A woman with placenta previa is being treated with expectant management. The woman and fetus are stable. The nurse is assessing the woman for possible discharge home. Which statement by the woman would suggest to the nurse that home care might be inappropriate?

I know to call my health care provider right away if I start to bleed again."

"My mother lives next door and can drive me here if necessary.”

“I realize the importance of following the instructions for my care.”

“I have a toddler and preschooler at home who need my attention."

Answer and Explanation

The Correct Answer is D

A. "I know to call my health care provider right away if I start to bleed again." This statement reflects the woman's understanding of the importance of monitoring for any complications such as bleeding and taking prompt action, which is appropriate for expectant management.

B. "My mother lives next door and can drive me here if necessary." This indicates that the woman has support at home, which is important for her ability to access care if needed. It suggests a good support system for managing the pregnancy.

C. "I realize the importance of following the instructions for my care." This shows that the woman understands the need for careful adherence to her care plan, which is a positive sign that she is well-informed and prepared for home care.

D. "I have a toddler and preschooler at home who need my attention." This statement raises concern because caring for young children at home might pose a risk to the woman’s health and safety. It can make it more challenging for her to adhere to the prescribed bed rest or reduced activity level needed for managing placenta previa, especially if she needs to be closely monitored for bleeding or complications. Therefore, this statement suggests that home care might not be appropriate in this situation.

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Correct Answer is A

Explanation

A. Nonshivering thermogenesis is the primary method of heat production in newborns. Unlike adults, newborns do not generate heat through shivering. Instead, they rely on the metabolism of brown adipose tissue (brown fat) to produce heat. This process is triggered by exposure to cold and helps maintain body temperature.

B. Cold stress is a condition, not a heat production mechanism. It occurs when the newborn is exposed to cold temperatures, leading to increased oxygen and energy demands as the body attempts to produce heat — which can be dangerous.

C. Convection is a method of heat loss, not production. It occurs when heat is lost from the body surface to cooler surrounding air (e.g., drafts in the room).

D. Bilirubin conjugation is related to the liver's processing of bilirubin and has nothing to do with thermoregulation.

A. two fingerbreadths above the umbilicus B. two fingerbreadths below the umbilicus C. at the level of the umbilicus D. four fingerbreadths below the umbilicus

Correct Answer is C

Explanation

A. Two fingerbreadths above the umbilicus would be abnormal and may indicate uterine distension due to retained placental fragments or a full bladder, especially this long after delivery.

B. Two fingerbreadths below the umbilicus is typically expected 24 hours or more after delivery, not at 12 hours postpartum.

C. At the level of the umbilicus is normal and expected at about 12 hours postpartum. After delivery, the uterus rises slightly and is generally found at or near the umbilicus before it begins to descend (involute) by about 1 fingerbreadth per day.

D. Four fingerbreadths below the umbilicus would be expected several days postpartum, not within the first 12 hours.

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A woman with placenta previa is being treated with expectant management. The woman and fetus are stable. The nurse is assessing the woman for possible discharge home. Which statement by the woman would suggest to the nurse that home care might be inappropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After teaching an in-service program to a group of nurses working in newborn nursery about a neutral thermal environment, the nurse determines that the teaching was successful when the group identifies which process as the newborn's primary method of heat production?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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