166. Danger Signs – Pregnancy Complication
A client at 28 weeks gestation reports headache, blurred vision, and epigastric pain.
What complication should the nurse suspect?
1. Gestational diabetes
2. Placenta previa
3. Preeclampsia
4. Hyperemesis gravidarum
167. Newborn Medication – Vitamin K
Why is vitamin K administered to newborns after birth?
1. To promote respiratory adaptation
2. To reduce risk of jaundice
3. To prevent bleeding due to low clotting factors
4. To support thermoregulation
168. Postpartum Assessment – Uterine Atony
A nurse notes continued vaginal bleeding and a firm midline uterus in a postpartum client.
What complication should the nurse suspect?
1. Uterine rupture
2. Cervical or vaginal laceration
3. Uterine atony
4. Placenta previa
169. Parent Teaching – Umbilical Cord Care
Which instruction should the nurse include when teaching a parent about newborn umbilical
cord care?
1. Keep the cord moist and covered
2. Apply antibiotic ointment daily
3. Fold the diaper below the cord stump
4. Clean the base with alcohol at each diaper change
170. Priority Action – Neonatal Abstinence Syndrome (NAS)
A newborn exposed to opioids in utero is irritable, has a high-pitched cry, and poor feeding.
Which action should the nurse take first?
1. Offer formula feeding immediately
2. Perform a blood glucose test
3. Administer naloxone
