D447 Women and Children - Set 2 - Part 3
Test your knowledge of technical writing concepts with these practice questions. Each question includes detailed explanations to help you understand the correct answers.
Question 41: A laboring patient whose membranes ruptured twenty hours ago develops a fever of one hundred and one degrees Fahrenheit, maternal tachycardia, uterine tenderness, and foul-smelling amniotic fluid. The fetal heart rate baseline is elevated. The nurse recognizes these collective findings as the classic presentation of which serious intrapartum infection?
Question 42: A nurse is caring for a patient whose membranes ruptured spontaneously but who has not yet begun active labor. The provider informs the patient that if labor does not begin within a specific timeframe, induction will be recommended. The nurse understands that infection risk increases significantly when the membrane-to-delivery interval exceeds which critical time threshold?
Question 43: A laboring patient tested positive for Group B Streptococcus during prenatal screening. The nurse prepares to administer intrapartum antibiotic prophylaxis as ordered. The nurse understands that the primary purpose of giving antibiotics during labor to this patient is to prevent which serious neonatal complication?
Question 44: A nurse assessing amniotic fluid after membrane rupture notes the fluid is clear with a mild characteristic odor and tests positive on nitrazine paper, turning the paper blue. The nurse interprets these findings together to confirm which clinical conclusion about the nature of this fluid?
Question 45: A pregnant patient at thirty-eight weeks gestation with a history of genital herpes reports tingling and burning in the genital area, and the provider confirms active vesicular lesions on examination. The nurse anticipates that the provider will recommend which delivery method to prevent neonatal herpes transmission?
Question 46: A nurse performing a newborn assessment examines the umbilical cord and counts the vessels. The expected normal finding is a specific combination of vessels that should be documented. The nurse knows that an umbilical cord with fewer vessels than expected is associated with potential congenital abnormalities and requires which follow-up evaluation?
Question 47: A new parent asks the nurse why their healthy newborn needs a vitamin K injection when the baby appears perfectly healthy. The nurse explains that this intramuscular injection is given to all newborns because infants are born with inadequate vitamin K levels. This deficiency places every newborn at risk for developing which specific condition?
Question 48: A nurse is caring for a patient who presented at thirty-four weeks gestation reporting no fetal movement for the past day. Upon assessment, the nurse is unable to detect a fetal heartbeat with the Doppler device. The nurse understands that the critical first confirmatory step when fetal demise is suspected is to verify which finding?
Question 49: A neonatal nurse is educating parents of a premature infant about feeding practices that can reduce the risk of necrotizing enterocolitis. The nurse emphasizes that one specific feeding practice has been shown to be the most significant modifiable factor in reducing this devastating intestinal condition. Which practice should the nurse recommend?
Question 50: A newborn is delivered to a mother whose hepatitis B surface antigen test returned positive during prenatal screening. In addition to the routine hepatitis B vaccine, the nurse knows that this infant must also receive hepatitis B immune globulin within twelve hours of birth. This additional medication is specifically required because the mother's positive status places the infant at elevated risk for which condition?
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