Nokea
A nurse is discussing the benefits of the copper IUD with a client. Which of the following statements by the nurse is accurate?
- A. The copper IUD can reduce menstrual bleeding.
- B. The copper IUD is effective for up to 10 years.
- C. The copper IUD requires daily monitoring.
- D. The copper IUD prevents ovulation.
Correct Answer: B
Rationale: The copper IUD is effective for up to 10 years, providing long-term contraception. It may increase menstrual bleeding, does not require daily monitoring, and does not prevent ovulation, working primarily by affecting sperm motility.
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A nurse is teaching a client about the use of oral contraceptives. Which of the following instructions should the nurse include?
- A. Take the pill at the same time daily.
- B. Skip pills during menstruation.
- C. Take two pills daily for maximum effectiveness.
- D. Stop taking the pill if you miss one dose.
Correct Answer: A
Rationale: Oral contraceptives should be taken at the same time daily for maximum effectiveness. They are taken continuously (including during menstruation for combination pills), one pill daily, and missing a dose requires specific instructions, not stopping entirely.
The physician orders an amniocentesis for a primigravid client at 35 weeks' gestation in early labor to determine fetal lung maturity. Which of the following is an indicator of fetal lung maturity?
- A. A amount of bilirubin present.
- B. Presence of red blood cells.
- C. Barr body determination.
- D. Lecithin-sphingomyelin (L/S ratio).
Correct Answer: D
Rationale: The lecithin-sphingomyelin (L/S) ratio in amniotic fluid is a key indicator of fetal lung maturity, with a ratio of 2:1 or higher indicating mature lungs. Bilirubin, red blood cells, and Barr body determination are not used for this purpose.
A client asks about the risks of the hormonal IUD. Which of the following would the nurse include?
- A. Increased risk of breast cancer.
- B. Irregular bleeding, especially initially.
- C. Permanent infertility.
- D. Guaranteed regular menstrual cycles.
Correct Answer: B
Rationale: The hormonal IUD may cause irregular bleeding, especially initially, which often decreases over time. It does not increase breast cancer risk, cause permanent infertility, or guarantee regular cycles.
A preterm infant delivered 2 hours ago at 34 weeks' gestation is experiencing rapid respirations, grunting, no breath sounds on one side, and a shift in location of heart sounds. The nurse should prepare to assist with which of the following?
- A. Placement of the neonate on a ventilator.
- B. Administration of bronchodilators through the nurse.
- C. Suctioning of the neonate's nares with wall suction.
- D. Insertion of a chest tube into the neonate.
Correct Answer: D
Rationale: These symptoms suggest a pneumothorax, and inserting a chest tube is the priority to relieve air trapping.
A 38-year-old client at about 14 weeks' gestation is admitted to the hospital with a diagnosis of complete hydatidiform mole. Soon after admission, the nurse would assess the client for signs and symptoms of which of the following?
- A. Pregnancy-induced hypertension.
- B. Gestational diabetes.
- C. Hypothyroidism.
- D. Polycythemia.
Correct Answer: A
Rationale: Pregnancy-induced hypertension is a common complication of hydatidiform mole.