A woman with a multiple fetus pregnancy asks, What

Question 1 of 5

A woman with a multiple fetus pregnancy asks, <What are the chances of having an uncomplicated pregnancy?= The nurse's best response is that

A. Spontaneous abortion is more common with twins B. Women pregnant with twins are less likely to develop complications C. Twins are less likely to have complications that single babies D. Perinatal mortality rate of monoamniotic siblings is 50%

Correct Answer: C

Rationale: The nurse's best response would be that twins are less likely to have complications than single babies. This is because multiple pregnancies do have an increased risk of complications compared to singleton pregnancies, but within the realm of multiple pregnancies, twins typically have better outcomes compared to higher-order multiples like triplets or quadruplets. Twins are more likely to be born at term, have higher birth weights, and are less likely to experience certain complications such as prematurity-related issues. Therefore, the chances of having an uncomplicated pregnancy are generally better with twins compared to higher-order multiples.

Question 2 of 5

A client at 32 weeks' gestation is diagnosed with oligohydramnios. What complication is associated with this condition?

A. Fetal macrosomia. B. Cord prolapse. C. Pulmonary hypoplasia. D. Placenta previa.

Correct Answer: C

Rationale: Oligohydramnios can lead to pulmonary hypoplasia due to insufficient amniotic fluid for lung development.

Question 3 of 5

What is Lamaze International Childbirth Education based on?

A. breathing techniques B. comprehensive evidence-based childbirth teachings C. empowerment of the nursing staff D. positions to promote breast-feeding

Correct Answer: B

Rationale: Lamaze focuses on evidence-based practices to empower birthing individuals, not just breathing techniques or nursing staff.

Question 4 of 5

A woman with a multiple fetus pregnancy asks, <What are the chances of having an uncomplicated pregnancy?= The nurse's best response is that

A. Spontaneous abortion is more common with twins B. Women pregnant with twins are less likely to develop complications C. Twins are less likely to have complications that single babies D. Perinatal mortality rate of monoamniotic siblings is 50%

Correct Answer: C

Rationale: The nurse's best response would be that twins are less likely to have complications than single babies. This is because multiple pregnancies do have an increased risk of complications compared to singleton pregnancies, but within the realm of multiple pregnancies, twins typically have better outcomes compared to higher-order multiples like triplets or quadruplets. Twins are more likely to be born at term, have higher birth weights, and are less likely to experience certain complications such as prematurity-related issues. Therefore, the chances of having an uncomplicated pregnancy are generally better with twins compared to higher-order multiples.

Question 5 of 5

A nurse is planning care for a newborn who has neonatal abstinence syndrome. Which of the following interventions should the nurse include in the plan of care?

A. Increase the newborn's visual stimulation B. Weigh the newborn every other day C. Discourage parental interaction until after a social evaluation D. Swaddle the newborn in a flexed position

Correct Answer: D

Rationale: Neonatal abstinence syndrome (NAS) occurs in newborns who were exposed to addictive drugs in utero, commonly seen in infants born to mothers with substance use disorders. These babies often experience withdrawal symptoms such as tremors, irritability, and difficulty sleeping. Swaddling the newborn in a flexed position can help provide comfort and security to the infant, which may help alleviate some of the withdrawal symptoms they are experiencing. This intervention can also mimic the snug environment of the womb, promoting a sense of calmness for the newborn. It is important to create a soothing environment to aid in the management of NAS symptoms.