A 25-year-old woman with Type II Diabetes Mellitus should be educated on all the following regarding preconception care, except:

It includes close monitoring of the patient's blood sugar for one month prior to pregnancy

It involves a multidisciplinary care team approach.

It can help the patient plan the optimal time to become pregnant.

It is recommended for all diabetic women of childbearing age.

Answer and Explanation

The Correct Answer is D

It is recommended for all diabetic women of childbearing age. (This statement is not entirely accurate as preconception care is recommended specifically for women with diabetes who are considering pregnancy, not all women of childbearing age.)

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Correct Answer is A

Explanation

The nurse's first action should be to massage the woman's fundus. A completely saturated perineal pad within 15 minutes after giving birth indicates excessive bleeding, which is also known as postpartum hemorrhage (PPH). Massaging the uterus (fundus) can help it to contract, reduce bleeding, and prevent further blood loss. Once the fundus has been massaged, the nurse should assess the woman's vital signs and continue to monitor her for signs of continued bleeding. If bleeding persists despite massage, the nurse should begin an intravenous (IV) infusion of Ringer's lactate solution and call the woman's primary healthcare provider.

A. How many weeks are you? B. Are you experiencing any pain?" C. When was your last ultrasound? D. "Do you plan to have a vaginal or cesarean delivery?"

Correct Answer is D

Explanation

The question that the nurse would prioritize the least during the assessment is "Do you plan to have a vaginal or cesarean delivery?" This is because the priority at this point is to determine the urgency of the situation and assess the patient's current condition. The patient's delivery plan can be addressed later after the initial assessment is completed and the patient's stability has been established.

The other questions are all important in determining the cause and severity of the bleeding and the appropriate course of action. The question about the number of weeks is important to determine the gestational age and potential causes of bleeding, as some causes are more common in certain stages of pregnancy. The question about pain can help to determine the possible causes of bleeding and the patient's comfort level. The question about the last ultrasound is important to determine the location of the placenta and whether there are any abnormalities or potential complications.

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A 25-year-old woman with Type II Diabetes Mellitus should be educated on all the following regarding preconception care, except:

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Naxlex Comprehensive Predictor Exams

On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. The nurse's first action is to:

Correct Answer is A

Explanation

A patient arrives at OB triage with a complaint of vaginal bleeding. The nurse would prioritize all of the following questions during the assessment except:

Correct Answer is D

Explanation

A 25-year-old woman with Type II Diabetes Mellitus should be educated on all the following regarding preconception care, except:

Fetal well-being during labor is assessed by:

The nurse is preparing discharge instructions for a stable patient with a placenta previa. Instructions should include all of the following except:

A nurse is administering a magnesium sulfate infusion for a client with severe preeclampsia. The nurse knows that the goal of magnesium sulfate therapy is to:

A woman in labor has just received an epidural black. The most important nursing intervention is to:

A nurse practicing in the perinatal setting should promote kangaroo care regardless of an infant's gestational age. Which statement regarding this intervention is most appropriate?

A nursery nurse is performing a shift assessment on a baby who was born 8 hours ago via a vacuum-assisted vaginal birth and notices caput succedaneum. Which of the following statements regarding caput succedaneum is correct?