The nurse advises the client to perform which exercise to strengthen pelvic floor muscles?
- A. Kegel exercises
- B. High-impact aerobics
- C. Sit-ups
- D. Weightlifting
Correct Answer: A
Rationale: Kegel exercises strengthen pelvic floor muscles, aiding postpartum recovery and preventing incontinence.
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The nurse advises the client to clean the newborn's umbilical cord with which substance?
- A. Alcohol or antiseptic as prescribed
- B. Soap and water
- C. Hydrogen peroxide
- D. No cleaning needed
Correct Answer: A
Rationale: Cleaning with alcohol or antiseptic as prescribed prevents infection until the cord stump falls off.
How many factors in this scenario place the client at risk for nutritional deficiencies and the need for dietary guidance and counseling?
- A. Three
- B. Four
- C. Five
- D. Six
Correct Answer: C
Rationale: Five risk factors: adolescence, skipping meals, fast food diet, alcohol consumption, and weight gain concerns increase nutritional deficiency risk.
Which assessment finding best indicates the presence of this condition?
- A. Painful blisters on the labia
- B. Heavy, grayish white discharge
- C. Milky white discharge that smells like fish
- D. Thick, white, curdlike vaginal discharge
Correct Answer: B
Rationale: Chlamydia often presents with heavy, grayish-white discharge, unlike the other options, which suggest different infections.
The nurse correctly explains to the group that the discomfort associated with varicose veins is relieved by which activity?
- A. Resting with the feet in a dependent position
- B. Sitting for periods of time when possible
- C. Putting on calf-length, elastic-top hose
- D. Moving around after standing in one position
Correct Answer: C
Rationale: Elastic-top hose improves venous return, reducing discomfort from varicose veins, unlike dependent positioning or sitting.
The nurse explained the process of cervical effacement to the client in early labor. Which statement by the client indicates that she understands the information?
- A. “The cervix will widen from less than 1 cm to about 10 cm.”
- B. “The cervix will pull or draw up and become paper-thin.”
- C. “The cervical changes will cause my membranes to rupture.”
- D. “The cervical changes will help my baby to change position.”
Correct Answer: B
Rationale: In cervical effacement, the cervix progressively changes from a thick and long structure, to paper thin. This statement indicates that the client understands the information. Widening of the cervix describes cervical dilation, not effacement. Cervical changes will not cause membranes to rupture. The power of contractions causes cervical changes (effacement and dilation) and, possibly, membrane rupture. Cervical changes will not help the fetus to change position. Fetal descent is thought to occur from the pressure of contractions, especially from the fundus, and from the pressure of the amniotic fluid. Fetal position changes also occur from the fetal head and body adjusting to the maternal pelvis as they descend.