Nokea
A client is being educated by a healthcare provider about potential adverse effects of implantable progestins. Which of the following adverse effects should the healthcare provider include? (Select all that apply)
- A. Nausea
- B. Irregular vaginal bleeding
- C. Weight gain
- D. All of the Above
Correct Answer: D
Rationale: The correct answer is D: All of the Above. Implantable progestins are hormonal contraceptives known to cause common adverse effects such as nausea, irregular vaginal bleeding, and weight gain. Nausea is a common side effect due to hormonal changes. Irregular vaginal bleeding can occur as a result of hormonal imbalance. Weight gain is a known side effect associated with progestin use. Therefore, all of the listed adverse effects should be included in the client education. Other choices are incorrect because they do not encompass the full range of potential adverse effects associated with implantable progestins.
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A client who is at 24 weeks of gestation and reports daily mild headaches is being cared for by a nurse. Which of the following instructions should the nurse include in the plan of care?
- A. Administer ibuprofen 400 mg twice daily.
- B. Recommend that the client perform conscious relaxation techniques daily.
- C. Give the client ginseng tea with each meal.
- D. Instruct the client to soak in a bath with a water temperature of 105°F for 15 minutes daily.
Correct Answer: B
Rationale: The correct answer is B: Recommend that the client perform conscious relaxation techniques daily. Headaches during pregnancy can be common due to hormonal changes and increased blood volume. The nurse should recommend non-pharmacological interventions like relaxation techniques to manage headaches safely without medication. Conscious relaxation techniques can help reduce stress and tension, potentially alleviating headaches. Ibuprofen (choice A) is not recommended during pregnancy due to potential harm to the fetus. Ginseng tea (choice C) is not safe for pregnant women as it may lead to complications. Soaking in a hot bath (choice D) with a water temperature of 105°F can raise the body temperature, which is not advised during pregnancy as it may harm the baby.
While caring for a newborn undergoing phototherapy to treat hyperbilirubinemia, which of the following actions should the nurse take?
- A. Cover the newborn's eyes with an opaque eye mask while under the phototherapy light.
- B. Keep the newborn in a shirt while under the phototherapy light.
- C. Apply a light moisturizing lotion to the newborn's skin.
- D. Turn and reposition the newborn every 4 hours while undergoing phototherapy.
Correct Answer: A
Rationale: Correct Answer: A - Cover the newborn's eyes with an opaque eye mask while under the phototherapy light.
Rationale:
1. Phototherapy light can cause eye damage, so covering the newborn's eyes with an opaque eye mask protects them.
2. Newborns' eyes are more sensitive to light, making eye protection crucial during phototherapy.
Summary of Incorrect Choices:
B: Keeping the newborn in a shirt won't protect the eyes from phototherapy light.
C: Applying lotion can interfere with the effectiveness of phototherapy and may cause skin irritation.
D: Turning and repositioning the newborn is important for comfort, but eye protection is the priority during phototherapy.
A caregiver is learning about newborn safety. Which of the following statements by a parent indicates an understanding of the teaching?
- A. I will dress my baby in flame-retardant clothing.
- B. I will ensure a bib on my baby at night to keep her clothing dry.
- C. I will warm my baby's formula using the lowest setting in the microwave.
- D. I will cover the crib mattress with plastic to prevent staining.
Correct Answer: A
Rationale: The correct answer is A because dressing the baby in flame-retardant clothing is a safety measure to reduce the risk of burns. Flame-retardant clothing can help protect the baby in case of accidental exposure to fire or heat sources.
Choice B is incorrect because putting a bib on the baby at night can pose a suffocation hazard. Choice C is incorrect because warming formula in the microwave can create hot spots that may burn the baby's mouth. Choice D is incorrect because covering the crib mattress with plastic can increase the risk of suffocation and overheating for the baby.
A healthcare provider in a clinic is reinforcing teaching with a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency?
- A. Iron deficiency anemia
- B. Poor bone formation
- C. Macrosomic fetus
- D. Neural tube defects
Correct Answer: D
Rationale: The correct answer is D: Neural tube defects. Folic acid is crucial for neural tube development in the fetus. Without sufficient folic acid, neural tube defects like spina bifida can occur. Iron deficiency anemia (A) is not directly related to folic acid deficiency. Poor bone formation (B) is more associated with calcium and vitamin D deficiencies. Macrosomic fetus (C) refers to excessive fetal growth, not a direct consequence of folic acid deficiency. In summary, folic acid deficiency primarily increases the risk of neural tube defects in the fetus or neonate.
A nurse in a clinic receives a phone call from a client who would like information about pregnancy testing. Which of the following information should the nurse provide to the client?
- A. You should wait 4 weeks after conception to be tested for pregnancy.
- B. You should be off any medications for 24 hours prior to the pregnancy test.
- C. You should not eat or drink for at least 8 hours prior to the pregnancy test.
- D. You should use your first morning urination specimen for a home pregnancy test.
Correct Answer: D
Rationale: The correct answer is D. Using the first morning urine specimen for a home pregnancy test is recommended because it is more concentrated, increasing the accuracy of the test. This is due to the higher levels of the pregnancy hormone hCG present in the urine after a night of not urinating.
Choice A is incorrect because pregnancy testing can usually be done as early as 1-2 weeks after conception, not necessarily 4 weeks.
Choice B is incorrect as being on medications does not typically affect the accuracy of a pregnancy test.
Choice C is incorrect as there is no need for fasting before a pregnancy test; it does not impact the test results.