A nurse is assessing a newborn following a forceps-assisted birth.
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?

Bronchopulmonary dysplasia

Polycythemia

Facial palsy

Hypoglycemia

Answer and Explanation

The Correct Answer is C

Choice A rationale
Bronchopulmonary dysplasia is a chronic lung disease that affects newborns and infants, but it is not a complication of forceps-assisted birth. It’s more common in premature babies who have been treated with oxygen and positive-pressure ventilation.
Choice B rationale
Polycythemia, a condition characterized by an increased number of red blood cells, is not a complication of forceps-assisted birth. It can occur due to various reasons, including high altitude and certain genetic disorders.
Choice C rationale
Facial palsy can occur as a complication of forceps-assisted birth. The pressure exerted by the forceps can cause damage to the facial nerve, leading to temporary or permanent facial weakness or paralysis.
Choice D rationale
Hypoglycemia, or low blood sugar, is not a complication of forceps-assisted birth. It’s more commonly seen in babies of mothers with diabetes, premature babies, and babies who are small for their gestational age.

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Correct Answer is A

Explanation

Choice A rationale
Breast tenderness is a common side effect of clomiphene citrate. This medication stimulates the release of hormones needed for ovulation, which can also cause changes in breast tissue leading to tenderness.
Choice B rationale
Urinary frequency is not a known side effect of clomiphene citrate. However, urinary frequency can be a symptom of pregnancy, which is the intended outcome of using this medication.
Choice C rationale
Chills are not a known side effect of clomiphene citrate. If a patient experiences chills while taking this medication, it may be due to other causes and should be evaluated by a healthcare provider.
Choice D rationale

Tinnitus, or ringing in the ears, is not a known side effect of clomiphene citrate. If a patient experiences tinnitus while taking this medication, it may be due to other causes and should be evaluated by a healthcare provider.

A. Vaginal candidiasis B. Afterpains C. Third-degree perineal laceration D. Abdominal distention

Correct Answer is C

Explanation

Choice A rationale
Vaginal candidiasis is not a contraindication for the use of a suppository. Candidiasis is a fungal infection that can cause itching and discomfort in the vaginal area. While it may require treatment, it does not prevent the use of a suppository for constipation.
Choice B rationale

Afterpains are not a contraindication for the use of a suppository. Afterpains are cramping pains that some women experience after childbirth as the uterus contracts back to its pre- pregnancy size. While they can be uncomfortable, they do not prevent the use of a suppository for constipation.
Choice C rationale
A third-degree perineal laceration is a contraindication for the use of a suppository. A third- degree laceration extends through the vaginal wall, perineal skin, and perineal muscles to the anal sphincter. Inserting a suppository could potentially cause further damage or introduce bacteria into the healing wound.
Choice D rationale
Abdominal distention is not a contraindication for the use of a suppository. While abdominal distention can be uncomfortable, it does not prevent the use of a suppository for constipation.

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A nurse is assessing a newborn following a forceps-assisted birth. Which of the following clinical manifestations should the nurse identify as a complication of this birth method?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?

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Explanation

A nurse is examining the medical record of a client who gave birth vaginally two days ago and is experiencing constipation. Which of the following conditions should the nurse recognize as a contraindication for the use of a suppository?

Correct Answer is C

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A nurse is assessing a newborn following a forceps-assisted birth.
Which of the following clinical manifestations should the nurse identify as a complication of this birth method?