The health care practitioner caring for a pregnant client diagnosed with gonorrhea writes the following order: ceftriaxone 250 mg IM × one dose. The medication is available in 1-gram vials. The nurse adds 8 mL of normal saline to the vial. How many mL of the medication should the nurse administer? Calculate to the nearest whole.

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: 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.

Correct Answer: C

Rationale: In the postpartum period, the 'taking-hold phase' typically occurs around days 2-10 after childbirth. During this phase, the woman is focused on mastering mothering skills and gaining confidence in caring for her baby. Option C, where the woman is interested in learning baby-care skills from the nurse, is the correct choice because it aligns with the characteristics of the 'taking-hold phase' where the woman seeks knowledge and guidance in caring for her newborn. Options A, B, and D are incorrect because they do not reflect the behaviors typically associated with the 'taking-hold phase.' Option A focuses on social interaction rather than baby-care skills. Option B emphasizes eating habits, which are not directly related to the phase's learning and caregiving focus. Option D suggests excessive napping after breastfeeding and meals, which is not a defining feature of the 'taking-hold phase.' In an educational context, understanding the different phases of the postpartum period is crucial for nurses and healthcare professionals working with new mothers. By recognizing the behaviors and needs associated with each phase, healthcare providers can better support and educate women during this critical time of transition to motherhood.

Correct Answer: A

Rationale: In this scenario, option A, stating "The anterior fontanelle will close by the time the baby is 18 months of age," is the correct statement to include in the discussion with the new mother. The anterior fontanelle is a soft spot on a baby's head that allows for brain growth and development. It typically closes around 18 months of age, making this information crucial for the mother to understand her baby's normal development. Option B, mentioning "The grasp reflex will last until the baby is about 10 months old," is incorrect as the grasp reflex usually diminishes around 4-6 months of age, not 10 months. Providing this inaccurate information could lead to confusion for the new mother regarding her baby's milestones. Option C, stating "Your baby can see shapes but will not be able to see colors clearly for about 6 months," is incorrect. Babies are born with the ability to see colors, although their color vision continues to develop over time. By 6 months, babies can distinguish various colors, so this statement does not align with developmental milestones. Option D, mentioning "Your baby will likely be started on solid foods when he is 2 to 3 months of age," is also incorrect. The American Academy of Pediatrics recommends exclusive breastfeeding or formula feeding for the first 6 months of life, with the introduction of solid foods around 6 months. Starting solid foods too early can lead to various health issues, making this statement potentially harmful if followed. Educationally, it is crucial for nurses to provide accurate and evidence-based information to new parents to support their understanding of their baby's growth and development. Understanding normal developmental milestones helps parents care for their baby effectively and fosters a strong parent-child relationship.