Nokea
A client is considering the withdrawal method. Which of the following disadvantages should the nurse discuss?
- A. It requires medical supervision.
- B. It has a high failure rate.
- C. It protects against STIs.
- D. It is more effective than condoms.
Correct Answer: B
Rationale: The withdrawal method has a high failure rate due to pre-ejaculate containing sperm and reliance on timing. It does not require medical supervision, does not protect against STIs, and is less effective than condoms.
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A client asks about the use of over-the-counter contraceptives. Which of the following would the nurse recommend?
- A. Spermicides and male condoms.
- B. Female condoms and oral contraceptives.
- C. The contraceptive sponge and the patch.
- D. Emergency contraception pills and the diaphragm.
Correct Answer: A
Rationale: Spermicides and male condoms are available over-the-counter and effective when used correctly. Female condoms are also over-the-counter, but oral contraceptives, the patch, and diaphragms require prescriptions. Emergency contraception is over-the-counter but not for regular use.
After teaching the parents of a neonate born with a cleft lip and cleft palate about appropriate feeding techniques, the nurse determines that the mother needs further instruction when the mother says which of the following?
- A. I should clean her mouth with soapy water after feeding.'
- B. I should feed her in an upright position.'
- C. I need to remember to burp her often.'
- D. I may need to use a special nipple for feeding.'
Correct Answer: A
Rationale: Cleaning the mouth with soapy water is inappropriate and could irritate the cleft, indicating a need for further instruction.
When preparing a multigravid client who has undergone evacuation of a hydatidiform mole for discharge, the nurse explains the need for follow-up care. The nurse determines that the client understands the instruction when she says that she is at risk for developing which of the following?
- A. Ectopic pregnancy.
- B. Choriocarcinoma.
- C. Multifetal pregnancies.
- D. Infertility.
Correct Answer: B
Rationale: Clients with hydatidiform moles are at risk for choriocarcinoma.
When performing Leopold’s maneuvers on a primigravid client, the nurse is palpating the uterus as shown below. Which of the following maneuvers is the nurse performing?
- A. First maneuver
- B. Second maneuver.
- C. Third maneuver.
- D. Fourth maneuver.
Correct Answer: C
Rationale: The third Leopold’s maneuver is performed to: Identify the fetal part that is lying just above the inlet of the true pelvis (i.e., what part is presenting). It helps determine if the presenting part (usually the head or buttocks) is engaged, floating, or movable.
The nurse is caring for a multiparous client after vaginal delivery of a set of male twins 2 hours ago. The nurse should encourage the mother and husband to:
- A. Bottle-feed the twins to prevent exhaustion and fatigue.
- B. Plan for each parent to spend equal amounts of time with each twin.
- C. Avoid assistance from other family members until attachment occurs.
- D. Relate to each twin individually to enhance the attachment process.
Correct Answer: D
Rationale: Relating to each twin individually fosters unique bonding and attachment.