Nokea
A client asks about the benefits of the copper IUD. Which of the following would the nurse include?
- A. It reduces menstrual bleeding.
- B. It is hormone-free and effective for up to 10 years.
- C. It requires daily monitoring.
- D. It prevents ovulation.
Correct Answer: B
Rationale: The copper IUD is hormone-free and effective for up to 10 years, offering long-term contraception. It may increase menstrual bleeding, does not require daily monitoring, and does not prevent ovulation.
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A nurse is discussing the contraceptive injection with a client. Which of the following benefits should the nurse highlight?
- A. It provides protection against STIs.
- B. It is effective for 3 months per injection.
- C. It requires daily administration.
- D. It guarantees regular periods.
Correct Answer: B
Rationale: The contraceptive injection is effective for 3 months per injection, offering convenient long-term contraception. It does not protect against STIs, is not administered daily, and may cause irregular periods.
The nurse is caring for a multiparous client after vaginal delivery of a set of male twins 2 hours ago. The nurse should encourage the mother and husband to:
- A. Bottle-feed the twins to prevent exhaustion and fatigue.
- B. Plan for each parent to spend equal amounts of time with each twin.
- C. Avoid assistance from other family members until attachment occurs.
- D. Relate to each twin individually to enhance the attachment process.
Correct Answer: D
Rationale: Relating to each twin individually fosters unique bonding and attachment.
A nurse is teaching a client about the use of the contraceptive injection. Which of the following instructions should the nurse include?
- A. The injection is given every 6 months.
- B. The injection may cause a delay in return to fertility.
- C. The injection protects against STIs.
- D. The injection is taken orally daily.
Correct Answer: B
Rationale: The contraceptive injection (Depo-Provera) may cause a delay in return to fertility, sometimes up to 18 months. It is given every 3 months, does not protect against STIs, and is not taken orally.
A breast-feeding primiparous client reports leaking breasts between feedings on day 3 postpartum. The nurse explains this is due to:
- A. Overproduction of milk.
- B. Poor latch technique.
- C. Milk supply adjusting to demand.
- D. Inadequate feeding frequency.
Correct Answer: C
Rationale: Leaking breasts on day 3 indicate the milk supply is adjusting to the neonate's demand as lactation establishes.
A full-term neonate is admitted to the normal newborn nursery. The nurse notes a Moro reflex. What should the nurse do next?
- A. Call a code.
- B. Identify this reflex as a normal finding.
- C. Place the neonate on seizure precautions.
- D. Start supplemental oxygen.
Correct Answer: B
Rationale: The Moro reflex is a normal finding in full-term neonates, indicating a healthy neurological response.