Nokea
A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.)
- A. Flaccid uterus
- B. Cervical laceration
- C. Excess vaginal bleeding
- D. Increased afterbirth cramping
Correct Answer: A,C
Rationale: Oxytocin is administered postpartum to manage uterine atony (flaccid uterus) and control excessive bleeding, which are common indications for its use.
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What is the recommended method of screening for gestational diabetes during pregnancy?
- A. Fasting blood glucose test
- B. Random blood glucose test
- C. Oral glucose tolerance test (OGTT)
- D. HbA1c test
Correct Answer: C
Rationale: The oral glucose tolerance test (OGTT) is the standard method for screening gestational diabetes during pregnancy.
A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take?
- A. Administer penicillin G 2.4 million units IM to the client.
- B. Instruct the client to schedule an annual pelvic examination.
- C. Tell the client they will start medication for HIV immediately after delivery.
- D. Report the client’s condition to the local health department.
Correct Answer: D
Rationale: The correct answer is D: Report the client’s condition to the local health department. This action is important to ensure proper follow-up care, contact tracing, and prevention of HIV transmission. Administering penicillin G (A) is not indicated for HIV, scheduling an annual pelvic exam (B) is routine and not specific to the client's HIV status, and starting medication post-delivery (C) delays necessary treatment.
Which of the following is a potential cause of male infertility?
- A. Varicocele
- B. Testicular cancer
- C. Erectile dysfunction
- D. All of the above
Correct Answer: D
Rationale: Male infertility can be caused by varicocele, testicular cancer, or erectile dysfunction.
The nurse is reviewing the provider's prescriptions in the adolescent's medical chart.Complete the following sentence by using the list of options. The nurse should first implement ---------------------- and
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- A. Providing education on medications
- B. Administering ceftriaxone
- C. Administering metronidazole and educating on condom use
Correct Answer: A,B
Rationale: Providing education on medications is correct. The nurse should first educate the adolescent regarding medications because clients have the right to know the purpose and potential adverse reactions of all prescribed medications before receiving them. An understanding of the prescribed medications will increase the likelihood that the adolescent will adhere to the prescribed therapy. Scheduling follow-up appointments and administering doxycycline is incorrect. The nurse should schedule the adolescent for a follow-up appointment; however, there is another action that the nurse should take first. The nurse should not administer
doxycycline because it is a prescription for the adolescent to begin once discharged, and the prescription will be provided to the adolescent upon discharge; therefore, there is another action that the nurse should take.Administering ceftriaxone is correct. Ceftriaxone is designated as a NOW prescription, which means it should be given within 90 min of the provider writing the prescription. The nurse should administer ceftriaxone after educating the adolescent about the purpose and potential adverse reactions of the medication. Administering metronidazole and educating on condom use is incorrect. The nurse should not administer metronidazole because it is a prescription for the adolescent to begin once discharged, and the prescription will be provided to the adolescent upon discharge; therefore, there is another action that the nurse should take. The nurse should educate the adolescent regarding condom use; however, there is another action that the nurse should take first.
What is the function of the umbilical cord during pregnancy?
- A. To transport oxygen and nutrients from the mother to the fetus
- B. To remove waste products from the fetus
- C. To regulate fetal temperature
- D. All of the above
Correct Answer: A
Rationale: The correct answer is A. The umbilical cord functions to transport oxygen and nutrients from the mother to the fetus. This is crucial for the fetus's growth and development. B is incorrect because waste products are removed through the placenta, not the umbilical cord. C is incorrect as the umbilical cord does not regulate fetal temperature. Choice D is incorrect as it includes all options, but only A is accurate.