A nurse is assisting in the care of a client who is scheduled for a cesarean birth based on the fetal lungs having reached maturity. Which of the following findings indicates that the fetal lungs are mature?

Phosphatidylglycerol (PG) absent

Nonstress test is reactive

Lecithin/sphingomyelin (L/S) ratio of 2:1

Biophysical profile score of 8

Answer and Explanation

The Correct Answer is C

Choice A rationale: The presence of phosphatidylglycerol (PG) in the amniotic fluid is another indicator of fetal lung maturity. The absence of PG is associated with an increased risk of respiratory distress syndrome (RDS) in the newborn.
Choice B rationale: A nonstress test is a test performed during pregnancy to evaluate the fetal heart rate in response to fetal movement. It is not directly related to assessing fetal lung maturity.
Choice C rationale: The L/S ratio is an important indicator of fetal lung maturity. Lecithin and sphingomyelin are two surfactants present in the lungs, and the ratio of these two substances increases as the fetal lungs mature. An L/S ratio of 2:1 or greater is considered an indication of lung maturity and suggests that the newborn should be able to breathe adequately after birth.
Choice D rationale: The biophysical profile (BPP) is a prenatal ultrasound assessment of the fetus, which includes evaluating fetal movements, breathing, heart rate, and amniotic fluid volume. While a BPP of 8 is a reassuring score, it does not provide direct information about fetal lung maturity.

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Correct Answer is ["89.722"]

Explanation

To convert ounces to milliliters, we use the conversion factor: 1 oz = 29.5735 mL

0.5 oz = 0.5 * 29.5735 = 14.7868 mL (0800 feedings)

1 oz = 1 * 29.5735 = 29.5735 mL (1100 feeding)

0.5 oz = 0.5 * 29.5735 = 14.7868 mL (1300 feeding)

0.5 oz = 0.5 * 29.5735 = 14.7868 mL (1600 feeding)

0.5 oz = 0.5 * 29.5735 = 14.7868 mL (1830 feeding)

Total intake = 14.7868 + 29.5735 + 14.7868 + 14.7868 + 14.7868 = 89.722 mL

So, the nurse should record 89.722 mL of formula as the client's intake for the shift.

A. Uterine enlargement greater than expected for gestational age B. Copious vaginal bleeding C. Severe nausea and vomiting D. Pelvic pain

Correct Answer is D

Explanation

Choice A rationale:
Uterine enlargement greater than expected for gestational age is not a typical finding in a possible ectopic pregnancy. An ectopic pregnancy occurs when the fertilized egg implants outside the uterus, usually in the fallopian tube, and the uterus does not enlarge normally.
Choice B rationale:
Copious vaginal bleeding is not a typical finding in a possible ectopic pregnancy. Vaginal bleeding can occur, but it is not usually copious.
Choice C rationale:
Severe nausea and vomiting are not typically associated with a possible ectopic pregnancy. Nausea and vomiting are common symptoms in early pregnancy, but they are not specific to an ectopic pregnancy.
Choice D rationale:
Pelvic pain is a common finding in a possible ectopic pregnancy. The pain is often sharp, and unilateral, and may be located on one side of the lower abdomen or pelvis.

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A nurse is assisting in the care of a client who is scheduled for a cesarean birth based on the fetal lungs having reached maturity. Which of the following findings indicates that the fetal lungs are mature?

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Naxlex Comprehensive Predictor Exams

.A nurse is caring for a newborn who is formula-fed. The newborn takes 0.5 oz of formula at 0800, 1 oz at 1100, 0.5 oz at 1300, 0.5 oz at 1600, and 0.5 oz at 1830. How many mL of formula should the nurse record as the client's intake for the shift?

Correct Answer is ["89.722"]

Explanation

A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

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