Nokea
A nurse is reviewing the laboratory results for a client who is at 29 weeks of gestation. Which of the following results should the nurse report to the provider?
- A. WBC count 11,000/mm3
- B. Hgb 11.2 g/dL
- C. Hct 34%
- D. Platelets 140,000/mm3
Correct Answer: D
Rationale: A platelet count of 140,000/mm³ is concerning as it is on the lower end of normal and could indicate thrombocytopenia, increasing the risk of bleeding.
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The nurse is providing instruction to the newly delivered client regarding postbirth uterine and vaginal discharge, called lochiWhich statement is the most appropriate?
- A. Lochia is similar to a light menstrual period for the first 6 to 12 hours.
- B. It is usually greater after cesarean births.
- C. Lochia will usually decrease with ambulation and breastfeeding.
- D. It should smell like normal menstrual flow unless an infection is present.
Correct Answer: D
Rationale: Lochia should smell like normal menstrual flow; an offensive odor usually indicates an infection.
A father and mother are carriers of phenylketonuria (PKU). Their 2-year-old daughter has the condition. The couple tells the nurse that they are having a second baby. Because their daughter has PKU, they are certain that this baby will not be affecteWhich response by the nurse is the most accurate?
- A. Good planning. You need to take advantage of the odds that are in your favor.
- B. I think you'd better first check with your physician.
- C. You are both carriers; therefore, each baby has a 25% chance of being affected.
- D. The ultrasound indicates a boy, and boys are not affected by PKU.
Correct Answer: C
Rationale: Each child conceived by this couple has a one-in-four chance of being affected with the PKU disorder. This couple still has an increased likelihood of having a child with PKU; having one child already with PKU does not guarantee that they will not have another. These parents need to discuss their options with their physician. However, an opportune time has presented itself for the couple to receive correct teaching about inherited genetic risks. No correlation exists between gender and inheritance of the disorder, because PKU is an autosomal recessive disorder.
Nafarelin (Synarel) is used to treat mildtosevere endometriosis. What instruction or information should the nurse provide to a client regarding nafarelin administration?
- A. Nafarelin stimulates ovarian activity
- B. It should be administered by intramuscular (IM) injection
- C. Nafarelin should be administered by a subcutaneous implant
- D. It can cause the client to experience some hot flashes and vaginal dryness
Correct Answer: D
Rationale: Nafarelin is a GnRH agonist similar to menopause causing hot flashes and vaginal dryness as side effects. It is administered via nasal spray not IM or as an implant.
A client complains of severe abdominal and pelvic pain around the time of menstruation. This pain has become progressively worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to become pregnant for the past 18 months. To which condition are these symptoms most likely related?
- A. Endometriosis
- B. PMS
- C. Primary dysmenorrhea
- D. Secondary dysmenorrhea
Correct Answer: A
Rationale: Endometriosis can cause severe pelvic pain dysmenorrhea dyspareunia and infertility. These symptoms are most indicative of endometriosis.
Which statement regarding human trafficking is correct?
- A. Human trafficking is a multibillion-dollar business that primarily exists in the United States.
- B. Victims often experience the Stockholm syndrome.
- C. Vast majority of the victims are young boys and girls.
- D. Human trafficking primarily refers to commercial sex work.
Correct Answer: B
Rationale: The Stockholm syndrome is a common response where the victim develops feelings for their captor. Victims of trafficking can be forced into sex work, labor, or organ donation.