The parents of a 3-month-old ask why their baby will not have an operation to correct a ventricular septal defect (VSD). The nurse's best response is:

"Your baby's defect is small and will likely close on its own by 1 year of age"

"With a small defect like this, they wait until the child is 10 years old to do the surgery"

"It is common for health-care providers to wait until an infant develops respiratory distress before they do surgery"

"It is always helpful to get a second opinion about any serious condition like this"

Answer and Explanation

The Correct Answer is A

A. "Your baby's defect is small and will likely close on its own by 1 year of age": Small VSDs often close spontaneously within the first year, and surgery is usually not needed unless the defect is large or causing symptoms.

B. "With a small defect like this, they wait until the child is 10 years old to do the surgery": Surgery for a small VSD is generally not needed unless complications arise. Most close naturally in infancy.

C. "It is common for health-care providers to wait until an infant develops respiratory distress before they do surgery": While respiratory distress is a symptom that might prompt surgical consideration for a VSD, healthcare providers do not wait for a child to develop severe symptoms before intervening. Surgery is considered based on symptoms and defect size.

D. "It is always helpful to get a second opinion about any serious condition like this": A second opinion is not necessary for most small VSDs, which often close on their own. The focus should be on providing accurate information and reassurance.

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Correct Answer is A

Explanation

A. "Nothing feels nicer than a hot sauna after exercise": Hot saunas should be avoided during pregnancy, especially in the first trimester, as they can raise the body temperature to unsafe levels, potentially leading to dehydration, overheating, or harm to the developing fetus.

B. "The gym gets hot and stuffy by midmorning": While the temperature of the gym may be uncomfortable, it is not inherently unsafe unless the environment becomes excessively hot or poorly ventilated. The concern here would be ensuring the client avoids overheating by taking breaks and staying hydrated.

C. "I'm learning to play table tennis": Table tennis is a low-impact activity that is generally safe during pregnancy. It does not involve high-intensity or risky movements that could cause harm to the pregnant individual or the baby.

D. "I limit exercising to low-impact aerobics": Low-impact aerobics is generally considered a safe form of exercise during pregnancy, as it minimizes stress on the joints and reduces the risk of injury. This comment indicates that the client is making appropriate exercise choices.

A. Heartburn B. Vaginal bleeding C. Fatigue D. Once daily emesis upon awakening

Correct Answer is B

Explanation

A. Heartburn: Heartburn is a common issue during pregnancy, especially as the pregnancy progresses, due to hormonal changes and pressure from the growing uterus. While uncomfortable, it is not a danger sign requiring immediate medical attention.

B. Vaginal bleeding: Vaginal bleeding is a serious concern during pregnancy, especially in the first and second trimesters. It can indicate complications such as a miscarriage, ectopic pregnancy, or placental abruption. It is important to call the healthcare provider immediately if any vaginal bleeding occurs.

C. Fatigue: Fatigue is a common symptom during pregnancy, particularly in the first and third trimesters, due to hormonal changes, increased blood volume, and the body's efforts to support fetal growth. It is generally not a reason to call the office immediately.

D. Once daily emesis upon awakening: Vomiting, especially in the early stages of pregnancy, is common and may be related to morning sickness. While it can be uncomfortable, occasional vomiting in the morning does not typically require immediate medical attention unless it becomes severe or persistent.

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The parents of a 3-month-old ask why their baby will not have an operation to correct a ventricular septal defect (VSD). The nurse's best response is:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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