Nokea
A nurse is teaching a client about the use of the contraceptive patch. Which of the following instructions should the nurse include?
- A. Apply the patch to the genital area.
- B. Change the patch weekly for three weeks, then have a patch-free week.
- C. Wear the patch for one month without changing.
- D. Apply a new patch daily.
Correct Answer: B
Rationale: The contraceptive patch is changed weekly for three weeks, followed by a patch-free week to allow a withdrawal bleed. It is not applied to the genital area, worn for a month, or changed daily.
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As the nurse enters the room of a newly admitted primigravid client diagnosed with severe preeclampsia, the client begins to experience a seizure. Which of the following should the nurse do first?
- A. Insert an airway to improve oxygenation.
- B. Note the time when the seizure begins and ends.
- C. Call for immediate assistance.
- D. Turn the client to her left side.
Correct Answer: D
Rationale: Turning the client to her left side helps maintain airway patency and prevents aspiration.
In response to the nurse's question about how she is feeling, a postpartum client states that she is fine. She then begins talking to the baby, checking the diaper, and asking infant care questions. The nurse determines the client is in which postpartal phase of psychological adaptation?
- A. Taking in.
- B. Taking on.
- C. Taking hold.
- D. Letting go.
Correct Answer: C
Rationale: The 'taking hold' phase is characterized by the mother becoming more active, showing interest in caring for the infant, and asking questions about infant care, as described in the scenario.
A newborn weighing 6½ lb is to be given naloxone hydrochloride (Narcan) due to respiratory depression caused by a narcotic administered to the mother shortly before delivery. The dosage is 0.01 mg/kg, administered into the umbilical vein. The vial is labeled 0.4 mg/mL.. How many milligrams would the newborn receive? Round to two decimals.
Correct Answer: 0.03 mg
Rationale: The neonate weighs 6.5 lb (2.95 kg). The dose is 0.01 mg/kg, so 0.01 mg/kg × 2.95 kg = 0.0295 mg, rounded to 0.03 mg.
A client is considering the withdrawal method. Which of the following disadvantages should the nurse discuss?
- A. It requires medical supervision.
- B. It has a high failure rate.
- C. It protects against STIs.
- D. It is more effective than condoms.
Correct Answer: B
Rationale: The withdrawal method has a high failure rate due to pre-ejaculate containing sperm and reliance on timing. It does not require medical supervision, does not protect against STIs, and is less effective than condoms.
Which of the following would the nurse expect as a common finding for a multiparous client delivering a viable neonate at 41 weeks' gestation with the aid of a vacuum extractor?
- A. Caput succedaneum.
- B. Cephalohematoma.
- C. Maternal lacerations.
- D. Neonatal intracranial hemorrhage.
Correct Answer: A
Rationale: Vacuum extraction commonly causes caput succedaneum, a soft tissue swelling on the neonate's scalp due to pressure, which resolves spontaneously. Cephalohematoma, lacerations, or hemorrhage are less common or more serious.