Nokea
A 23-year-old female patient is considering intrauterine device (IUD) contraception. What is the most important information to assess before placement?
- A. Is there any family history of heart disease?
- B. Are you allergic to any metals?
- C. Have you had any previous IUDs inserted?
- D. Do you have a history of hypertension?
Correct Answer: B
Rationale: The correct answer is B: Are you allergic to any metals? This is crucial because some IUDs contain metals like copper, which can trigger allergic reactions in individuals with metal allergies. It is important to assess for metal allergies to prevent potential adverse reactions.
Incorrect Choices:
A: Family history of heart disease is not directly relevant to IUD placement.
C: Previous IUD insertions are important for clinical history but do not impact the initial assessment for a new insertion.
D: History of hypertension is important for overall health assessment but does not directly affect IUD placement.
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A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider?
- A. Respiratory depression
- B. Facial flushing
- C. Nausea
- D. Drowsiness
Correct Answer: A
Rationale: The correct answer is A: Respiratory depression. Respiratory depression is a serious sign of magnesium sulfate toxicity as it can progress to respiratory arrest. Magnesium sulfate acts as a central nervous system depressant, leading to muscle weakness and respiratory depression. Facial flushing is a common side effect but not indicative of toxicity. Nausea and drowsiness are common side effects of magnesium sulfate therapy and are not specific signs of toxicity. Reporting respiratory depression promptly is crucial to prevent further complications.
The nurse practicing in a labor setting knows the woman most at risk for a uterine rupture is:
- A. G4 who had all 4 c/s birth
- B. G5 who had 2 vaginal birth and 2 c/s births
- C. G2 low segment vertical incision for delivery of 10lb infant
- D. G3 who had 2 lower segment transverse c/s birth
Correct Answer: C
Rationale: The correct answer is C because a low segment vertical incision for delivery of a large infant (10lb) puts the woman at the highest risk for uterine rupture. This type of incision weakens the uterine wall, increasing the likelihood of rupture during subsequent pregnancies or labor. Choices A, B, and D involve lower segment transverse c-section births, which are less likely to result in uterine rupture compared to a vertical incision. Additionally, the number of previous births or the mode of delivery does not increase the risk of uterine rupture as much as the type of uterine incision.
What is disordered eating?
- A. an occasional overeating episode
- B. a normal variation in eating patterns
- C. a range of abnormal eating behaviors and attitudes
- D. a preference for specific types of foods
Correct Answer: C
Rationale: The correct answer is C because disordered eating refers to a range of abnormal eating behaviors and attitudes that may indicate a potential eating disorder. This includes behaviors such as restrictive dieting, binge eating, purging, or obsessively controlling food intake. Option A is incorrect because an occasional overeating episode does not necessarily indicate disordered eating. Option B is incorrect as disordered eating is not considered a normal variation in eating patterns. Option D is incorrect as having a preference for specific types of foods does not classify as disordered eating unless it leads to serious negative consequences.
Which teaching is most critical for a mother with gestational diabetes?
- A. Encourage a high-protein diet
- B. Teach the importance of blood glucose monitoring
- C. Advise on the importance of physical activity
- D. Monitor for preterm labor signs
Correct Answer: B
Rationale: The correct answer is B because monitoring blood glucose levels is crucial in managing gestational diabetes to prevent complications for both the mother and baby. By regularly monitoring blood glucose levels, the mother can adjust her diet and insulin intake accordingly to maintain optimal blood sugar levels. This helps in reducing the risk of adverse outcomes such as macrosomia and neonatal hypoglycemia.
Choice A is incorrect because while a balanced diet is important, focusing solely on high-protein intake may not address the specific needs of gestational diabetes management.
Choice C is also important for overall health, but blood glucose monitoring takes precedence in managing gestational diabetes.
Choice D is incorrect as monitoring for preterm labor signs is important in pregnancy but is not directly related to managing gestational diabetes.
A client at 28 weeks' gestation with gestational diabetes is undergoing a nonstress test. What is a reassuring result?
- A. Two accelerations in 20 minutes.
- B. Fetal heart rate of 170 beats/minute.
- C. Decreased fetal movement.
- D. Variable decelerations.
Correct Answer: A
Rationale: The correct answer is A: Two accelerations in 20 minutes. Accelerations in fetal heart rate during a nonstress test indicate fetal well-being and adequate oxygenation. Two accelerations in 20 minutes are reassuring as they show a normal response to fetal movement and suggest a healthy fetal nervous system.
Option B is incorrect because a fetal heart rate of 170 beats/minute may indicate fetal distress or tachycardia. Option C is incorrect as decreased fetal movement can be a sign of fetal compromise. Option D is incorrect as variable decelerations can indicate umbilical cord compression and require further evaluation.