Nokea
A nurse is educating a pregnant client about ways to prevent UTIs. Which statement by the client indicates that she understands the information from the nurse?
- A. I should decrease my fluid intake.
- B. Drinking Coke will prevent me from getting a UTI.
- C. I should always empty my bladder right after I have intercourse.
- D. I should drink orange juice every morning.
Correct Answer: C
Rationale: The correct answer is C: "I should always empty my bladder right after I have intercourse." This is correct because emptying the bladder after intercourse helps to flush out bacteria and reduce the risk of UTIs. Choice A is incorrect as adequate fluid intake is important to prevent UTIs. Choice B is incorrect as drinking Coke does not prevent UTIs and may even increase the risk due to its sugar content. Choice D is incorrect as there is no evidence to suggest that drinking orange juice prevents UTIs. Overall, choice C is the best preventative measure supported by medical evidence.
You may also like to solve these questions
Lactation is the process of a woman producing:
- A. Sperm
- B. Urine
- C. Milk
- D. Water
Correct Answer: C
Rationale: Lactation is the production and secretion of milk by the mammary glands to nourish an infant.
The nurse caring for the pregnant patient must understand that the hormone essential for maintaining pregnancy is:
- A. estrogen.
- B. human chorionic gonadotropin (hCG).
- C. oxytocin.
- D. progesteron
Correct Answer: D
Rationale: The correct answer is D: progesterone. Progesterone is essential for maintaining pregnancy as it helps in thickening the uterine lining to support implantation and fetal development. Estrogen (choice A) plays a role in preparing the uterus for implantation but is not the primary hormone for maintaining pregnancy. Human chorionic gonadotropin (hCG) (choice B) is produced by the placenta and helps in detecting pregnancy but does not maintain it. Oxytocin (choice C) is involved in labor and breastfeeding, not in maintaining pregnancy.
Physiologic anemia often occurs during pregnancy as a result of:
- A. inadequate intake of iron.
- B. dilution of hemoglobin concentration.
- C. the fetus establishing iron stores.
- D. decreased production of erythrocytes.
Correct Answer: B
Rationale: When blood volume expansion is more pronounced and occurs earlier than the increase in red blood cells, the woman has physiologic anemia, which is the result of dilution of hemoglobin concentration rather than inadequate hemoglobin.
A woman is in her seventh month of pregnancy. She has been reporting nasal congestion and occasional epistaxis. The nurse suspects that:
- A. this is a normal respiratory change in pregnancy caused by elevated levels of estrogen
- B. this is an abnormal cardiovascular change, and the nosebleeds are an ominous sign
- C. the woman is a victim of domestic violence and is being hit in the face by her partner
- D. the woman has been using cocaine intranasally
Correct Answer: A
Rationale: Elevated estrogen levels during pregnancy cause capillary engorgement in the respiratory tract, leading to nasal congestion and occasional epistaxis.
A 31-year-old woman believes that she may be pregnant. She took an OTC pregnancy test 1 week ago after missing her period; the
test was positive. During her assessment interview, the nurse enquires about the woman’s last menstrual period and asks whether
she is taking any medications. The woman states that she takes medicine for epilepsy. She has been under considerable stress lately
at work and has not been sleeping well. She also has a history of irregular periods. Her physical examination does not indicate that
she is pregnant. She has an ultrasound scan that reveals she is not pregnant. What is the most likely cause of the false-positive
pregnancy test result?
- A. She took the pregnancy test too early.
- B. She takes anticonvulsants.
- C. She has a fibroid tumor.
- D. She has been under considerable stress and has a hormone imbalance
Correct Answer: B
Rationale: The correct answer is B: She takes anticonvulsants. Anticonvulsants can interfere with pregnancy test results by causing false-positive results. Here's a step-by-step rationale:
1. Anticonvulsants, such as phenytoin and phenobarbital, contain hCG-like substances that can cross-react with pregnancy tests, leading to false-positive results.
2. The woman's history of epilepsy medication use suggests that she may be taking anticonvulsants, which could be the reason for the false-positive pregnancy test result.
3. Other choices are incorrect:
A: Taking the test too early is unlikely since a week has passed since the missed period.
C: Fibroid tumors do not typically cause false-positive pregnancy test results.
D: Stress and hormone imbalance could impact menstrual cycles but are less likely to directly affect pregnancy test results.