Nokea
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?
- A. Increased fetal movement.
- B. Leakage of fluid from the vagina.
- C. Upper abdominal discomfort.
- D. Urinary frequency.
Correct Answer: B
Rationale: Leakage of fluid from the vagina after an amniocentesis may indicate rupture of the amniotic membranes, which is a potential complication that requires immediate medical attention.
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A nurse is preparing to administer an IM injection to a newborn. Which of the following sites should the nurse select?
- A. Vastus lateralis
- B. Dorsogluteal
- C. Deltoid
- D. Rectus femoris
Correct Answer: A
Rationale: The correct answer is A: Vastus lateralis. For newborns, the vastus lateralis muscle is the preferred site for intramuscular injections due to its larger muscle mass and reduced risk of injury to nerves and blood vessels. It is located on the thigh, making it easily accessible and safe for administration. The deltoid muscle (choice C) is not recommended for newborns due to insufficient muscle mass. The dorsogluteal site (choice B) is not recommended for infants due to the proximity to the sciatic nerve. The rectus femoris (choice D) is not typically used for IM injections in newborns.
Which of the following is a potential complication of neonatal hypocalcemia?
- A. Hypoglycemia
- B. Seizures
- C. Respiratory distress syndrome
- D. All of the above
Correct Answer: B
Rationale: Seizures are a potential complication of neonatal hypocalcemia due to the critical role of calcium in nerve and muscle function.
A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?
- A. Oatmeal
- B. Cabbage
- C. Asparagus
- D. Lentils
Correct Answer: D
Rationale: The correct answer is D: Lentils. Lentils have the highest fiber content per cup compared to the other options. Lentils contain around 15.6 grams of fiber per cup, making them an excellent choice to alleviate constipation. Oatmeal, cabbage, and asparagus have lower fiber content per cup compared to lentils. Oatmeal contains around 4 grams of fiber per cup, cabbage has about 2.2 grams, and asparagus has approximately 2.8 grams. Therefore, lentils are the best choice for increasing fiber intake to help with constipation during pregnancy.
Which of the following is a potential cause of female infertility?
- A. Endometriosis
- B. Polycystic ovary syndrome (PCOS)
- C. Pelvic inflammatory disease (PID)
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Endometriosis can cause scarring and blockage of the fallopian tubes, hindering conception. PCOS can lead to irregular ovulation or lack of ovulation, affecting fertility. PID can cause damage to the reproductive organs, impacting fertility. Therefore, all three conditions listed can potentially contribute to female infertility. Choices A, B, and C are all incorrect because each condition individually can cause female infertility, making option D the correct choice.
A nurse is discussing fertility treatment options with a client and their partner. Which of the following nonpharmacological treatments should the nurse suggest?
- A. Use a lubricant during intercourse.
- B. Drink herbal tea two times daily.
- C. Maintain a healthy weight.
- D. Take daily hot baths.
Correct Answer: C
Rationale: Correct Answer: C - Maintain a healthy weight.
Rationale: Maintaining a healthy weight is crucial for fertility as obesity or being underweight can impact fertility. Excess body fat can disrupt hormone levels and ovulation, while being underweight can also affect reproductive function. By suggesting the couple to maintain a healthy weight, the nurse is promoting overall reproductive health.
Summary of other choices:
A: Using a lubricant during intercourse does not address the underlying fertility issues.
B: Drinking herbal tea may not have a direct impact on fertility and lacks scientific evidence.
D: Taking daily hot baths can actually decrease sperm count and affect fertility.
E, F, G: These options are not provided but would likely not be as relevant as maintaining a healthy weight.