Following a normal spontaneous vaginal delivery (NSVD), a 28 year old G3 now P3 mother develops sudden onset shortness of breath, hypoxia and cyanosis. The delivery room nurse quickly recognizes these symptoms as possible:
Select one:

Manifestations of uteroplacental insufficiency.

Manifestations of prolapsed cord.

Manifestations of anaphylactoid syndrome of pregnancy.

Manifestations of an acute asthmatic episode.

Answer and Explanation

The Correct Answer is C

Choice A Reason: Manifestations of uteroplacental insufficiency. This is an incorrect answer that describes a diﬀerent condition that aﬀects the fetus, not the mother. Uteroplacental insufficiency is a condition where the placenta fails to deliver adequate oxygen and nutrients to the fetus, which can result in fetal growth restriction, distress, or demise. Uteroplacental insufficiency does not cause shortness of breath, hypoxia, or cyanosis in the mother.

Choice B Reason: Manifestations of prolapsed cord. This is an incorrect answer that refers to another condition that aﬀects the fetus, not the mother. Prolapsed cord is a condition where the umbilical cord slips through the cervix before the baby and becomes compressed by the fetal head, which can reduce oxygen ﬂow to the fetus. Prolapsed cord does not cause shortness of breath, hypoxia, or cyanosis in the mother.

Choice C Reason: Manifestations of anaphylactoid syndrome of pregnancy. This is because anaphylactoid syndrome of pregnancy, also known as amniotic ﬂuid embolism, is a rare and fatal condition where amniotic ﬂuid enters into the maternal bloodstream and causes an allergic reaction, which can lead to respiratory failure, cardiac arrest, coagulopathy, and coma. Anaphylactoid syndrome of pregnancy can occur during or after labor and delivery, especially in cases of NSVD, multiparity, advanced maternal age, or placental abruption.

Choice D Reason: Manifestations of an acute asthmatic episode. This is an incorrect answer that assumes that the mother has a history of asthma or an allergic trigger. Asthma is a chronic inﬂammatory disorder of the airways that causes wheezing, coughing, chest tightness, and dyspnea. Asthma can be exacerbated by pregnancy or labor, but it is not a common cause of sudden onset respiratory distress in the postpartum period.

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Correct Answer is C

Explanation

Choice A Reason: IgG. This is an incorrect answer that refers to a diﬀerent type of antibody that is not abundant in breast milk. IgG is a type of antibody that provides systemic immunity against various antigens. IgG is found in low concentrations in breast milk, as it does not cross the mammary epithelium easily. IgG can protect the infant from some infections, but it is mainly transferred from the mother to the fetus through the placenta during pregnancy.

Choice B Reason: IgE. This is an incorrect answer that refers to a diﬀerent type of antibody that is not relevant to breast milk. IgE is a type of antibody that mediates allergic reactions and parasitic infections. IgE is found in very low concentrations in breast milk, as it does not have a significant role in mucosal immunity. IgE can trigger mast cells and basophils to release histamine and other inﬂammatory mediators, which can cause symptoms such as itching, swelling, or bronchoconstriction.

Choice C Reason: IgA. This is because IgA is a type of antibody that protects mucosal surfaces from pathogens and toxins. IgA is found in high concentrations in breast milk, especially in colostrum (the first milk produced after delivery). IgA can bind to bacteria and viruses in the infant's gastrointestinal tract and prevent them from ataching to the intestinal wall or crossing into the bloodstream. IgA can also enhance the infant's immune system by stimulating lymphoid tissue development and modulating inﬂammatory responses.

Choice D Reason: IgM. This is an incorrect answer that refers to a diﬀerent type of antibody that is not abundant in breast milk. IgM is a type of antibody that activates complement system and agglutinates antigens. IgM is found in low concentrations in breast milk, as it does not cross the mammary epithelium easily due to its large size. IgM can protect the infant from some infections, but it is mainly produced by the infant's own immune system in response to exposure to antigens.

A. Vitamin K will increase erythropoiesis. B. Vitamin K will enhance bilirubin breakdown. C. Vitamin K will stop Rh sensitization. D. Vitamin K will promote blood clotting ability. Vitamin K will promote blood clotting ability.

Correct Answer is D

Explanation

Choice A Reason: Vitamin K will increase erythropoiesis. This is an incorrect statement that confuses vitamin K with erythropoietin. Erythropoietin is a hormone that stimulates red blood cell production in the bone marrow. Vitamin K does not aﬀect erythropoiesis.

Choice B Reason: Vitamin K will enhance bilirubin breakdown. This is an incorrect statement that confuses vitamin K with phototherapy. Phototherapy is a treatment that exposes the newborn's skin to light, which converts bilirubin into water-soluble forms that can be excreted by the liver and kidneys. Bilirubin is a yellow pigment that results from the breakdown of red blood cells. High levels of bilirubin can cause jaundice and brain damage in newborns. Vitamin K does not aﬀect bilirubin metabolism.

Choice C Reason: Vitamin K will stop Rh sensitization. This is an incorrect statement that confuses vitamin K with Rh immune globulin. Rh immune globulin is an injection given to Rh-negative mothers who deliver Rh-positive babies, to prevent them from developing antibodies against Rh-positive blood cells in future pregnancies. Rh sensitization is a condition where the mother's immune system atacks the baby's blood cells, causing hemolytic disease of the newborn. Vitamin K does not aﬀect Rh sensitization.

Choice D Reason: Vitamin K will promote blood clotting ability. This is a correct statement that explains the rationale for administering vitamin K as prophylaxis to newborns. Vitamin K is essential for the synthesis of clotting factors in the liver. Newborns have low levels of vitamin K at birth due to poor placental transfer and lack of intestinal bacteria that produce vitamin K. Therefore, they are at risk of bleeding disorders such as hemorrhagic disease of the newborn.

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Following a normal spontaneous vaginal delivery (NSVD), a 28 year old G3 now P3 mother develops sudden onset shortness of breath, hypoxia and cyanosis. The delivery room nurse quickly recognizes these symptoms as possible: Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An nurse is counseling a new mother about the immunologic properties of breast milk. The nurse emphasizes that breast milk is the main source of which specific immunoglobulin? Select one:

Correct Answer is C

Explanation

The nurse administers vitamin K intramuscularly as prophylaxis to the newborn based on which of the following rationales? Select one:

Correct Answer is D

Explanation

Why is it important for the nurse to assess the bladder regularly and encourage the laboring client to void every 2 hours? Select one:

An nurse explains to new parents that their infant has developed Transient Tachypnea of the Newborn (TTN). The nurse understands that risk factors for TTN include which of the following? Select one:

The nurse is reading the results of non-stress test (NST) strips completed that day. Which of the following strips meets the criteria for a reactive NST? Select one:

During a physical assessment of a newborn, the nurse observes bluish markings across the newborn's lower back. The nurse interprets this finding as: Select one:

The nurse assesses a 1-day-old newborn. Which finding indicates that the newborn's oxygenation needs are not being met? Select one:

The nurse's initial action when caring for an otherwise stable, full term infant with a slightly decreased temperature is to: Select one:

When reviewing the causes of late postpartum hemorrhage, which of the following would the nurse identify as the most common cause? Select one:

A couple who has had difficulty conceiving confides in the nurse at the infertility clinic that they feel overwhelmed with the decisions that face them. Which of the following nursing strategies would be most appropriate and therapeutic? Select one:

Following a normal spontaneous vaginal delivery (NSVD), a 28 year old G3 now P3 mother develops sudden onset shortness of breath, hypoxia and cyanosis. The delivery room nurse quickly recognizes these symptoms as possible:
Select one: