Nokea
A 17-year-old client at 33 weeks' gestation diagnosed with mild preeclampsia is prescribed bed rest at home. The nurse instructs the client to contact the health care provider immediately if she experiences which of the following?
- A. Blurred vision.
- B. Ankle edema.
- C. Increased energy levels.
- D. Mild backache.
Correct Answer: A
Rationale: Blurred vision can indicate worsening preeclampsia and requires immediate medical attention.
You may also like to solve these questions
A client asks about the effectiveness of emergency contraception. Which of the following responses by the nurse is accurate?
- A. Emergency contraception is 100% effective if taken within 24 hours.
- B. Emergency contraception is most effective when taken within 72 hours of unprotected intercourse.
- C. Emergency contraception can be used as a regular contraceptive method.
- D. Emergency contraception requires a surgical procedure.
Correct Answer: B
Rationale: Emergency contraception is most effective when taken within 72 hours of unprotected intercourse, with efficacy decreasing over time. It is not 100% effective, not suitable for regular use, and does not require surgery.
The physician determines that outlet forceps are needed to assist in the delivery of a primigravid client in active labor with a large-for-gestational-size fetus. The nurse reinforces the physician's explanation for using forceps based on the understanding about which of the following concerning the location of the fetus?
- A. Fetal head at the pelvic outlet.
- B. Fetal head at the ischial spines.
- C. Fetal head above the pelvic brim.
- D. Fetal head in the false pelvis.
Correct Answer: A
Rationale: Outlet forceps are used when the fetal head is at the pelvic outlet, visible at the perineum, allowing safe assisted delivery. Higher fetal positions require different interventions.
A newborn is diagnosed with fetal alcohol syndrome. The nurse is teaching this mother what to expect when she goes home with her baby. The nurse determines the mother needs further instruction when she says which of the following?
- A. The way my baby's face looks now will stay that way.'
- B. My baby may be irritable as a newborn.'
- C. I may need some help coping with my newborn.'
- D. My baby will be fine soon after we are home.'
Correct Answer: D
Rationale: FAS is a lifelong condition, and the neonate will not be 'fine' soon after going home, indicating a need for further instruction.
A primiparous client bottle-feeding her neonate asks about sterilizing bottles. The nurse should instruct the client to:
- A. Boil bottles for 10 minutes after each use.
- B. Use a dishwasher with a sanitize cycle.
- C. Soak bottles in bleach solution daily.
- D. Wash bottles with hot soapy water only.
Correct Answer: B
Rationale: A dishwasher with a sanitize cycle effectively sterilizes bottles, ensuring safety for the neonate.
A primiparous client who is bottle-feeding her neonate asks, "When should I start giving the baby solid foods?" The nurse instructs the client to introduce solid foods no sooner than at which age?
- A. 2 months.
- B. 6 months.
- C. 8 months.
- D. 10 months.
Correct Answer: B
Rationale: Solid foods are introduced around 6 months when the infant's digestive system is more mature.