The postpartum nurse identifies a newborn born to a mother positive for hepatitis B. The nurse reports the birth to the department of health for data collection. This is an example of:

descriptive epidemiology

epidemiological triangle

incident reporting

Surveillance

Answer and Explanation

The Correct Answer is D

Surveillance is the ongoing and systematic collection, analysis, and interpretation of health data for the purpose of monitoring health problems and trends. The Department of Health collects data on reportable diseases, including hepatitis B, to monitor disease incidence and inform public health interventions.

Descriptive epidemiology involves the study of the distribution and determinants of

health-related states or events in populations, while the epidemiological triangle is a model that describes the relationships among the agent, host, and environment in the development of disease.

Incident reporting refers to the documentation of adverse events or errors in healthcare settings.

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Correct Answer is B

Explanation

Placenta previa is a condition where the placenta implants low in the uterus, covering part or all of the cervix. This can cause bleeding and can be dangerous for both the mother and the baby. In cases of placenta previa, a cesarean delivery is necessary to avoid complications. Therefore, it is not safe for the patient to deliver vaginally.

Betamethasone is indicated in delivery anticipated before 34 weeks gestation. Vaginal exams may cause more bleeding in the event of placenta previa.

A. massage the woman's fundus. B. Begin an intravenous (IV) infusion of Ringer's lactate solution. C. Call the woman's primary health care provider. D. Assess the woman's vital signs.

Correct Answer is A

Explanation

The nurse's first action should be to massage the woman's fundus. A completely saturated perineal pad within 15 minutes after giving birth indicates excessive bleeding, which is also known as postpartum hemorrhage (PPH). Massaging the uterus (fundus) can help it to contract, reduce bleeding, and prevent further blood loss. Once the fundus has been massaged, the nurse should assess the woman's vital signs and continue to monitor her for signs of continued bleeding. If bleeding persists despite massage, the nurse should begin an intravenous (IV) infusion of Ringer's lactate solution and call the woman's primary healthcare provider.

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The postpartum nurse identifies a newborn born to a mother positive for hepatitis B. The nurse reports the birth to the department of health for data collection. This is an example of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing education for a patient who has been newly diagnosed with a placenta previa at 37 weeks' gestation. The nurse understands that teaching has not been effective when the patient states:

Correct Answer is B

Explanation

On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. The nurse's first action is to:

Correct Answer is A

Explanation

A nurse is developing goals for a community education program. Which of the following methods should be used?

A bioterrorism attack occurred locally in which people were exposed to anthrax. As the nurse, you understand the main priority would be:

Which nursing intervention should be immediately performed after the forceps-assisted birth of an infant?

The most common indication for a vacuum-assisted delivery is:

The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is:

For clinical purposes, the most accurate definition of preterm and post-term infants is defined as what?

A woman in preterm labor at 30 weeks of gestation receives two 12 mg doses of betamethasone (Celestane) intramuscularly. The purpose of this pharmacologic treatment is to:

Cervidil (dinoprostone) has been ordered for a pregnant woman at 42 weeks of gestation. The nurse recognizes that this medication will be administered to: