The nursery nurse caring for a newborn exposed to an active maternal gonorrheal infection will be especially alert for the presence of:

Skin lesions on hands and feet.

Vaginal or penile discharge.

Thrush.

Eye infection.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Skin lesions are not typically associated with gonorrheal infections, they are more indicative of other infections like congenital syphilis.

Choice B rationale

Vaginal or penile discharge indicates a localized infection rather than a systemic issue like neonatal conjunctivitis.

Choice C rationale

Thrush is a fungal infection caused by Candida, not related to gonorrheal infection.

Choice D rationale

Eye infection, specifically conjunctivitis (ophthalmia neonatorum), is common in newborns exposed to gonorrhea during birth.

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Correct Answer is B

Explanation

Choice A rationale

Not all STIs are transmitted during delivery. For example, infections like trichomoniasis are not typically transmitted during birth, whereas others like herpes simplex virus can be.

Choice B rationale

Some STIs, such as herpes and HIV, can be transmitted during vaginal delivery, posing a risk to the newborn. Preventative measures, including antiviral treatment, can reduce this risk.

Choice C rationale

A cesarean section is not always required to prevent STI transmission. It is recommended in cases of active genital herpes or uncontrolled HIV to reduce transmission risk.

Choice D rationale

Some STIs, such as HIV, can be transmitted through breastfeeding. It is important to follow medical guidelines to prevent postnatal transmission via breast milk.

A. Sudden onset of respiratory distress. B. Maternal bradycardia. C. Category 1 fetal heart tracing. D. Acute, continuous abdominal pain.

Correct Answer is A

Explanation

Choice A rationale

Amniotic fluid embolism is characterized by the sudden onset of respiratory distress due to the entry of amniotic fluid into the maternal circulation.

Choice B rationale

Maternal bradycardia is not a specific symptom of amniotic fluid embolism and may be related to other cardiovascular conditions.

Choice C rationale

Category 1 fetal heart tracing indicates normal fetal heart rate and is not associated with amniotic fluid embolism.

Choice D rationale

Acute, continuous abdominal pain could indicate other obstetric emergencies but is not specifically linked to amniotic fluid embolism symptoms like respiratory distress.

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The nursery nurse caring for a newborn exposed to an active maternal gonorrheal infection will be especially alert for the presence of:

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Which of the following would lead the nurse to suspect that a laboring client is experiencing Amniotic Fluid Embolism?

Correct Answer is A

Explanation

A client is ordered 380 mL of packed red blood cells over 4 hours. What is the rate of infusion to be set on the IV pump? (Round to a whole number.) (Med math question, no options provided.)

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The nursery nurse caring for a newborn exposed to an active maternal gonorrheal infection will be especially alert for the presence of:

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