A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?

Monitor the rectal temperature every 4 hr.

Administer broad-spectrum antibiotics.

Cleanse the site with povidone-iodine.

Prepare for surgical closure after 72hr.

Answer and Explanation

The Correct Answer is C

The priority action in this scenario is to prevent infection. Cleansing the site with povidone-iodine can help reduce the risk of infection. Rectal temperature monitoring and administration of antibiotics may be necessary if infection is suspected, but preventing infection is the priority. Surgical closure may be necessary, but this is not an immediate concern.

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Correct Answer is A

Explanation

Cytomegalovirus (CMV) is a common viral infection that can be transmitted from mother to newborn during childbirth. It can also be transmitted through contact with infected bodily fluids, including saliva, urine, and breast milk. Therefore, it is important to practice good hand hygiene and avoid sharing utensils or cups with young children who may be infected. Airborne precautions are not required for CMV, as it is not transmitted through the air. Prophylactic treatment with acyclovir is not effective against CMV, and there is no cure for the infection. Lesions are not typically visible on the mother's genitalia, and many mothers who are infected with CMV have no symptoms at all.

A. Group B strep culture B. Rubella titer C. Blood type and Rh D. 1hr glucose tolerance test

Correct Answer is D

Explanation

All of the listed laboratory tests are important for prenatal care. However, at the 24-week appointment, the nurse should plan to conduct the 1-hour glucose tolerance test to screen for gestational diabetes.

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A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?

Correct Answer is D

Explanation

A nurse is caring for a client who is in labor and just received epidural anesthesia. The client's blood pressure is 90/50 mm Hg. Which of the following actions should the nurse take?

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A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit?

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