action for the nursery nurse to take when the neonate of a woman with active tuberculosis is delivered is to isolate the baby from the other babies in a special care nursery (Option A). This is important to prevent the potential spread of tuberculosis to other vulnerable newborns in the nursery. Keeping the baby in the regular care nursery but separated from the mother (Option B) may still pose a risk of transmission to other babies. Isolating the baby with the mother in the mother's room (Option C) also puts the newborn at risk of exposure. Obtaining an order for antituberculosis medications for the baby (Option D) is not the primary intervention in this case, as the immediate concern is preventing the spread of the disease. Educationally, this scenario highlights the importance of understanding infection control measures, especially in the context of communicable diseases like tuberculosis, to ensure the safety and well-being of both the newborn and other patients in the healthcare setting. It underscores the need for healthcare professionals to be vigilant in implementing appropriate protocols to prevent the transmission of infectious diseases in vulnerable populations.

Correct Answer: A

Rationale: In this scenario, the correct answer is option A) 2 mL. When preparing ceftriaxone 1 gram powder for injection, the nurse reconstitutes it with 8 mL of normal saline. This results in a total volume of 9 mL. Since the ordered dose is 250 mg, which is a quarter of the 1-gram vial, the nurse should administer a quarter of the total volume, which is 2 mL. Option B) 3 mL is incorrect because it would be more than the calculated dose of 2 mL. Option C) 4 mL is also incorrect because it exceeds the ordered dose of 250 mg. Option D) 5 mL is not the correct answer because it is higher than the calculated dose based on the reconstitution and ordered amount. Educationally, this question assesses the nurse's understanding of medication preparation and dosage calculation in the context of treating infections during pregnancy. It reinforces the importance of accurate medication administration to ensure the safety and efficacy of treatment for both the pregnant client and the developing fetus. Understanding drug calculations is crucial for healthcare practitioners to prevent medication errors and promote optimal patient outcomes.

Correct Answer: C

Rationale: In a pregnant client at 39 weeks gestation scheduled for a cesarean delivery, a platelet count of 75,000 cells/mm3 is a crucial admission laboratory finding to inform the surgeon about. This is because a low platelet count can indicate a risk of bleeding complications during surgery, such as inadequate clotting ability, which could lead to excessive bleeding during the cesarean section. Option A, potassium level of 4.9 mEq/L, is within the normal range for adults and not specifically concerning for a scheduled cesarean delivery in this context. Option B, sodium level of 136 mEq/L, is also within normal limits and not directly relevant to the surgical procedure. Option D, white blood cell count of 15,000 cells/mm3, may indicate an infection or inflammation, but it is the platelet count that is more crucial in assessing bleeding risk during surgery. In an educational context, understanding the significance of various laboratory values in pregnancy is essential for nurses and healthcare providers caring for pregnant women. This knowledge helps in identifying potential complications, making timely interventions, and ensuring safe outcomes for both the mother and the baby during the peripartum period.

Correct Answer: A

Rationale: In this scenario, the correct answer is option A: "The baby hasn't started to move yet." This statement raises concern because by 26 weeks of pregnancy, fetal movement should typically be felt by the mother. This absence of fetal movement could indicate a potential issue with the pregnancy, such as fetal demise or abnormalities. Option B, "My back aches every night when I get home from work," is a common symptom of pregnancy and not necessarily indicative of an unwanted pregnancy. Option C, "I am finding it very hard always to eat the right things," could be a common concern during pregnancy due to dietary changes but does not necessarily suggest an unwanted pregnancy. Option D, "I am no longer able to wear my old clothes," is a common physical change during pregnancy and does not specifically point to an unwanted pregnancy. From an educational perspective, understanding the significance of fetal movement in pregnancy assessment is crucial for nurses and healthcare providers. It serves as an important indicator of fetal well-being and should not be dismissed if absent. Educating clients about the importance of monitoring fetal movements can help in early detection of potential issues and prompt medical intervention. This knowledge empowers nurses to provide comprehensive care and support to pregnant clients.

Correct Answer: B

Rationale: The correct answer is B) 16 babies died between 28 weeks' gestation and 28 days of age per 1,000 live births. This option reflects the perinatal mortality rate, which includes stillbirths after 28 weeks of gestation and deaths within the first 28 days of life. Perinatal mortality is a critical indicator of maternal and infant health outcomes. Option A is incorrect because it refers only to the period between 28 and 40 weeks' gestation, excluding the neonatal period. Option C is incorrect as it focuses on the time frame from birth to 1 month of life, omitting stillbirths. Option D is incorrect as it addresses deaths between 1 month and 1 year of age, which is not within the perinatal period. Understanding perinatal mortality rates is crucial in assessing the quality of prenatal and neonatal care provided in a community. Nurses and healthcare professionals need to interpret and analyze such data accurately to implement targeted interventions to reduce perinatal mortality rates effectively. This question reinforces the importance of precise interpretation of perinatal mortality data in clinical practice.