Nokea
A nurse is providing teaching to a client who is 2 days postpartum and wants to continue using her diaphragm for contraception. Which of the following instructions should the nurse include?
- A. You should have your provider refit you for a new diaphragm.'
- B. You should use an oil-based vaginal lubricant when inserting your diaphragm.'
- C. You should keep the diaphragm in place for at least 4 hours after intercourse.'
- D. You should store your diaphragm in sterile water after each use.'
Correct Answer: A
Rationale: The correct answer is A: "You should have your provider refit you for a new diaphragm." After giving birth, a woman's body goes through changes, including weight loss, which can affect the fit and effectiveness of the diaphragm. It is essential for the client to be refitted by a healthcare provider to ensure proper fit and efficacy of the contraception.
Choice B is incorrect because oil-based lubricants can damage the diaphragm material.
Choice C is incorrect because diaphragms should be kept in place for at least 6 hours after intercourse.
Choice D is incorrect because diaphragms should be stored in a cool, dry place, not in sterile water.
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A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
- A. Substernal retractions
- B. Acrocyanosis
- C. Overlapping suture lines
- D. Head circumference 33 cm (13 in)
Correct Answer: A
Rationale: The correct answer is A: Substernal retractions. Substernal retractions in a newborn indicate respiratory distress and can be a sign of underlying respiratory issues such as respiratory distress syndrome. The nurse should report this finding to the provider immediately for further evaluation and intervention to ensure the newborn's respiratory status is stable. Acrocyanosis (choice B) is a common finding in newborns and is not typically concerning. Overlapping suture lines (choice C) can be a normal variation in newborn skull anatomy. The head circumference of 33 cm (13 in) (choice D) is within the normal range for a newborn and would not require immediate reporting.
Which of the following is a potential indication for induction of labor?
- A. Preeclampsia
- B. Gestational diabetes
- C. Fetal macrosomia
- D. All of the above
Correct Answer: A
Rationale: Preeclampsia is a common indication for the induction of labor.
What is the primary hormone responsible for maintaining the endometrium during pregnancy?
- A. Progesterone
- B. Estrogen
- C. Follicle-stimulating hormone (FSH)
- D. Luteinizing hormone (LH)
Correct Answer: A
Rationale: The correct answer is A: Progesterone. Progesterone is the primary hormone responsible for maintaining the endometrium during pregnancy. It helps to thicken the endometrial lining, ensuring a suitable environment for implantation and supporting the developing embryo. Progesterone also inhibits uterine contractions, preventing premature labor. Estrogen, FSH, and LH do not play a primary role in maintaining the endometrium during pregnancy. Estrogen is involved in the initial thickening of the endometrium, while FSH and LH are primarily responsible for ovulation and follicle development.
A nurse is providing teaching to a client who is breastfeeding and experiencing engorgement. Which of the following recommendations should the nurse include?
- A. Apply warm compresses on the breasts before feedings
- B. Allow the infant to nurse on one breast per feeding.
- C. Take aspirin to reduce pain and swelling.
- D. Wear a tight-fitting underwire bra.
Correct Answer: A
Rationale: Warm compresses help to relieve engorgement by promoting milk flow and reducing discomfort before feedings.
A nurse is caring for a client who is at 41 weeks of gestation and has a positive contraction stress test. For which of the following diagnostic tests should the nurse prepare the client?
- A. Percutaneous umbilical blood sampling.
- B. Amnioinfusion.
- C. Biophysical profile (BPP).
- D. Chorionic villus sampling (CVS).
Correct Answer: C
Rationale: A biophysical profile (BPP) is a non-invasive test that assesses fetal well-being and is often used after a positive contraction stress test to further evaluate the fetus.