For which condition should the nurse immediately

Questions 99

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Maternal and Newborn Nursing Questions

Question 1 of 5

For which condition should the nurse immediately

Correct Answer: D

Rationale: A blood sugar recording of 60 mg/dL in an infant born 6 hours ago requires immediate notification of the health care team. This low blood sugar level, also known as hypoglycemia, is a critical concern in newborns as it can lead to serious complications if not promptly addressed. Infants are particularly vulnerable to hypoglycemia due to their limited glycogen stores and high metabolic demands, which can result in inadequate glucose production. Immediate intervention and close monitoring by the healthcare team are essential to prevent potential long-term neurological consequences associated with hypoglycemia in newborns.

Question 2 of 5

A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?

Correct Answer: B

Rationale: Tocolytic therapy is a medication given to delay preterm labor and prolong the pregnancy. It is safe and appropriate to administer tocolytic therapy to a client who is experiencing preterm labor at 26 weeks of gestation (option B) to help delay delivery and give time for other interventions to be initiated, such as administration of corticosteroids for fetal lung maturation and transfer to a facility with a NICU if necessary. The goal is to prevent premature birth and its associated complications.

Question 3 of 5

The nurse is assessing a client at 28 weeks' gestation with gestational diabetes. What complication is the client at greatest risk for?

Correct Answer: C

Rationale: Gestational diabetes increases the risk of fetal macrosomia, which can complicate delivery.

Question 4 of 5

When teaching a parenting class on childhood discipline, the nurse is asked by a parent, 'How long do I place my child in time-out?' How should the nurse best respond?

Correct Answer: B

Rationale: When using time-out, use 1 minute per year of the child's age (a 3-year-old would have time-out for 3 minutes). Do not exceed 5 minutes.

Question 5 of 5

What action should the nurse take regarding a young woman with low weight and excessive exercise?

Correct Answer: A

Rationale: Absence of menstruation suggests potential anorexia.

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