An African American woman noticed bruises on a newborn girl's buttocks, and she asks the nurse who spanked the baby? The nurse responds

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RN Maternal Newborn Online Practice 2019 A Questions

Question 1 of 5

An African American woman noticed bruises on a newborn girl's buttocks, and she asks the nurse who spanked the baby? The nurse responds

Correct Answer: A

Rationale: Mongolian spots are a common benign skin condition in newborn babies, especially those with darker skin tones, such as African American babies. These spots appear as blue or purple bruises or patches, typically on the lower back and buttocks, and can easily be mistaken for bruises caused by physical harm. It is important for healthcare providers and caregivers to be aware of Mongolian spots to avoid confusion with signs of abuse. In this case, the nurse is likely explaining that the bruises on the newborn girl's buttocks are due to Mongolian spots, not being spanked.

Question 2 of 5

A nurse caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: Trichomoniasis is a sexually transmitted infection caused by the parasite Trichomonas vaginalis. In pregnant individuals, trichomoniasis can result in adverse pregnancy outcomes such as preterm birth and low birth weight. A common symptom of trichomoniasis is a frothy, yellow-green, malodorous vaginal discharge. Therefore, in this client scenario, the nurse should expect to find a malodorous discharge as a result of trichomoniasis. The other options presented are not typically associated with trichomoniasis.

Question 3 of 5

The nurse is assessing a client with suspected gestational hypertension. What finding supports this diagnosis?

Correct Answer: A

Rationale: Gestational hypertension is diagnosed with a blood pressure of 140/90 mmHg or higher without proteinuria.

Question 4 of 5

A client at 36 weeks' gestation reports frequent urination and lower back pain. What should the nurse assess for?

Correct Answer: A

Rationale: Frequent urination and back pain at 36 weeks may indicate preterm labor and require further assessment.

Question 5 of 5

What teaching is most important for a mother with a newborn receiving phototherapy?

Correct Answer: A

Rationale: Protective eyewear prevents retinal damage during phototherapy.

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