Nokea
A client at 35 weeks' gestation reports mild vaginal bleeding and no pain. What condition should the nurse suspect?
- A. Abruptio placentae.
- B. Placenta previa.
- C. Preterm labor.
- D. Urinary tract infection.
Correct Answer: B
Rationale: Painless vaginal bleeding in late pregnancy is a classic sign of placenta previa.
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How should a nurse educate a mother about kangaroo care for her preterm infant?
- A. Encourage frequent visits to the NICU
- B. Educate about skin-to-skin contact benefits
- C. Explain the importance of bonding
- D. Teach the mother about safe handling of the newborn
Correct Answer: B
Rationale: Kangaroo care promotes bonding and regulates temperature for preterm infants.
A person is admitted to the antepartum floor for hypertension. The person is Hispanic and speaks fluent English. They tell the nurse they have been seeing a curandero, or traditional healer, for the past several years. What is the best initial response from the nurse?
- A. Ask the patient for a list of all herbs, plants, and special diets they are currently taking.
- B. Educate the person on why adherence to a Western medical treatment plan is better for their health.
- C. Inform the person that the treatment they have been receiving from the curandero is not evidence based.
- D. Tell the person that they are not considering the health of their baby by using these traditions.
Correct Answer: A
Rationale: Understanding the patient's use of traditional healing practices ensures safe integration with Western medicine.
The nurse is monitoring a client in the second stage of labor. What finding indicates the client is ready to push?
- A. Membranes have ruptured.
- B. Cervix is completely dilated.
- C. Client reports back pain.
- D. Contractions are 10 minutes apart.
Correct Answer: B
Rationale: Complete cervical dilation marks the beginning of the second stage, signaling readiness to push.
The nurse is teaching a client about signs of postpartum hemorrhage. What statement indicates understanding?
- A. Passing a few clots is normal.
- B. Soaking one pad in an hour is concerning.
- C. Heavy bleeding stops within 48 hours.
- D. I should ignore mild cramping.
Correct Answer: B
Rationale: Soaking a pad in an hour may indicate postpartum hemorrhage and should be reported immediately.
A patient calls and says she used her diaphragm on Saturday night at 8:00 p.m., again on Sunday morning at 2:00 a.m., and again at 8:00 a.m. She is wondering when she can safely remove it while still having effective contraception. What is the nurse’s best response?
- A. 10:00 a.m. Sunday
- B. 2:00 p.m. Sunday
- C. 10:00 p.m. Sunday
- D. 8:00 a.m. Monday
Correct Answer: D
Rationale: In general, a diaphragm should be left in place for at least 6 hours after intercourse but no more than 24 hours. Based on the patient's usage times on Saturday night at 8:00 p.m., Sunday morning at 2:00 a.m., and Sunday morning at 8:00 a.m., she can safely remove the diaphragm on Monday morning at 8:00 a.m. This ensures she has used it for the necessary timeframe for effective contraception.