Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse manager on a labor and delivery unit is discussing care of clients who have vaginal bleeding due to placenta previa with a newly licensed nurse. Which of the following statements should the nurse manager make?
A. "Administer corticosteroids if the client is at more than 34 weeks of gestation."
Administering corticosteroids is relevant for clients at risk of preterm labor, not specifically for placenta previa.
B. "Initiate continuous monitoring of the FHR and uterine contractions."
Placenta previa can lead to bleeding and potential fetal distress. Continuous monitoring of fetal heart rate (FHR) and uterine contractions is essential to promptly identify any signs of distress.
C. "Administer terbutaline subcutaneously if the client experiences uterine atony."
Terbutaline is a tocolytic medication used to suppress uterine contractions, and it's not relevant for managing uterine atony associated with placenta previa.
D. "Perform a vaginal exam to determine cervical dilation."
Performing a vaginal exam can further increase the risk of bleeding in cases of placenta previa and is generally contraindicated due to the risk of disturbing the placental site.
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Full Explanation
Choice A rationale:
Administering corticosteroids is relevant for clients at risk of preterm labor, not specifically for placenta previa.
Choice B rationale:
Placenta previa can lead to bleeding and potential fetal distress. Continuous monitoring of fetal heart rate (FHR) and uterine contractions is essential to promptly identify any signs of distress.
Choice C rationale:
Terbutaline is a tocolytic medication used to suppress uterine contractions, and it's not relevant for managing uterine atony associated with placenta previa.
Choice D rationale:
Performing a vaginal exam can further increase the risk of bleeding in cases of placenta previa and is generally contraindicated due to the risk of disturbing the placental site.
Similar Questions
A nurse is providing teaching to a client who has type 1 diabetes and is planning to become pregnant. Which of the following information should the nurse include?
A. "Your baby could be very large if you don't control your blood sugar level."
Poorly controlled blood sugar levels can lead to fetal overgrowth (macrosomia), which increases the risk of a large baby during delivery.
B. "Your baby is at an increased risk for having high blood sugar levels after delivery."
High blood sugar levels after delivery are not specific to babies born to mothers with type 1 diabetes.
C. "You can expect to decrease your insulin dosage during the second and third trimesters.
Insulin dosage requirements often increase during the second and third trimesters due to insulin resistance, not decrease.
D. "You will have an increased risk for developing ketoacidosis during the first trimester."
The risk of ketoacidosis is not typically increased in the first trimester; rather, the focus is on controlling blood sugar levels to minimize risks to the developing fetus.
Full Explanation
Choice A rationale:
Poorly controlled blood sugar levels can lead to fetal overgrowth (macrosomia), which increases the risk of a large baby during delivery.
Choice B rationale:
High blood sugar levels after delivery are not specific to babies born to mothers with type 1 diabetes.
Choice C rationale:
Insulin dosage requirements often increase during the second and third trimesters due to insulin resistance, not decrease.
Choice D rationale:
The risk of ketoacidosis is not typically increased in the first trimester; rather, the focus is on controlling blood sugar levels to minimize risks to the developing fetus.
A nurse is assessing a school-age child who has Down syndrome. For which of the following findings should the nurse notify the provider?
A. Sparse eyelashes
Sparse eyelashes are a common physical characteristic of individuals with Down syndrome and do not typically require immediate notification of the provider.
B. Reports cracked skin on feet
Cracked skin on feet is not uncommon, and while it may need attention, it does not generally require immediate notification of the provider.
C. Reports persistent neck pain
Persistent neck pain in a child with Down syndrome could indicate an underlying issue and should be reported for further evaluation.
D. Hyperflexibility
Hyperflexibility is a common feature of Down syndrome and does not typically require immediate notification of the provider.
Full Explanation
Choice A rationale:
Sparse eyelashes are a common physical characteristic of individuals with Down syndrome and do not typically require immediate notification of the provider.
Choice B rationale:
Cracked skin on feet is not uncommon, and while it may need attention, it does not generally require immediate notification of the provider.
Choice C rationale:
Persistent neck pain in a child with Down syndrome could indicate an underlying issue and should be reported for further evaluation.
Choice D rationale:
Hyperflexibility is a common feature of Down syndrome and does not typically require immediate notification of the provider.
A nurse is caring for a client who has a fractured hip following a fall. The client is very upset about her planned discharge to a rehabilitation facility because she has always lived independently. The nurse should identify that the client is experiencing which of the following types of crises?
A. Adventitious crisis
An adventitious crisis is a crisis resulting from an external event such as a natural disaster or crime.
B. Psychopathologic crisis
Psychopathologic crises involve individuals with preexisting mental health conditions experiencing acute exacerbations.
C. Psychiatric emergency
A psychiatric emergency involves a sudden onset of severe behavioral symptoms that require immediate intervention.
D. Situational crisis
A situational crisis arises from an unexpected life event, such as injury, illness, or loss of independence, which can disrupt a person's normal routine and coping mechanisms.
Full Explanation
Choice A rationale:
An adventitious crisis is a crisis resulting from an external event such as a natural disaster or crime.
Choice B rationale:
Psychopathologic crises involve individuals with preexisting mental health conditions experiencing acute exacerbations.
Choice C rationale:
A psychiatric emergency involves a sudden onset of severe behavioral symptoms that require immediate intervention.
Choice D rationale:
A situational crisis arises from an unexpected life event, such as injury, illness, or loss of independence, which can disrupt a person's normal routine and coping mechanisms.