The primiparous patient that's 40 weeks' gestation reports to the nurse that she has increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?

Correct Answer: A

Rationale: The best response by the nurse is to reassure the primiparous patient that her increased pelvic pressure and urinary frequency could mean that the baby's head has descended further into the pelvis. This can indicate that labor is approaching, as the baby is getting into position for birth. It is important for the nurse to provide this information to ease the patient's concerns and help her understand the potential significance of these symptoms at 40 weeks' gestation.

Correct Answer: A

Rationale: Uterine massage stimulates contractions, which can reduce postpartum bleeding.

Correct Answer: D

Rationale: A WBC count of 32,000/mm3 is significantly elevated and falls outside the normal range for a newborn. This could indicate an infection or other underlying health issue that requires further investigation and intervention. It is crucial for the nurse to report this abnormal finding to the healthcare provider promptly for appropriate evaluation and management. High WBC counts in newborns are often a cause for concern and may require immediate medical attention.

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.

Correct Answer: C

Rationale: Vitamin K is essential for clotting and prevents hemorrhagic disease.