Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A. Vitamin K.
Vitamin K is given to newborns to prevent bleeding disorders, not eye conditions.
B. Erythromycin ophthalmic ointment.
Erythromycin ophthalmic ointment is commonly used for prophylaxis of neonatal conjunctivitis (pink eye) caused by Neisseria gonorrhoeae and Chlamydia trachomatis.
C. Gentamicin ophthalmic ointment.
Gentamicin ophthalmic ointment can be used to treat bacterial infections of the eye, but it is not typically used for prophylaxis of neonatal eye conditions.
D. Silver nitrate solution.
Silver nitrate solution was once used for prophylaxis of neonatal eye conditions, but it is no longer commonly used due to the risk of chemical conjunctivitis.
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 B.
Choice A rationale:
Vitamin K is given to newborns to prevent bleeding disorders, not eye conditions.
Choice B rationale:
Erythromycin ophthalmic ointment is commonly used for prophylaxis of neonatal conjunctivitis (pink eye) caused by Neisseria gonorrhoeae and Chlamydia trachomatis.
Choice C rationale:
Gentamicin ophthalmic ointment can be used to treat bacterial infections of the eye, but it is not typically used for prophylaxis of neonatal eye conditions.
Choice D rationale:
Silver nitrate solution was once used for prophylaxis of neonatal eye conditions, but it is no longer commonly used due to the risk of chemical conjunctivitis.
Similar Questions
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.
What might you expect to find in the mother's pregnancy history?.
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.
Full Explanation
The correct answer is choice D. Chronic alcohol use.
Choice A rationale:
Active herpes simplex infection during pregnancy can lead to neonatal herpes, which is a serious condition, but it does not cause the symptoms described.
Choice B rationale:
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.
Choice C rationale:
Folic acid deficiency during pregnancy can lead to neural tube defects, which can cause a range of symptoms, but not the specific ones described.
Choice D rationale:
Chronic alcohol use during pregnancy can lead to Fetal Alcohol Syndrome, which includes slow growth, cognitive and intellectual deficits, and the facial abnormalities described.
A nurse is caring for a client who experienced a vaginal delivery 8 hours ago.
When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?.
A. To the right of the umbilicus.
The uterine fundus is not typically found to the right of the umbilicus after delivery.
B. 2 cm above the umbilicus.
The uterine fundus is not typically found 2 cm above the umbilicus after delivery.
C. One fingerbreadth above the symphysis pubis.
The uterine fundus is not typically found one fingerbreadth above the symphysis pubis after delivery.
D. At the level of the umbilicus.
After delivery, the uterine fundus is typically found at the level of the umbilicus.
Full Explanation
The correct answer is choice D. At the level of the umbilicus.
Choice A rationale:
The uterine fundus is not typically found to the right of the umbilicus after delivery.
Choice B rationale:
The uterine fundus is not typically found 2 cm above the umbilicus after delivery.
Choice C rationale:
The uterine fundus is not typically found one fingerbreadth above the symphysis pubis after delivery.
Choice D rationale:
After delivery, the uterine fundus is typically found at the level of the umbilicus.
A nurse has been assigned to assess a pregnant client for abruptio placenta.
For which classic manifestation of this condition should the nurse assess?.
A. Generalized vasospasm.
Generalized vasospasm is not a symptom of abruptio placenta. It is more associated with conditions like preeclampsia.
B. Painless bright red vaginal bleeding.
Abruptio placenta is usually associated with painful dark red vaginal bleeding, not painless bright red bleeding.
C. "Knife-like" abdominal pain with vaginal bleeding.
“Knife-like” abdominal pain with vaginal bleeding is a classic symptom of abruptio placenta.
D. Increased fetal movement.
Increased fetal movement is not a symptom of abruptio placenta. In fact, fetal movement may decrease due to distress.
Full Explanation
The correct answer is choice C.
Choice A rationale:
Generalized vasospasm is not a symptom of abruptio placenta. It is more associated with conditions like preeclampsia.
Choice B rationale:
Abruptio placenta is usually associated with painful dark red vaginal bleeding, not painless bright red bleeding.
Choice C rationale:
“Knife-like” abdominal pain with vaginal bleeding is a classic symptom of abruptio placenta.
Choice D rationale:
Increased fetal movement is not a symptom of abruptio placenta. In fact, fetal movement may decrease due to distress.