Nokea
The nurse is teaching the client about postpartum depression. The nurse should encourage the client to----------------- and ----------------- to help prevent postpartum depression.
- A. Engage in regular physical activity
- B. Maintain a strong support system
- C. Get adequate rest and sleep
- D. Eat a well-balanced diet
Correct Answer:
Rationale: The nurse should encourage the client to:Engage in regular physical activity – Exercise can help boost mood, reduce stress, and improve overall well-being, which may help prevent postpartum depression. Maintain a strong support system – Connecting with family, friends, or support groups can provide motional support, reduce feelings of isolation, and help manage postpartum stress.
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What is the function of the amniotic fluid during pregnancy?
- A. To protect the fetus from infection
- B. To cushion the fetus from physical trauma
- C. To regulate fetal temperature
- D. All of the above
Correct Answer: D
Rationale: Amniotic fluid protects the fetus from infection, cushions it from trauma, and helps regulate temperature.
What is the recommended method of pain relief during labor for a woman with a low-risk pregnancy?
- A. Epidural anesthesia
- B. Spinal anesthesia
- C. Nitrous oxide inhalation
- D. All of the above
Correct Answer: C
Rationale: The correct answer is C: Nitrous oxide inhalation. This is recommended for low-risk pregnancies because it provides pain relief without affecting the baby's heart rate or the progress of labor. It is self-administered by the woman, allowing for control over the dosage. Epidural and spinal anesthesia carry potential risks and may interfere with the natural process of labor. Choosing "All of the above" (D) is incorrect as epidural and spinal anesthesia are not recommended for low-risk pregnancies due to their potential side effects.
Which of the following is a potential cause of male infertility?
- A. Azoospermia
- B. Oligospermia
- C. Teratospermia
- D. All of the above
Correct Answer: D
Rationale: Male infertility can be caused by azoospermia (no sperm), oligospermia (low sperm count), or teratospermia (abnormal sperm morphology).
A nurse is caring for a newborn immediately following birth. For which of the following reasons should the nurse delay the instillation of antibiotic ophthalmic ointment?
- A. To allow manifestations of infection to be identified
- B. The newborn weighs less than 2.5 kg (5.5 lb)
- C. The newborn was delivered via cesarean birth
- D. To facilitate bonding between the newborn and parent
Correct Answer: D
Rationale: The correct answer is D: To facilitate bonding between the newborn and parent. Delaying the instillation of antibiotic ointment allows for immediate skin-to-skin contact and bonding between the newborn and parent, promoting attachment and emotional connection. This is a crucial aspect of postnatal care and has long-term benefits for the newborn's emotional and psychological development. Choices A, B, and C are incorrect because delaying antibiotic ointment instillation for reasons such as identifying infection, low birth weight, or mode of delivery could potentially result in harm to the newborn by not providing immediate protection against eye infections, which can be serious and lead to vision impairment.
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
- A. Administer penicillin G 2.4 million units IM to the client.
- B. Instruct the client to schedule an annual pelvic examination.
- C. Tell the client they will start medication for HIV immediately after delivery.
- D. Report the client’s condition to the local health department.
Correct Answer: D
Rationale: The correct answer is D: Report the client’s condition to the local health department. This action is important to ensure proper follow-up care, contact tracing, and prevention of HIV transmission. Administering penicillin G (A) is not indicated for HIV, scheduling an annual pelvic exam (B) is routine and not specific to the client's HIV status, and starting medication post-delivery (C) delays necessary treatment.