Nokea
A client at 24 weeks gestation has gained 6 pounds in 4 weeks. Which of the following would be the priority when assessing the client?
- A. Depression
- B. Glucosuria
- C. Dietary Intake
- D. Hand/Face Edema
Correct Answer: D
Rationale: Rapid weight gain may indicate edema, a sign of preeclampsia, which requires urgent assessment to prevent complications.
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When taking an obstetrical history on a pregnant client who states, 'I had a son born at 38 weeks gestation, a daughter born at 30 weeks gestation and I lost a baby at about 8 weeks,' the nurse should record her obstetrical history as which of the following?
- A. G4 T1 P1 A1 L2
- B. G3 T2 P0 A0 L2
- C. G3 T1 P1 A0 L2
- D. G2 T2 P0 A0 L2
Correct Answer: A
Rationale: Gravida 4 (4 pregnancies), Term 1 (38 weeks), Preterm 1 (30 weeks), Abortion 1 (8 weeks), Living 2 (son and daughter).
When teaching a group of adolescents about variations in the length of the menstrual cycle, the nurse understands that the underlying mechanism issue to variations in which of the following phases?
- A. Proliferative Phase
- B. Menstrual Phase
- C. Secretory Phase
- D. Ischemic Phase
Correct Answer: A
Rationale: The proliferative phase varies due to differences in follicular development, affecting the length of the menstrual cycle.
Safe motherhood refers to:
- A. Counselling and awareness about different family planning methods.
- B. Traditional practices associated with prevention of pregnancies.
- C. Maternal services provided to women during antenatal, delivery and post-partum periods.
- D. The beliefs in family honour and sexual purity.
Correct Answer: C
Rationale: Safe motherhood encompasses comprehensive maternal care services during pregnancy, childbirth, and the postpartum period to ensure the health and safety of both mother and child.
A postpartum primipara asks the nurse, 'When can we have sexual intercourse again?' Which of the following would be the nurse's best response?
- A. When The Discharge Has Stopped And The Incision Is Healed.
- B. As Soon As Choose A Contraceptive Method.
- C. Anytime You Both Want To.
- D. After Your 6 Weeks Examination.
Correct Answer: A
Rationale: Resuming intercourse after lochia stops and any perineal or cesarean incisions heal (typically by 6 weeks) minimizes infection and discomfort risks.
Evidence-based practice in clinical management is grounded in:
- A. clinical practice guidelines.
- B. cohort studies.
- C. expert opinions.
- D. systematic reviews.
Correct Answer: D
Rationale: Systematic reviews provide the highest level of evidence in evidence-based practice, synthesizing data from multiple studies to inform clinical decision-making.