Nokea
What is the first action for a mother experiencing excessive bleeding two hours postpartum?
- A. Monitor blood pressure and heart rate
- B. Perform uterine massage to stimulate contractions
- C. Prepare for a possible blood transfusion
- D. Notify the healthcare provider immediately
Correct Answer: A
Rationale: Uterine massage stimulates contractions, which can reduce postpartum bleeding.
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What physical findings would the nurse expect in a bulimic client?
- A. Mastoiditis.
- B. Hirsutism.
- C. Gynecomastia.
- D. Esophagitis.
Correct Answer: D
Rationale: Repeated vomiting damages the esophagus.
The nurse is working with a group of community health members to develop a plan to address the special health needs of women. Which educational program would the group most likely identify as the priority?
- A. risk reduction strategies for diabetes
- B. methods for smoking cessation
- C. ways to adopt a heart-healthy lifestyle
- D. importance of cancer screening and early detection
Correct Answer: C
Rationale: The group needs to address cardiovascular disease, the number one cause of death in women regardless of racial or ethnic group. Thus, education for adopting a heart-healthy lifestyle would be the priority.
Which data must the nurse consider before administering Depo-Provera (medroxyprogesterone acetate) to a postpartum client?
- A. The capsule must be taken at the same time each day.
- B. The client must be taught to use sunscreen whenever in the sunlight.
- C. The medicine is contraindicated if the woman has lung or esophageal cancer.
- D. The client must use an alternate form of birth control for the first two months.
Correct Answer: C
Rationale: Medroxyprogesterone acetate is contraindicated in women with certain cancers.
What is an appropriate response to a 16-year-old woman seeking emergency contraception after unprotected intercourse?
- A. You can walk into your local pharmacy and buy Plan B (levonorgestrel).
- B. I am sorry but because of your age I am unable to assist you.
- C. The emergency room doctor can prescribe high-dose birth control pills (BCP) for you.
- D. The nurse's response is dependent upon which state he or she is practicing in.
Correct Answer: A
Rationale: Plan B is available over-the-counter for individuals of all ages.
A nurse is caring for a person who is blind. What intervention could the nurse implement to deliver culturally responsive care?
- A. Ask family members to leave the room for the discussion of care.
- B. Be aware of how the person is addressed.
- C. Introduce herself with her name and credentials upon entering the room.
- D. Leave education material in Braille on the table across the room from the bed.
Correct Answer: C
Rationale: Introducing oneself clearly helps build trust and ensures the patient knows who is providing care.