A client asks about the effectiveness of male condoms. Which of the following responses by the nurse is accurate?
- A. They are 100% effective in preventing pregnancy.
- B. They are highly effective when used correctly.
- C. They require a prescription.
- D. They are less effective than the withdrawal method.
Correct Answer: B
Rationale: Male condoms are highly effective when used correctly, with a low failure rate. They are not 100% effective, do not require a prescription, and are more effective than the withdrawal method.
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A primiparous client is on a regular diet 24 hours postpartum. She is from Guatemala and speaks little English. The client's mother asks the nurse if she can bring her daughter some "special foods from home." The nurse responds, based on the understanding about which of the following?
- A. Foods from home are generally discouraged on the postpartum unit.
- B. The mother can bring the daughter any foods that she desires.
- C. This is permissible as long as the foods are nutritious and high in iron.
- D. The client's physician needs to give permission for the foods.
Correct Answer: C
Rationale: Nutritious, iron-rich foods support postpartum recovery and respect cultural preferences.
A primigravid client in active labor has had no anesthesia. The client's cervix is 7 cm dilated, and she is starting to feel considerable discomfort during the first 10 cm to the client's sacral client is a left side-lying position. The nurse should encourage which of the following?
- A. Rapid, shallow chest breathing.
- B. Deep chest breathing.
- C. Rapid pant-blow breathing.
- D. Slow abdominal breathing.
Correct Answer: D
Rationale: Slow abdominal breathing promotes relaxation and oxygenation, helping manage discomfort in active labor without anesthesia. Rapid or shallow breathing may lead to hyperventilation, and deep chest breathing is less effective for pain control.
Which of the following best identifies the reason for assessing a neonate weighing 1,500 g at 32 weeks' gestation for retinopathy of prematurity (ROP)?
- A. The neonate is at risk because of multiple factors.
- B. Oxygen is being administered at a level of $21%.
- C. The neonate was alkalotic immediately after birth.
- D. Phototherapy is likely to be ordered by the pediatrician.
Correct Answer: A
Rationale: Preterm neonates, especially those with low birth weight and receiving oxygen, are at risk for ROP due to immature retinal development.
A neonate with heart failure is being discharged home. In teaching the parents about the neonate's nutritional needs, the nurse should explain that:
- A. Fluids should be restricted.
- B. Decreased activity level should reduce the need to additional reduces.
- C. The formula should be low in sodium.
- D. The neonate may need a formula with higher calories per fluid ounce.
Correct Answer: D
Rationale: A neonate with heart failure may require a higher-calorie formula to meet energy needs without increasing fluid volume.
A neonate delivered at 30 weeks' gestation and weighing $2,000 \mathrm{~g}$ is admitted to the neonatal intensive care unit. What nursing measure will decrease insensible water loss in a neonate?
- A. Bathing the baby as soon after birth as possible.
- B. Use of eye patches with phototherapy.
- C. Use of humidity in the incubator.
- D. Use of a radiant warmer.
Correct Answer: C
Rationale: Using humidity in the incubator helps maintain a moist environment, reducing insensible water loss through the skin, which is critical for preterm neonates with immature skin barriers.
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