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A client in labor with a breech presentation is scheduled for a cesarean delivery. What is the nurse's priority action?
- A. Obtain baseline maternal vital signs.
- B. Assist with positioning for spinal anesthesia.
- C. Verify fetal heart tones before the procedure.
- D. Ensure signed informed consent is on file.
Correct Answer: D
Rationale: Ensuring signed informed consent is a priority before any surgical procedure, including cesarean delivery.
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The nurse is reviewing a prenatal client's record and notes a diagnosis of oligohydramnios. What complication is associated with this condition?
- A. Preterm labor.
- B. Fetal growth restriction.
- C. Cord prolapse.
- D. Placenta previa.
Correct Answer: B
Rationale: Oligohydramnios, or low amniotic fluid levels, is often associated with fetal growth restriction.
Which client would be at greatest risk for developing
- A. Thick breast cancer?
- B. Wet/slippery with egg white consistency
- C. Client who had her first baby at the age of 24
- D. Client who did not breastfeed
Correct Answer: D
Rationale: Not breastfeeding has been identified as a risk factor for developing breast cancer. Breastfeeding has been shown to have a protective effect against breast cancer due to its impact on hormonal levels and breast tissue changes that occur during lactation. Therefore, compared to other options, the client who did not breastfeed would be at greater risk for developing breast cancer.
What is the purpose of a birth plan?
- A. dream about birth
- B. learn about birth options and determine personal preferences
- C. list all things not wanted for the birth
- D. ensure an unmedicated birth
Correct Answer: B
Rationale: A birth plan helps individuals explore options and articulate their preferences for childbirth.
A 26-year-old woman is interested in using an IUD for contraception. What is the primary advantage of using an IUD over other contraceptive methods?
- A. It requires no daily action from the patient once inserted.
- B. It provides immediate protection after insertion.
- C. It is effective immediately after the first sexual activity after insertion.
- D. It is effective only for 6 months before needing replacement.
Correct Answer: A
Rationale: One of the primary advantages of the IUD is that it requires no daily action, making it a convenient and reliable method. Choice B is incorrect because it may take a few days for some types of IUDs to provide full protection. Choice C is incorrect because immediate protection may not be ensured immediately after insertion, especially for hormonal IUDs. Choice D is incorrect because IUDs typically last for several years, not just 6 months.
Which environment can assist a pregnant teen to achieve the task of establishing a stable identity?
- A. Home schooling
- B. Alternative education program
- C. School-based mothers' program
- D. Continuing mainstream high school classes
Correct Answer: C
Rationale: A school-based mothers' program can assist a pregnant teen in establishing a stable identity by providing specialized support and resources tailored to their unique needs. These programs typically offer academic assistance, childcare services, counseling, and parenting classes. By being in a supportive and understanding environment with other young mothers, the pregnant teen can feel accepted and supported, which can help boost her self-esteem and confidence. Additionally, these programs often focus on empowering young mothers to continue their education and set goals for their future, contributing to the development of a stable identity.