A nurse is providing care for a newborn diagnosed with hydrocephalus. Which of the following symptoms should the nurse anticipate?

A forehead that slopes backward.

Dilated veins on the scalp.

Overlapping suture lines.

Hypertension.

Answer and Explanation

The Correct Answer is B

Hydrocephalus is a condition where there is an accumulation of cerebrospinal fluid (CSF) in the brain, causing increased pressure inside the skull. This can cause dilated veins on the scalp in a newborn.

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Correct Answer is D

Explanation

The correct answer is Choice D.

Choice A rationale: Having the client pant during the next contractions helps to prevent premature pushing. Panting, or controlled breathing, reduces the urge to bear down, which can help prevent cervical swelling or tearing until full dilation is achieved.

Choice B rationale: Assisting the client into a comfortable position is important but not the immediate priority. The client should be instructed to use techniques to prevent pushing.

Choice C rationale: Helping the client to the bathroom to void is not appropriate at this stage of labor, as it may increase the risk of complications and is not the immediate priority.

Choice D rationale: Observing the perineum for signs of crowning is crucial. This action helps the nurse determine if the client is indeed ready to push and if the baby is descending properly. It ensures that the timing for pushing is optimal to prevent complications during delivery.

A. Repaglinide B. Glipizide C. Insulin D. Acarbose

Correct Answer is C

Explanation

Choice A rationale

Repaglinide is an oral diabetes medication that helps control blood sugar levels by causing the pancreas to produce insulin. However, it is not typically the first choice for treating gestational diabetes. It is usually used for type 2 diabetes and is not commonly recommended during pregnancy.

Choice B rationale

Glipizide is another oral diabetes medication that works by stimulating the pancreas to produce insulin. Like repaglinide, it is not typically used as a first-line treatment for gestational diabetes and is not commonly recommended during pregnancy.

Choice C rationale

Insulin is the most common treatment for gestational diabetes. It does not cross the placenta and thus does not cause hypoglycemia in the baby. It can be used safely during pregnancy and is effective in controlling blood glucose levels.

Choice D rationale

Acarbose is an alpha-glucosidase inhibitor, which works by slowing the absorption of carbohydrates from the intestine. It is not typically used in pregnancy due to lack of safety data.

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A nurse is providing care for a newborn diagnosed with hydrocephalus. Which of the following symptoms should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client’s amniotic membranes are intact. The client suddenly states that she needs to push. What action should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for a patient who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. Which of the following medications should the nurse anticipate the provider will prescribe for the patient?

Correct Answer is C

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

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