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A client at 12 weeks' gestation complains of nausea. What dietary advice should the nurse provide?
- A. Eat three large meals a day.
- B. Avoid drinking fluids between meals.
- C. Increase intake of spicy foods.
- D. Consume high-fat snacks frequently.
Correct Answer: B
Rationale: Avoiding fluids during meals can help reduce nausea by minimizing gastric distension.
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A nurse is planning to teach a group of clients who are about breastfeeding after returning to work. Which of the following infection should the nurse include in the teaching?
- A. "Thawed breast milk can be refrigerated for up to 72 hours."
- B. "Breast milk can be stored in a deep freezer for 12 months."
- C. Breast milk can be stored at room temperature for up to 12 hours."
- D. "Thawed breast milk that is unused can be refrozen."
Correct Answer: D
Rationale: The correct information for breastfeeding after returning to work is that thawed breast milk that is unused should not be refrozen. Once breast milk has been thawed, it should be used within 24 hours and should not be refrozen. This is important to prevent contamination and maintain the quality of the breast milk for the baby. The other statements provided in the options are correct guidelines regarding the storage of breast milk. Thawed breast milk can be refrigerated for up to 24 hours, breast milk can be stored in a deep freezer for up to 12 months, and breast milk can be stored at room temperature for up to 4 hours.
The nurse is monitoring a client during the second stage of labor. What finding indicates that birth is imminent?
- A. Client reports the urge to push.
- B. Contractions are irregular.
- C. Fetal heart rate is 140 beats/minute.
- D. Cervix is dilated to 8 cm.
Correct Answer: A
Rationale: The urge to push is a sign that the baby is descending, indicating that delivery is near.
Positive signs of pregnancy
- A. FHR detected by electronic doppler @10-12 wks
- B. Active fetal movements palpable by examiner
- C. Outline of fetus by radiography or ultrasound
Correct Answer: B
Rationale: One of the positive signs of pregnancy is the active fetal movements palpable by the examiner. This occurs when the examiner is able to feel the movements of the fetus inside the uterus. This sign usually becomes noticeable in the second half of pregnancy and is a clear indication that the pregnancy is progressing normally. It is a reassuring sign for both the pregnant individual and the healthcare provider that the fetus is active and healthy.
What is an advantage of the cervical cap over the diaphragm?
- A. a lower failure rate
- B. its ease of insertion
- C. that it can remain in place for 48 hours
- D. that spermicide is not needed
Correct Answer: A
Rationale: The advantage of the cervical cap over the diaphragm is that it typically has a lower failure rate in preventing pregnancy. Failure rates for contraceptive methods refer to the percentage of women who become pregnant within the first year of typical use. The cervical cap is generally associated with a lower failure rate compared to the diaphragm due to its snugger fit and ability to cover the cervix more effectively, resulting in better protection against sperm entering the uterus. This makes the cervical cap a more reliable option for women seeking effective contraception.
What cycle day does the proliferative stage occur?
- A. Cycle day 7-14
- B. Cycle day 14-28
- C. Cycle day 1-6
- D. Cycle day 1-14
Correct Answer: A
Rationale: The proliferative stage of the menstrual cycle occurs from around cycle day 7 to cycle day 14. This stage is characterized by the growth of the endometrial lining of the uterus in response to increasing levels of estrogen produced by the developing ovarian follicles. The proliferative stage prepares the uterus for a potential embryo implantation following ovulation, which typically occurs around day 14 of a 28-day menstrual cycle.