Nokea
A nurse is assessing a client who gave birth 1 week ago. The client states, 'I don't know what's wrong. I love my baby, but I feel so let down and I seem to cry for no reason.' The nurse should identify that the client is experiencing which of the following emotional responses to birth?
- A. Postpartum depression
- B. Taking-in phase
- C. Postpartum blues
- D. Taking-hold phase
Correct Answer: C
Rationale: Postpartum blues is a common emotional response occurring within the first two weeks postpartum. Symptoms include mood swings, tearfulness, and sadness due to hormonal changes. It is self-limiting, unlike postpartum depression, which is more severe and persistent.
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Which key point is important for the nurse to understand regarding the perinatal continuum of care?
- A. Begins with conception and ends with the birth
- B. Begins with family planning and continues until the infant is 1 year old
- C. Begins with prenatal care and continues until the newborn is 24 weeks old
- D. Refers to home care only
Correct Answer: B
Rationale: The perinatal continuum of care spans from family planning through to the infant's first year, including both home and healthcare facility services. It covers more than just prenatal care and birth.
The nurse is preparing a teaching plan for a polycystic ovary syndrome (PCOS) support group.
One of the teaching points will include diet and weight loss to decrease hirsutism and acne. What
is the reasoning for this rationale?
- A. Diet and exercise will promote weight loss, which will decrease
hyperandrogenemia - B. Diet and exercise will decrease the risk of type 2 diabetes and gestational diabetes
- C. Diet and exercise will decrease serum lipid levels and lower the risk for
cardiovascular disease. - D. Diet and exercise will increase the frequency of ovulation and menstruation and
increase fertility.
Correct Answer: E
Rationale: The correct answer is missing from the choices provided. However, I can provide a rationale for each choice:
A: Diet and exercise can help promote weight loss, which can decrease hyperandrogenemia by reducing insulin resistance and decreasing androgen levels.
B: While diet and exercise can decrease the risk of type 2 diabetes and gestational diabetes in women with PCOS, this is not directly related to reducing hirsutism and acne symptoms.
C: Diet and exercise can improve lipid levels and reduce cardiovascular risk in women with PCOS, but this is not the primary goal when addressing hirsutism and acne.
D: Diet and exercise can improve ovulation and menstrual regularity, which may help with fertility in women with PCOS, but this is not directly related to reducing hirsutism and acne.
In summary, the correct answer should focus on how diet and weight loss can specifically impact hirsutism and acne in women with PCOS.
A nurse is assessing a newborn who was born vaginally with vacuum extractor assistance. The nurse notes swelling over the newborn's head that crosses the suture line. The nurse should identify the swelling as which of the following findings?
- A. Nevus ammeus
- B. Caput succedaneum
- C. Cephalohematoma
- D. Erythema toxicum
Correct Answer: B
Rationale: Caput succedaneum is a swelling that crosses suture lines due to pressure during delivery.
The nurse is preparing a teaching plan for a polycystic ovary syndrome (PCOS) support group.
One of the teaching points will include diet and weight loss to decrease hirsutism and acne. What
is the reasoning for this rationale?
- A. Diet and exercise will promote weight loss, which will decrease
hyperandrogenemia - B. Diet and exercise will decrease the risk of type 2 diabetes and gestational diabetes
- C. Diet and exercise will decrease serum lipid levels and lower the risk for
cardiovascular disease. - D. Diet and exercise will increase the frequency of ovulation and menstruation and
increase fertility.
Correct Answer: E
Rationale: I see that there is a mistake in the question. There is no option "E" provided. Could you please provide the correct answer choice or clarify the question?
The nurse is arranging education for the menopausal support group regarding the approaches to treat the symptoms. Which of the following would be components of current treatments? Select all that apply.
- A. Moderately intense exercises
- B. Balanced diet, rich in calcium
- C. Alternative medicine such as black cohosh
- D. Over-the-counter sleep aid
Correct Answer: A
Rationale: Rationale: Moderate-intensity exercises are recommended for managing menopausal symptoms like hot flashes and mood swings by improving overall health and reducing stress. Exercise can also help with weight management and bone health.
Summary:
- Balanced diet with calcium (B) is important for overall health but not specific to treating menopausal symptoms.
- Alternative medicine like black cohosh (C) may have limited evidence and can vary in effectiveness.
- Over-the-counter sleep aids (D) may help with sleep disturbances but are not specific to managing menopausal symptoms.