Nokea
A nurse is providing discharge teaching to a client who is 3 days postoperative following a cesarean birth. Which of the following client statements should indicate to the nurse the
- A. "I am likely to have a fever during the first week I am home."
- B. "I will resume taking my prenatal vitamins."
- C. "I will call my provider if I have discharge from my incision."
- D. "I should not have unrelieved pain in my abdomen."
Correct Answer: C
Rationale: The correct statement that should indicate to the nurse that the client understands the discharge teaching is "I will call my provider if I have discharge from my incision." This response demonstrates the client's understanding of the importance of monitoring the incision site for signs of infection or complications. It shows that the client is aware of the potential risks postoperatively and is prepared to take necessary action by notifying the healthcare provider if any issues arise. Monitoring incision discharge is essential to prevent infection and ensure proper healing after a cesarean birth.
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Relaxation of muscles in labor provides many benefits. What is one benefit of this technique in labor?
- A. Relaxation will prevent a cesarean section.
- B. Relaxation of the pelvic floor helps in pushing the fetus in the second stage.
- C. Relaxation of the abdomen ensures an unmedicated birth.
- D. Relaxation causes the contractions to decrease in strength.
Correct Answer: B
Rationale: Relaxing the pelvic floor facilitates smoother fetal descent during the second stage of labor.
What response by a client indicates effective postvasectomy teaching?
- A. I will measure my urinary output for two days.
- B. I will ejaculate the same amount of semen as I did before the surgery.
- C. I will refrain from having an erection until next week.
- D. I will irrigate the wound twice today and once more tomorrow.
Correct Answer: B
Rationale: Semen volume remains unchanged after vasectomy.
The nurse is reviewing a copy of the U.S. Surgeon General's Report, Healthy People 2020. Which nursing action best reflects the nurse fostering this health care agenda?
- A. The nurse signs up for classes to obtain an advanced degree in nursing.
- B. The nurse volunteers at a local health care clinic providing free vaccinations for low-income populations.
- C. The nurse performs an in-service on basic hospital equipment for student nurses.
- D. The nurse compiles nursing articles on evidence-based practices in nursing to present at a hospital training seminar.
Correct Answer: B
Rationale: Healthy People 2020 is a comprehensive health promotion and disease prevention agenda that is working toward improving the quantity and quality of life for all Americans.
Which assessment finding indicates a complication in a client attempting a VBAC?
- A. Complaint of pain between the scapula (could be uterine
- C. Contraction every 3 minutes lasting 70 seconds
- D. Pain level 6 at acme of
Correct Answer: C
Rationale: A client attempting a Vaginal Birth After Cesarean (VBAC) is at higher risk for uterine rupture. A concerning assessment finding in this scenario would be the occurrence of contractions every 3 minutes that are lasting 70 seconds. This pattern of contractions could potentially indicate uterine hyperstimulation, which increases the risk of uterine rupture. It is essential to closely monitor these contractions and address any signs of distress or complications promptly to ensure the safety of both the mother and the baby.
Which foods control option. Which is the most effective and should she discuss?
- A. Whole grains
- B. Copper intrauterine device
- C. Meats
- D. Cervical cap
Correct Answer: B
Rationale: Among the options provided, the most effective birth control method is the copper intrauterine device (IUD). IUDs are over 99% effective at preventing pregnancy and provide long-term contraception without the need for daily management. Copper IUDs work by releasing copper ions that are toxic to sperm, thus preventing fertilization. It is a reversible form of birth control and can be easily removed if a person decides to become pregnant. Additionally, IUDs do not contain hormones, making them a suitable option for individuals who prefer non-hormonal birth control methods. It is advisable for the individual to discuss the possibility of using a copper IUD with their healthcare provider to determine if it is the right choice for them based on their specific health needs and preferences.