Nokea
A nurse is educating a prenatal client on pregnancy 140 to 90 bpm that begins with the contraction changes and her gastrointestinal system. Which and gradually returns to the normal baseline statement is correct?
- A. Because of increased saliva production during related to? pregnancy, the client should use a medium to hard
- B. Uteroplacental insufficiency toothbrush to prevent plaque.
- C. Umbilical cord compression
- D. Heartburn may be relieved by sitting up after
Correct Answer: D
Rationale: The correct answer is D: Heartburn may be relieved by sitting up after. This is because during pregnancy, the growing uterus can push stomach acids upward, causing heartburn. Sitting up after eating can help prevent acid reflux by allowing gravity to keep stomach contents down.
Choice A is incorrect as increased saliva production during pregnancy is not related to toothbrush hardness. Choice B is incorrect because uteroplacental insufficiency is not related to the client's gastrointestinal system. Choice C is incorrect as umbilical cord compression is a separate issue and not related to heartburn relief.
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What is the term for integrating a person's cultural beliefs into their health care?
- A. cultural integrity
- B. culturally responsive care
- C. holistic care
- D. integrative care
Correct Answer: B
Rationale: The correct answer is B: culturally responsive care. This term specifically refers to integrating a person's cultural beliefs into their health care. Culturally responsive care acknowledges and respects the diversity of beliefs and practices among patients. The other choices are incorrect because:
A: cultural integrity does not specifically address the integration of cultural beliefs in health care.
C: holistic care focuses on treating the whole person but does not specifically address cultural beliefs.
D: integrative care typically refers to combining conventional and complementary approaches to health care, not necessarily cultural beliefs integration.
A nurse is checking postpartum orders, the doctor prescribed bed rest for 6-12 h. The nurse knows this is an appropriate order if the patient had which type of anesthesia?
- A. Spinal
- B. Pudendal
- C. Epidural
- D. General
Correct Answer: C
Rationale: The correct answer is C: Epidural. The rationale for this is that epidural anesthesia is a regional anesthesia that numbs the lower half of the body while allowing the patient to remain conscious. Therefore, prescribing bed rest for 6-12 hours after receiving an epidural is appropriate to ensure the anesthesia wears off gradually and the patient does not experience any complications while regaining sensation and mobility.
Summary of Incorrect Choices:
A: Spinal anesthesia also numbs the lower half of the body, but it typically wears off faster than an epidural, so bed rest may not be necessary for as long.
B: Pudendal anesthesia is specific to numbing the perineum area and does not affect mobility in the same way as epidural anesthesia.
D: General anesthesia does not target a specific area of the body and does not require bed rest for 6-12 hours postpartum.
The nurse is educating a pregnant client about foods high in iron. Which food should be recommended?
- A. Milk.
- B. Chicken.
- C. Spinach.
- D. Bananas.
Correct Answer: C
Rationale: The correct answer is C: Spinach.
1. Spinach is high in iron, which is important for pregnant women to prevent anemia.
2. Milk (A) does not contain a significant amount of iron.
3. Chicken (B) is a good source of protein but not as high in iron as spinach.
4. Bananas (D) are rich in potassium but not iron, making them a less suitable choice for iron supplementation during pregnancy.
The nurse is caring for a client with suspected preterm labor. Which medication is most likely to be prescribed?
- A. Magnesium sulfate.
- B. Methyldopa.
- C. Rho(D) immune globulin.
- D. Oxytocin.
Correct Answer: A
Rationale: The correct answer is A: Magnesium sulfate. This medication is commonly prescribed for preterm labor to relax the uterine muscles and prevent contractions. It helps delay labor and reduce the risk of preterm birth. Methyldopa (B) is used for managing hypertension, not preterm labor. Rho(D) immune globulin (C) is given to Rh-negative mothers to prevent hemolytic disease in newborns. Oxytocin (D) is used to induce or augment labor, not for suspected preterm labor. Therefore, A is the most appropriate choice for managing preterm labor.
A couple comes in for an infertility workup, having attempted to get pregnant for 2 years. The woman, 37, has always had irregular menstrual cycles but is otherwise healthy. The man has fathered two children from a previous marriage and had a vasectomy reversal 2 years ago. The man has had two normal semen analyses, but the sperm seem to be clumped together. What additional test is needed?
- A. FSH level
- B. Antisperm antibodies
- C. Testicular biopsy
- D. Test of testicular infection
Correct Answer: B
Rationale: The correct answer is B: Antisperm antibodies. In this case, the man's history of vasectomy reversal and normal semen analyses with clumped sperm suggest a possible presence of antisperm antibodies. These antibodies can cause sperm agglutination, affecting fertility. Testing for antisperm antibodies can provide valuable information on potential immune-related infertility issues.
A: FSH level is not the most appropriate test in this scenario as the man's semen analyses were normal, indicating potential issues with sperm-egg interaction rather than hormonal imbalances.
C: Testicular biopsy is invasive and not necessary at this stage when the issue seems to be related to sperm clumping rather than a structural problem within the testes.
D: Test of testicular infection is unlikely as the man's semen analyses were normal, and there are no indications of infection based on the information provided.