Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
What conclusion would the nurse make from this finding?.
A. The infant probably has either a congenital heart defect or an immature respiratory system.
A 1-minute Apgar score of 5 points does not necessarily indicate a congenital heart defect or an immature respiratory system.
B. The infant requires immediate and aggressive interventions for survival.
An Apgar score of 5 points at 1 minute does not require immediate and aggressive interventions for survival.
C. The infant is experiencing moderate difficulty in adjusting to extrauterine life.
A 1-minute Apgar score of 5 points indicates that the infant is experiencing moderate difficulty in adjusting to extrauterine life.
D. The infant is adjusting well to extrauterine life.
An Apgar score of 5 points at 1 minute does not indicate that the infant is adjusting well to extrauterine life.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Custom 2023 Fall NPRO 1100 Proctored Exam 3. Take the full exam now
Full Explanation
The correct answer is choice C.
Choice A rationale:
A 1-minute Apgar score of 5 points does not necessarily indicate a congenital heart defect or an immature respiratory system.
Choice B rationale:
An Apgar score of 5 points at 1 minute does not require immediate and aggressive interventions for survival.
Choice C rationale:
A 1-minute Apgar score of 5 points indicates that the infant is experiencing moderate difficulty in adjusting to extrauterine life.
Choice D rationale:
An Apgar score of 5 points at 1 minute does not indicate that the infant is adjusting well to extrauterine life.
Similar Questions
A nurse is meeting with a group of pregnant clients who are in their last trimester to teach them the signs that may indicate they are going into labor.
The nurse determines the session is successful after the clients correctly choose which signs as an indication of starting labor? Select all that apply.
A. Constipation.
Constipation is not a sign of labor. It is more commonly associated with pregnancy rather than the onset of labor.
B. Weight gain.
Weight gain is not a sign of labor. In fact, weight gain often stops as labor approaches.
C. Bloody show.
Bloody show is a sign of labor. It is the discharge of the mucus plug that seals the cervix during pregnancy.
D. Lightening.
Lightening, or the baby dropping into the pelvis, is a sign of labor.
E. Backache.
Backache can be a sign of labor, as the muscles and joints stretch and shift in preparation for childbirth.
Full Explanation
The correct answers are choices C, D, and E.
Choice A rationale:
Constipation is not a sign of labor. It is more commonly associated with pregnancy rather than the onset of labor.
Choice B rationale:
Weight gain is not a sign of labor. In fact, weight gain often stops as labor approaches.
Choice C rationale:
Bloody show is a sign of labor. It is the discharge of the mucus plug that seals the cervix during pregnancy.
Choice D rationale:
Lightening, or the baby dropping into the pelvis, is a sign of labor.
Choice E rationale:
Backache can be a sign of labor, as the muscles and joints stretch and shift in preparation for childbirth.
A client in the third stage of labor has experienced placental separation and expulsion.
Why is it necessary for a nurse to massage the woman's uterus briefly until it is firm?.
A. To increase the boggy nature of the uterus.
Massaging the uterus does not increase its boggy nature, but rather helps it contract and become firm, reducing the risk of postpartum hemorrhage.
B. To constrict the uterine blood vessels.
Massaging the uterus helps constrict the uterine blood vessels, which reduces bleeding after the placenta has been expelled.
C. To lessen the chances of conducting an episiotomy.
Massaging the uterus has no effect on the likelihood of conducting an episiotomy, which is a surgical incision made during childbirth.
D. To remove pieces left attached to the uterine wall.
Massaging the uterus does not remove pieces left attached to the uterine wall. This would require a manual or surgical procedure.
Full Explanation
The correct answer is choice B.
Choice A rationale:
Massaging the uterus does not increase its boggy nature, but rather helps it contract and become firm, reducing the risk of postpartum hemorrhage.
Choice B rationale:
Massaging the uterus helps constrict the uterine blood vessels, which reduces bleeding after the placenta has been expelled.
Choice C rationale:
Massaging the uterus has no effect on the likelihood of conducting an episiotomy, which is a surgical incision made during childbirth.
Choice D rationale:
Massaging the uterus does not remove pieces left attached to the uterine wall. This would require a manual or surgical procedure.
A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia.
Which of the following is an expected finding?.
A. Report of headache.
A headache is a common symptom of severe preeclampsia due to increased blood pressure in the brain.
B. Absence of clonus.
The presence, not absence, of clonus (a series of involuntary muscular contractions and relaxations) is a sign of severe preeclampsia.
C. Polyuria.
Oliguria, not polyuria, is a symptom of severe preeclampsia due to decreased renal perfusion.
D. Tachycardia.
Tachycardia is not typically associated with preeclampsia. It could be a sign of other complications.
Full Explanation
The correct answer is choice A.
Choice A rationale:
A headache is a common symptom of severe preeclampsia due to increased blood pressure in the brain.
Choice B rationale:
The presence, not absence, of clonus (a series of involuntary muscular contractions and relaxations) is a sign of severe preeclampsia.
Choice C rationale:
Oliguria, not polyuria, is a symptom of severe preeclampsia due to decreased renal perfusion.
Choice D rationale:
Tachycardia is not typically associated with preeclampsia. It could be a sign of other complications.