Nokea
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique. Which of the following information should the nurse include?
- A. The Plastibell will be removed 4 hours after the procedure.
- B. Make sure the newborn’s diaper is snug.
- C. Yellow exudate will form at the surgical site in 24 hours.
- D. Notify the provider if the end of your baby’s penis appears dark red.
Correct Answer: D
Rationale: The correct answer is D: Notify the provider if the end of your baby’s penis appears dark red. This is important because it could indicate infection or other complications. Dark red color may suggest poor blood flow or infection, requiring immediate medical attention to prevent further complications.
Incorrect answers:
A: The Plastibell is not typically removed after 4 hours, as it usually falls off on its own within a week.
B: Snug diaper can cause discomfort and hinder proper healing.
C: Yellow exudate forming at the site in 24 hours is normal as part of the healing process.
Therefore, option D is the most critical information for the parents to be aware of.
You may also like to solve these questions
A nurse is caring for a client who is 1 hr postpartum and has uterine atony. The client is exhibiting a large amount of vaginal bleeding. Which of the following actions should the nurse take?
- A. Administer betamethasone IM.
- B. Avoid performing sterile vaginal examinations.
- C. Anticipate a prescription for misoprostol.
- D. Obtain a specimen for a Kleihauer-Betke test.
Correct Answer: C
Rationale: The correct answer is C: Anticipate a prescription for misoprostol. Misoprostol is a medication commonly used to manage postpartum hemorrhage due to uterine atony. It helps to promote uterine contractions and control bleeding. Administering betamethasone (A) is not indicated in this situation as it is a steroid used for fetal lung maturation. Avoiding sterile vaginal examinations (B) may delay the identification of the cause of bleeding. Obtaining a specimen for a Kleihauer-Betke test (D) is used to determine the amount of fetal-maternal hemorrhage and is not the immediate priority in managing uterine atony.
A nurse is admitting a client to the birthing unit who reports her contractions started 1 hr ago. The nurse determines the client is 80% effaced and 8 cm dilated. The nurse realizes that the client is at risk for which of the following conditions?
- A. Ectopic pregnancy
- B. Hyperemesis gravidarum
- C. Incompetent cervix
- D. Postpartum hemorrhage
Correct Answer: D
Rationale: The correct answer is D: Postpartum hemorrhage. The client being 80% effaced and 8 cm dilated indicates she is in active labor, which increases the risk of postpartum hemorrhage due to the rapid dilation of the cervix. As the cervix dilates, the blood vessels in the area are more prone to bleeding post-delivery. Ectopic pregnancy (A) occurs when the fertilized egg implants outside the uterus, which is not relevant in this scenario. Hyperemesis gravidarum (B) is severe nausea and vomiting during pregnancy, unrelated to the client's current condition. Incompetent cervix (C) is a condition where the cervix opens prematurely, typically in the second trimester, not during active labor.
A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?
- A. Allow the medication to reach room temperature prior to administration.
- B. Place the client in a semi-Fowler’s position for 1 hr after administration.
- C. Instruct the client to avoid urinary elimination until after administration.
- D. Verify that informed consent is obtained prior to administration.
Correct Answer: D
Rationale: The correct answer is D: Verify that informed consent is obtained prior to administration. This step is crucial to ensure the client understands the risks and benefits of the procedure. It promotes client autonomy and helps prevent legal issues.
A: Allowing the medication to reach room temperature is not a necessary step for administering dinoprostone insert.
B: Placing the client in a semi-Fowler's position is not indicated after administering dinoprostone insert.
C: Instructing the client to avoid urinary elimination is not necessary and could be harmful to the client.
E, F, G: No other options are provided, but they would likely be incorrect as well.
A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?
- A. Thick, white vaginal discharge
- B. Urinary frequency
- C. Vulva lesions
- D. Malodorous discharge
Correct Answer: D
Rationale: The correct answer is D: Malodorous discharge. Trichomoniasis is a sexually transmitted infection caused by a parasite, leading to a characteristic foul-smelling vaginal discharge. This discharge is typically greenish-yellow, frothy, and may be accompanied by itching or irritation. Thick, white discharge (choice A) is more indicative of a yeast infection. Urinary frequency (choice B) is not a common symptom of trichomoniasis. Vulva lesions (choice C) are more likely to be seen in other infections or conditions. Therefore, the malodorous discharge is the most specific finding associated with trichomoniasis at 20 weeks of gestation.
The nurse is teaching the client about postpartum depression. The nurse should encourage the client to----------------- and ----------------- to help prevent postpartum depression.
- A. Engage in regular physical activity
- B. Maintain a strong support system
- C. Get adequate rest and sleep
- D. Eat a well-balanced diet
Correct Answer:
Rationale: Correct Answer: C: Get adequate rest and sleep
Rationale:
1. Sleep deprivation is a common trigger for postpartum depression.
2. Adequate rest and sleep help regulate mood and reduce stress levels.
3. Lack of sleep can worsen depressive symptoms.
4. Rest and sleep are essential for physical and emotional recovery postpartum.
Summary:
A: Engaging in physical activity is beneficial but not directly linked to preventing postpartum depression.
B: While a support system is important, it may not solely prevent postpartum depression.
D: Eating a well-balanced diet is crucial for overall health but not the primary focus for preventing postpartum depression.