Nokea
A nurse is discussing the contraceptive sponge with a client. Which of the following client statements indicates understanding?
- A. I need to insert the sponge at least 1 hour before intercourse.
- B. The sponge can be left in place for up to 24 hours.
- C. The sponge is more effective after childbirth.
- D. The sponge protects against HIV.
Correct Answer: B
Rationale: The contraceptive sponge can be left in place for up to 24 hours, providing flexibility. It should be inserted just before intercourse (not 1 hour prior), is less effective after childbirth, and does not protect against HIV.
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A nurse is discussing sterilization options with a male client. Which of the following statements by the client indicates a need for further teaching?
- A. A vasectomy involves cutting the vas deferens to prevent sperm release.
- B. I will need to use another contraceptive method until my sperm count is zero.
- C. A vasectomy will decrease my testosterone levels.
- D. A vasectomy is considered a permanent form of contraception.
Correct Answer: C
Rationale: A vasectomy does not decrease testosterone levels, as the testes continue to produce hormones. The other statements are correct, indicating a need for further teaching about hormonal effects.
A primiparous client asks when to transition her bottle-fed neonate to a sippy cup. The nurse should recommend introducing a sippy cup around:
- A. 3 months.
- B. 6 months.
- C. 9 months.
- D. 12 months.
Correct Answer: D
Rationale: Introducing a sippy cup around 12 months aligns with developmental readiness for independent drinking.
A client has just had a cesarean section for a prolapsed cord. In reviewing the client's history, which of the following factors places a client at risk for cord prolapse? Select all that apply.
- A. -2 station.
- B. Low birth weight infant.
- C. Rupture of membranes.
- D. Breech presentation.
- E. Prior abortion.
- F. Low lying placenta.
Correct Answer: A,B,C,D,F
Rationale: These factors increase the risk of cord prolapse.
A nurse is teaching a client about the lactational amenorrhea method. Which of the following client statements indicates a need for further teaching?
- A. I need to exclusively breastfeed for this method to work.
- B. This method is effective for up to 6 months postpartum.
- C. I can use this method even if my periods have returned.
- D. I must breastfeed on demand, including at night.
Correct Answer: C
Rationale: The lactational amenorrhea method is not effective if periods have returned, as this indicates ovulation may have resumed, requiring further teaching. The other statements are correct.
After teaching a primiparous client who used cocaine during pregnancy about possible gastrointestinal signs and symptoms in her neonate, which of the following, if stated by the mother as common, indicates effective teaching?
- A. Hypotonia.
- B. Constipation.
- C. Vomiting.
- D. Abdominal distention.
Correct Answer: C
Rationale: Vomiting is a common gastrointestinal symptom in neonates with cocaine exposure due to neurological irritability.