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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Persistent nausea and vomiting are common during the first trimester, but not to the extent seen in hyperemesis gravidarum, which involves severe and prolonged symptoms leading to dehydration and weight loss.
Choice B rationale
Hyperemesis gravidarum's exact cause is unknown, making it difficult to prevent. Risk factors include multiple pregnancies and a history of the condition, but no definitive prevention measures are established.
Choice C rationale
The chronic nausea, vomiting, and resultant physical debilitation of hyperemesis gravidarum significantly impact the quality of life, leading to anxiety and depression due to the persistent nature of the symptoms.
Choice D rationale
Hospitalization for rehydration and electrolyte balance restoration is often necessary for hyperemesis gravidarum due to severe dehydration from persistent vomiting and inability to retain fluids and nutrients.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
CBC will detect abnormalities such as anemia or infection, which may correlate with preeclampsia or HELLP syndrome.
Choice B rationale
Elevated AST and ALT levels indicate liver damage, a potential sign of severe preeclampsia or HELLP syndrome.
Choice C rationale
Serum creatinine helps assess kidney function, as preeclampsia can impair renal perfusion leading to elevated levels.
Choice D rationale
Fetal ultrasound assesses fetal growth, amniotic fluid volume, and placental function, critical in monitoring preeclampsia.
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