Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A woman gives birth to a small infant with a malformed skull.
The infant grows abnormally slowly and shows signs of substantial cognitive and intellectual deficits.
The child also has facial abnormalities including a short nose and thin lip that become more striking as it develops.
A. Active herpes simplex infection.
Active herpes simplex infection during pregnancy can lead to neonatal herpes, which is a serious condition, but it does not cause the symptoms described.
B. Chronic cocaine use.
Chronic cocaine use during pregnancy can lead to premature birth and low birth weight, but it does not typically result in the specific symptoms described.
C. Folic acid deficiency.
Folic acid deficiency during pregnancy can lead to neural tube defects, which can cause a range of symptoms, but not the specific ones described.
D. Chronic alcohol use.
Chronic alcohol use during pregnancy can lead to Fetal Alcohol Syndrome, which includes slow growth, cognitive and intellectual deficits, and the facial abnormalities described.
E. Folic acid deficiency.
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
Similar Questions
The client is being rushed into the labor and delivery unit.
At which station would the nurse document the fetus immediately prior to birth?
(Enter a numerical value)
Full Explanation
The correct answer is “At 0 station”.
A nurse is caring for a client on the second day postpartum.
The client informs the nurse that she is voiding a large volume of urine frequently.
Which factor should the nurse identify as a potential cause for urinary frequency?.
A. Urinary tract infection.
While a urinary tract infection can cause frequent urination, it’s usually accompanied by other symptoms such as pain or burning during urination.
B. Trauma to pelvic muscles.
Trauma to pelvic muscles can cause urinary incontinence, not necessarily increased frequency.
C. Urinary overflow.
Urinary overflow is a condition where the bladder is always full and can lead to frequent leakage of urine.
D. Postpartum diuresis.
Postpartum diuresis is the body’s way of getting rid of excess fluid accumulated during pregnancy, leading to increased urine production and frequency.
Full Explanation
The correct answer is choice D.
Choice A rationale:
While a urinary tract infection can cause frequent urination, it’s usually accompanied by other symptoms such as pain or burning during urination.
Choice B rationale:
Trauma to pelvic muscles can cause urinary incontinence, not necessarily increased frequency.
Choice C rationale:
Urinary overflow is a condition where the bladder is always full and can lead to frequent leakage of urine.
Choice D rationale:
Postpartum diuresis is the body’s way of getting rid of excess fluid accumulated during pregnancy, leading to increased urine production and frequency.
A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor.
The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?.
A. Variable decelerations.
Variable decelerations are associated with problems with the umbilical cord, such as compression. This is because they occur irregularly and can happen at any time during the contraction cycle.
B. Early decelerations.
Early decelerations are usually benign and are associated with fetal head compression during a uterine contraction. They are not typically indicative of a problem with the umbilical cord.
C. Accelerations.
Accelerations are usually a sign of fetal well-being and are not typically associated with umbilical cord issues.
D. Late decelerations.
Late decelerations are associated with uteroplacental insufficiency, which is a decrease in the blood flow to the placenta that reduces the amount of oxygen and nutrients transferred to the fetus. They are not typically indicative of a problem with the umbilical cord.
Full Explanation
The correct answer is choice A.
Choice A rationale:
Variable decelerations are associated with problems with the umbilical cord, such as compression. This is because they occur irregularly and can happen at any time during the contraction cycle.
Choice B rationale:
Early decelerations are usually benign and are associated with fetal head compression during a uterine contraction. They are not typically indicative of a problem with the umbilical cord.
Choice C rationale:
Accelerations are usually a sign of fetal well-being and are not typically associated with umbilical cord issues.
Choice D rationale:
Late decelerations are associated with uteroplacental insufficiency, which is a decrease in the blood flow to the placenta that reduces the amount of oxygen and nutrients transferred to the fetus. They are not typically indicative of a problem with the umbilical cord.