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A nurse is providing teaching to a client who is receiving medroxyprogesterone IM for contraception. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should discontinue this medication if I experience spotting
- B. I will need to return to the clinic in the next eight weeks for my next injection
- C. I should increase my calcium intake while taking this medication
- D. I will get two shots each time I receive this medication
Correct Answer: B
Rationale: The correct answer is B. Returning to the clinic in 8 weeks for the next injection indicates an understanding of the medication schedule. Medroxyprogesterone is typically given every 11 to 13 weeks, so returning in 8 weeks would align with the correct timing for the next injection. This demonstrates the client's comprehension of the dosing regimen.
Incorrect choices:
A: Discontinuing the medication if spotting occurs is not correct as spotting can be a common side effect of medroxyprogesterone.
C: Increasing calcium intake is not specifically related to medroxyprogesterone IM for contraception.
D: Getting two shots each time is incorrect as typically only one injection is given.
Overall, choice B is the correct answer based on the medication's dosing schedule, while the other choices do not align with the appropriate understanding of medroxyprogesterone IM for contraception.
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A nurse is caring for a client who is 6 weeks of gestation and reports nausea and vomiting. Which of the following recommendations should the nurse make?
- A. Avoid eating snacks before bedtime
- B. Eat high-fat snacks before getting out of bed
- C. Drink additional liquids with each meal
- D. Consume food served at cool temperatures
Correct Answer: D
Rationale: The correct answer is D: Consume food served at cool temperatures. This recommendation is appropriate because cold foods tend to have less strong odors, which can help reduce nausea in pregnant women. Additionally, cold foods are often better tolerated by individuals experiencing nausea and vomiting.
Avoiding eating snacks before bedtime (choice A) may not directly address the nausea and vomiting symptoms. Eating high-fat snacks before getting out of bed (choice B) could potentially exacerbate nausea. Drinking additional liquids with each meal (choice C) may not necessarily alleviate nausea and can sometimes worsen symptoms.
In summary, choosing cold foods (choice D) is the best recommendation as it directly targets the symptoms of nausea and vomiting in early pregnancy.
A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client that which of the following foods has the highest amount of calcium?
- A. ½ cup cubed avocado
- B. 1 large banana
- C. 1 medium potato
- D. 1 cup cooked broccoli
Correct Answer: D
Rationale: The correct answer is D: 1 cup cooked broccoli. Broccoli is a good source of calcium, with approximately 43 mg per cup. This is important for pregnant women, especially those following a vegan diet, as they need to ensure adequate calcium intake for fetal development and bone health. Avocado (choice A), banana (choice B), and potato (choice C) are not significant sources of calcium compared to broccoli. Avocado and banana are low in calcium, while potatoes have even less. Thus, broccoli is the best option for the client to meet her calcium needs.
A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff members to report to the provider?
- A. Contraction durations of 95 to 100 seconds
- B. Contraction frequency of 2 to 3 min apart
- C. Absent early deceleration of fetal heart rate
- D. Fetal heart rate is 140/min
Correct Answer: A
Rationale: The correct answer is A: Contraction durations of 95 to 100 seconds. This is an abnormal finding as typical contraction durations should be around 60-90 seconds. Prolonged contractions can lead to decreased fetal oxygenation and distress. Choice B is incorrect as contractions 2-3 minutes apart are within the normal range. Choice C is incorrect as absent early deceleration is a reassuring sign of fetal well-being. Choice D is incorrect as a fetal heart rate of 140/min is within the normal range of 110-160/min.
A nurse is caring for a newborn boy, 6 hours old, whose bedside glucose meter reading is 65 mg/dL. The newborn's mother has Type 2 diabetes mellitus.
- A. Administer 50 mL of dextrose solution IV
- B. Obtain a blood sample of serum glucose level
- C. Reassess the blood glucose level prior to the next feeding
- D. Feed the newborn immediately
Correct Answer: D
Rationale: The correct answer is D: Feed the newborn immediately. By feeding the newborn, the nurse can stimulate the release of insulin, which will help regulate the baby's blood sugar levels. This is important especially in the case of a newborn born to a mother with Type 2 diabetes mellitus, as the baby may be at risk for hypoglycemia. Administering IV dextrose solution (choice A) is not necessary at this point as feeding is the initial intervention. Obtaining a blood sample for serum glucose level (choice B) can be done later but immediate feeding takes precedence. Reassessing blood glucose prior to the next feeding (choice C) may delay necessary intervention.
A nurse is providing discharge teaching to a postpartum client about caring for her five-day-old male newborn at home.
- A. Retract the foreskin to clean your baby's penis during each bath
- B. Use triple antibiotic ointment on your baby's umbilical cord twice per day
- C. Swaddle your baby tightly with legs extended before laying him down to sleep
- D. Notify your baby's pediatrician if he urinates less than 6 times per day
Correct Answer: D
Rationale: The correct answer is D: Notify your baby's pediatrician if he urinates less than 6 times per day. This is important because adequate urine output is a sign of good hydration and kidney function in newborns. Notifying the pediatrician if the baby urinates less than 6 times a day can help identify any potential issues early on.
Choice A is incorrect because retracting the foreskin to clean the baby's penis is not recommended as it can lead to infections.
Choice B is incorrect because using triple antibiotic ointment on the umbilical cord is not necessary and can actually delay healing.
Choice C is incorrect because swaddling the baby tightly with legs extended can increase the risk of hip dysplasia.
Overall, it is important to focus on monitoring the baby's urine output and notifying the pediatrician if there are any concerns.