Nokea
The nurse is educating a client about complications of pregnancy. Which symptom requires immediate medical attention?
- A. Mild swelling in the feet.
- B. Heartburn after eating.
- C. Severe headache and visual disturbances.
- D. Frequent urination.
Correct Answer: C
Rationale: Severe headache and visual disturbances may indicate preeclampsia or other serious conditions requiring prompt evaluation.
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If a newborn is born with acrocyanosis (blue/pale extremities and a pink body), they should be assigned which Apgar score for appearance?
- B. 1
- C. 2
- D. 3
Correct Answer: B
Rationale: Acrocyanosis typically receives a score of 1 for appearance.
Which statement made by a nursing student would best indicate that her education on family-centered care was fully understood?
- A. Childbirth affects the entire family, and relationships will change.
- B. Families are usually not capable of making health care decisions for themselves, especially in stressful situations.
- C. Mothers are the only family member affected by childbirth.
- D. Since childbirth is a medical procedure, it may affect everyone.
Correct Answer: A
Rationale: Childbirth affects the entire family, and relationships will change. Childbirth is viewed as a normal life event, not a medical procedure. Families are very capable of making health care decisions about their own care with proper information and support.
How does estrogen work in COC pills?
- A. inhibits ovulation through suppression of LH hormone
- B. provides most of the contraceptive effect of the COC
- C. stabilizes the endometrium for less unscheduled bleeding
- D. inhibits sperm penetration by thickening cervical mucus
Correct Answer: A
Rationale: Estrogen in combined oral contraceptive (COC) pills works primarily by inhibiting ovulation through the suppression of the luteinizing hormone (LH) surge. By maintaining consistent levels of estrogen in the body, COC pills prevent the release of eggs from the ovary. This prevents fertilization from occurring, which is one of the main mechanisms of action of COC pills to provide contraception. While estrogen also has other effects such as stabilizing the endometrium to reduce unscheduled bleeding, its main role in COC pills is to inhibit ovulation and prevent pregnancy through hormonal regulation.
The nurse is caring for a child brought to the emergency department by a babysitter. The child needs an emergency appendectomy and the parents cannot be contacted. What would be the nurse's best response to this situation?
- A. Have the babysitter sign the consent form even if she does not have signed papers to do so.
- B. Have the primary care physician for the child sign the consent form.
- C. Document failed attempts to obtain consent to allow emergency care.
- D. Delay medical care until the child's next of kin can be contacted.
Correct Answer: C
Rationale: Health care providers can provide emergency treatment to a child without consent if they have made reasonable attempts to contact the child's parent or legal guardian.
Which statement is the most accurate to make dents about the highest risk group for gonorrhea. to the parents of a newborn during discharge What is the age range of the clients?
- A. 36 to 45 years
- B. Meconium stools should be expected to resolve
- C. 14 to 25 years
- D. 26 to 35 years
Correct Answer: C
Rationale: The age group of 14 to 25 years is considered the highest risk group for gonorrhea, making it important to discuss this with parents during discharge. This age range includes adolescents and young adults who are more likely to engage in risky sexual behaviors and therefore have a higher chance of contracting sexually transmitted infections like gonorrhea. Educating parents about this risk group can help them be more aware and take steps to protect their child as they grow older.