As relates to rubella and Rh issues, nurses should be aware that:.

Breastfeeding mothers cannot be vaccinated with the live attenuated rubella virus.

Women should be warned that the rubella vaccination is teratogenic and that they must avoid pregnancy for 1 month after vaccination.

Rh immune globulin is safely administered intravenously because it cannot harm a nursing infant.

Rh immune globulin boosts the immune system and thereby enhances the effectiveness of vaccinations.

Answer and Explanation

The Correct Answer is B

The presence or absence of anxiety is a noninvasive assessment that the RN would perform to evaluate the patient’s psychological status and possible signs of hypovolemic shock.

Anxiety can indicate reduced cerebral perfusion due to blood loss and low blood pressure.

Choice A is wrong because pulse oximetry is a noninvasive assessment that the RN would perform to measure the oxygen saturation of the patient’s blood, not the circulatory status.

Choice B is wrong because heart sounds are a noninvasive assessment that the RN would perform to auscultate the cardiac rhythm and rate of the patient, not the circulatory status.

Choice C is wrong because arterial pulses are a noninvasive assessment that the RN would perform to palpate the strength and quality of the patient’s peripheral pulses, not the circulatory status.

Choice D is wrong because skin color, temperature, and turgor are noninvasive assessments that the RN would perform to observe the skin integrity and hydration of the patient, not the circulatory status.

Normal ranges for pulse oximetry are 95% to 100%, for heart rate, are 60 to 100 beats per minute, and for blood pressure are 120/80 mmHg.

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Correct Answer is B

Explanation

Measles (rubeola) is a communicable disease that is characterized by Koplik’s spots, which are clustered, white lesions on the buccal mucosa opposite the lower molars. They appear two to three days before the measles rash and are pathognomonic for measles.

Choice A is wrong because rubella is a different viral infection that causes a mild rash and fever, but does not have Koplik’s spots.

Choice C is wrong because chickenpox (varicella) is caused by the varicella-zoster virus and produces fluid-filled blisters on the skin, not white spots in the mouth.

Choice D is wrong because exanthema subitum (roseola) is caused by the human herpesvirus 6 or 7 and causes a high fever followed by a pink rash on the trunk and neck, but no oral lesions.

A. Drying the baby after birth and wrapping the baby in a dry blanket. B. Keeping the baby out of drafts and away from air conditioners. C. Placing the baby away from the outside wall and the windows. D. Warming the stethoscope and the nurse’s hands before touching the baby.

Correct Answer is A

Explanation

Drying the baby after birth and wrapping the baby in a dry blanket

This prevents evaporative heat loss, which occurs when water on the skin surface evaporates and cools the skin. Evaporative heat loss is especially significant in newborns because they are wet at birth and have a large surface area relative to their body mass.

Choice B is wrong because it addresses convective heat loss, which occurs when air currents blow over the skin and carry away heat.

Convective heat loss can be prevented by keeping the baby out of drafts and away from air conditioners.

Choice C is wrong because it addresses radiant heat loss, which occurs when heat radiates from the skin to cooler objects in the environment.

Radiant heat loss can be prevented by placing the baby away from the outside wall and the windows.

Choice D is wrong because it addresses conductive heat loss, which occurs when heat transfers from the skin to cooler objects in contact with the skin.

Conductive heat loss can be prevented by warming the stethoscope and the nurse’s hands before touching the baby.

Normal body temperature for a newborn is 36.5°C to 37.5°C (97.7°F to 99.5°F).

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As relates to rubella and Rh issues, nurses should be aware that:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing an assessment on a child and notes the presence of Koplik’s spots. In which communicable disease are Koplik’s spots present?

Correct Answer is B

Explanation

Nurses can prevent evaporative heat loss in the newborn by:

Correct Answer is A

Explanation

Medications used to manage postpartum hemorrhage (PPH) include (Select all that apply.):.

The nurse is meeting a 5-year-old child for the first time and would like the child to cooperate during a dressing change. The nurse decides to do a simple magic trick using gauze. This should be interpreted as:

The nurse is talking to a parent of an infant with heart failure about feeding the infant. Which statement about feeding the child is correct?

Premature infants who exhibit 5 to 10 seconds of respiratory pauses followed by 10 to 15 seconds of compensatory rapid respiration are:.

What should a nurse advise the parents of a child with type 1 diabetes mellitus who is not eating as a result of a minor illness?

Cystic fibrosis (CF) is suspected in a toddler. Which test is essential in establishing this diagnosis?

When caring for a child with Kawasaki disease, the nurse should understand that principle of care?

During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. The nurse should recognize that this is:.