How should the risk of Venous Thromboembolism (VTE) and Postpartum Hemorrhage (PPH) be evaluated?

Low risk: Routine monitoring.

Moderate to high risk: Initiate VTE prophylaxis per policy.

Moderate risk or blood loss greater than 500 mL spontaneous vaginal delivery (SVD) or greater than 1,000 mL cesarean.

High risk: Greater than 500 mL blood loss SVD or greater than 1,000 mL cesarean, vital sign changes.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Low risk: Routine monitoring. This choice is not the most appropriate. While routine monitoring is important for all patients, those receiving the MMR vaccine are not at an increased risk for Venous Thromboembolism (VTE) or Postpartum Hemorrhage (PPH) based solely on the administration of this vaccine.
Choice B rationale
Moderate to high risk: Initiate VTE prophylaxis per policy. This choice is the most appropriate. The risk of VTE and PPH should be evaluated based on the patient’s overall health status, pregnancy history, and current condition. If the patient is determined to be at moderate to high risk, VTE prophylaxis should be initiated per policy.
Choice C rationale
Moderate risk or blood loss greater than 500 mL spontaneous vaginal delivery (SVD) or greater than 1,000 mL cesarean. This choice is not the most appropriate. While these factors can contribute to the risk of VTE and PPH, they are not directly related to the administration of the MMR vaccine.
Choice D rationale
High risk: Greater than 500 mL blood loss SVD or greater than 1,000 mL cesarean, vital sign changes. This choice is not the most appropriate. While these factors can contribute to the risk of VTE and PPH, they are not directly related to the administration of the MMR vaccine.

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Correct Answer is B

Explanation

Choice A rationale
Nonstimulant medications can be beneficial in the treatment of ADHD. They are often used when stimulant medications are not effective or cause bothersome side effects.
Choice B rationale
Designating an established area for study is a beneficial strategy for children with ADHD. It helps to create a structured environment which can aid in focusing and completing tasks.
Choice C rationale
Being diagnosed with ADHD does not automatically qualify a child for a specialized education plan. Each child’s needs are evaluated individually, and while some may benefit from a specialized plan, it is not a universal requirement.
Choice D rationale
While creating an organization chart for tasks can be helpful for some children with ADHD, understanding this strategy does not necessarily demonstrate an understanding of the overall treatment for ADHD45.

A. “I’m glad your mother told you why you were coming to the hospital.”. B. “We’re going to do everything we can to take very good care of you.”. C. “Are you scared?” D. “Tell me what an operation is.”.

Correct Answer is D

Explanation

Choice A rationale

While acknowledging the child’s knowledge about the upcoming operation is important, it does not provide the child with an opportunity to express their understanding or feelings about the operation.

Choice B rationale

Reassuring the child about the care they will receive is important, but it does not encourage the child to express their understanding or feelings about the operation.

Choice C rationale

Asking the child if they are scared might lead the child to focus on their fear, rather than helping them understand the operation.

Choice D rationale

Asking the child to explain what an operation is can help the healthcare provider assess the child’s understanding of the operation. It also provides an opportunity to correct any misconceptions and provide appropriate information.

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How should the risk of Venous Thromboembolism (VTE) and Postpartum Hemorrhage (PPH) be evaluated?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing treatment education to the caregiver of a school-age child recently diagnosed with ADHD. Which statement(s) made by the caregiver demonstrates an understanding?

Correct Answer is B

Explanation

During the admission procedure of a school-age child, the child states, “I’m going to have an operation.”. What is the best response for the nurse to provide to this child?

Correct Answer is D

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

The nurse is evaluating the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?

A parent rushes their pre-school age child to the emergency department with an asthma exacerbation. Which additional finding should alert the nurse that the child is in acute respiratory distress?

A patient was received one hour after delivering a 9 lb 1 oz (4.1 kg) female baby Exhibits Which of the following assessment findings requires immediate follow-up by the nurse?

The nurse is caring for a client who is 40-weeks gestation in active labor and has received epidural anesthesia. What is the most important assessment for the nurse to conduct following the administration of epidural anesthesia?

The nurse receives 2 newborns within the first minutes after a vaginal delivery and intervenes to establish adequate respirations. What is the priority issue that the nurse should address to ensure the newborn’s survival?

A laboring client has a variable deceleration on the fetal monitor. What is the first action that the nurse should take?