Maternal NCLEX
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Question 1 of 5.
The nurse is doing a one-minute Apgar score on a newborn and tells the parents that it is 7 points. When the parents ask what this means, how should the nurse best respond?
A. “This score is good, but the baby needs to have a score of 10 in five minutes.â€
B. “The Apgar score can predict intelligence and neurological development.â€
C. “Your baby is fine and should have no difficulty adapting outside the womb.â€
D. “Your baby has good vital signs and is classified as full-term gestational age.â€
Explanation: This response is best because a score of 7 to 10 is within a normal range and 并表示新生儿没有任何ä¸é€‚的迹象。A score of 7 to 10 is considered acceptable for a one-minute Apgar. However, when the scoring is repeated at 5 minutes of age, a score of 7 to 10, not just 10, is within normal range. The Apgar score is used to systematically assess an infant at one and five minutes after birth to determine if immediate care is necessary. It is not used to predict intelligence or neurological development. Although the Apgar score does mean that the newborn's VS are WNL, the Apgar score is not designed to classify gestational age.
Question 2 of 5.
The nurse correctly explains that the bleeding is the result of sloughing of which structure?
A. Endometrium
B. Myometrium
C. Epimetrium
D. None of the above
Explanation: Menstrual bleeding occurs due to the sloughing of the endometrium, the inner lining of the uterus, when pregnancy does not occur.
Question 3 of 5.
On the basis of this finding, the nurse can assume that the client is at least how many months' pregnant?
A. 5 months
B. 6 months
C. 7 months
D. 8 months
Explanation: Ballottement, the rebound of the fetus when the cervix is tapped, is typically detectable around 4-5 months, indicating at least 5 months' gestation.
Question 4 of 5.
The nurse correctly assists the client into which position?
A. Lithotomy
B. Prone
C. Sims'
D. Trendelenburg's
Explanation: The lithotomy position, with legs elevated and apart, is standard for pelvic examinations to provide access to the pelvic area.
Question 5 of 5.
Which response by the nurse is most accurate?
A. Fluorescent treponemal antibody absorption (FTA-ABS) test can detect this defect.
B. Hepatitis B surface antigen (HBsAg) test can detect this defect.
C. Maternal serum alpha-fetoprotein (AFP) test can detect this defect.
D. Venereal Disease Research Laboratory (VDRL) test can detect this defect.
Explanation: The maternal serum alpha-fetoprotein (AFP) test screens for neural tube defects like spina bifida by measuring AFP levels.
Related Questions
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The nurse advises the client to practice which technique to cope with labor pain?