A pregnant person telephones the prenatal clinic and reports that their "water just broke." How will the nurse respond?

Come in as soon as you feel the urge to push.

Call us back when you start having contractions.

Come to the Labor and delivery unit for an evaluation.

Drink three to four glasses of water and lie down.

Answer and Explanation

The Correct Answer is C

Choice A reason: Waiting until the urge to push before going to the hospital is not advisable. If the water has broken, it indicates that Labor may be starting, and the pregnant person should be evaluated to ensure the safety of both the parent and the baby.

Choice B reason: Waiting for contractions to start before calling back is not recommended. If the water has broken, there is a risk of infection and other complications, so immediate evaluation is necessary.

Choice C reason: Coming to the Labor and delivery unit for an evaluation is the correct response. When the water breaks, it is important to assess the mother and baby to determine the next steps and ensure that both are healthy and safe.

Choice D reason: Drinking water and lying down is not an appropriate response to the water breaking. While staying hydrated is important during pregnancy, the priority should be to seek immediate medical evaluation.

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Correct Answer is C

Explanation

Choice A reason: Discontinuing the indwelling catheter is not appropriate without first assessing the cause of the low urine output.

Choice B reason: Increasing the intravenous fluid rate might be considered if the patient is dehydrated, but first, the nurse should ensure that the low urine output is not due to a mechanical issue with the catheter.

Choice C reason: Checking the catheter for patency is the most immediate and appropriate action. There could be a blockage or kink in the catheter, which might explain the low urine output.

Choice D reason: Documenting the finding is important, but it should be done after addressing the immediate concern of low urine output and confirming that the catheter is functioning properly.

A. This cardiac defect is due to a folic acid deficiency in your diet when you were pregnant. B. PDAs are more commonly seen in male newborns. C. There is a 25% chance your next baby will also have a PDA. D. A risk factor for having a newborn who has a PDA is a family history of heart defects.

Correct Answer is D

Explanation

Choice A reason: A folic acid deficiency in the mother's diet during pregnancy is typically associated with neural tube defects, such as spina bifida, rather than causing patent ductus arteriosus (PDA).

Choice B reason: PDAs are not specifically more common in male newborns. This statement does not accurately reflect the risk factors associated with PDA.

Choice C reason: The statement about a 25% chance of having another baby with PDA is not accurate. While having one child with a heart defect may slightly increase the risk for subsequent children, the exact risk percentage varies and is not typically as high as 25%.

Choice D reason: A family history of heart defects is a known risk factor for PDA. Genetic predisposition can play a role in the occurrence of congenital heart defects, making this the correct answer.

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A pregnant person telephones the prenatal clinic and reports that their "water just broke." How will the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the urinary output of a patient 4 hours after a caesarean birth. The patient weighs 68 kg and the indwelling catheter bag measures 125 mL of urine. Which action will the nurse include in the plan of care?

Correct Answer is C

Explanation

A nurse is caring for a full-term newborn diagnosed with persistent/patent ductus arteriosus (PDA). The newborn's caregiver asks the nurse, "What causes a PDA?" How will the nurse answer this question?

Correct Answer is D

Explanation

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