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A nurse is teaching a client about the use of the vaginal contraceptive ring. Which of the following instructions should the nurse include?
- A. Insert a new ring daily.
- B. Leave the ring in place for 3 weeks, then remove for 1 week.
- C. Apply the ring to the vaginal wall.
- D. Replace the ring every 6 months.
Correct Answer: B
Rationale: The vaginal contraceptive ring is left in place for 3 weeks, then removed for 1 week to allow a withdrawal bleed. It is not inserted daily, applied to the vaginal wall (it sits in the vagina), or replaced every 6 months (it's monthly).
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A primigravid client with class II heart disease who is visiting the clinic at 8 weeks' gestation tells the nurse that she has been maintaining a low-sodium, 1,800-calorie diet. Which of the following instructions should the nurse give the client?
- A. Avoid folic acid supplements to prevent megaloblastic anemia.
- B. Severely restrict sodium intake throughout the pregnancy.
- C. Take iron supplements with milk to enhance absorption.
- D. Increase caloric intake to 2,200 calories daily to promote fetal growth.
Correct Answer: D
Rationale: Increased caloric intake supports fetal growth without compromising maternal health.
A primiparous client who delivered vaginally 8 hours ago desires to take a shower. The nurse anticipates remaining nearby the client to assess for which of the following?
- A. Fatigue.
- B. Fainting.
- C. Diuresis.
- D. Hygiene needs.
Correct Answer: B
Rationale: Fainting is a risk during the first shower postpartum due to potential orthostatic hypotension or fatigue, requiring close monitoring.
A nurse is teaching a client about the use of condoms for contraception. Which of the following statements by the client indicates understanding of the teaching?
- A. Condoms must be stored in a hot, humid environment.
- B. Condoms can be reused if washed thoroughly.
- C. Condoms provide some protection against STIs.
- D. Condoms are 100% effective in preventing pregnancy.
Correct Answer: C
Rationale: Condoms provide some protection against sexually transmitted infections, which is a key benefit. They should be stored in a cool, dry place, cannot be reused, and are not 100% effective in preventing pregnancy.
A nurse is discussing the contraceptive implant with a client. Which of the following client statements indicates understanding?
- A. The implant is effective for up to 3 years.
- B. The implant requires daily monitoring.
- C. The implant protects against STIs.
- D. The implant is taken orally.
Correct Answer: A
Rationale: The contraceptive implant is effective for up to 3 years, providing long-term contraception. It does not require daily monitoring, protect against STIs, or involve oral administration.
A primiparous client diagnosed with postpartum depression at 2 weeks postpartum asks about treatment options. The nurse should include:
- A. Immediate hospitalization.
- B. Counseling and possible medication.
- C. Discontinuing breastfeeding.
- D. Limiting family support to reduce stress.
Correct Answer: B
Rationale: Counseling and medication are standard treatments for postpartum depression, tailored to the client's needs.