Nokea
A patient's newborn is neurologically impaired. The most important nursing action should be:
- A. Assist the patient and her family with the grieving process.
- B. Perform neurological assessments of the newborn every four hours.
- C. Arrange for social services to discuss possible placement of the newborn
- D. Obtain an order for an antidepressant to help the patient cope with the depressing news.
Correct Answer: A
Rationale: Supporting the family through grief is crucial.
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What contraceptive method is best suited for a single, perimenopausal woman with four sex partners who smokes 1 pack of cigarettes per day?
- A. Male condom.
- B. Intrauterine device.
- C. NuvaRing.
- D. Oral contraceptives.
Correct Answer: A
Rationale: Male condoms provide dual protection against pregnancy and STIs.
Which data must the nurse consider before administering Depo-Provera (medroxyprogesterone acetate) to a postpartum client?
- A. The capsule must be taken at the same time each day.
- B. The client must be taught to use sunscreen whenever in the sunlight.
- C. The medicine is contraindicated if the woman has lung or esophageal cancer.
- D. The client must use an alternate form of birth control for the first two months.
Correct Answer: C
Rationale: Medroxyprogesterone acetate is contraindicated in women with certain cancers.
A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications?
- A. Hyperemesis
- B. Proteinuria
- C. Hypoxia
- D. Hemorrhage
Correct Answer: D
Rationale: Following an amniocentesis, the nurse should observe the client for the potential complication of hemorrhage. Amniocentesis is a procedure where a small amount of amniotic fluid is extracted from the amniotic sac surrounding the fetus for various diagnostic purposes. The risk of hemorrhage is associated with this invasive procedure due to the possibility of damaging blood vessels within the uterus during the insertion of the needle. It is important for the nurse to closely monitor the client for any signs of bleeding, such as vaginal bleeding, abdominal pain, or signs of shock, and report any concerns promptly to the healthcare provider for further evaluation and management.
The nurse is teaching a pregnant client about prenatal care. What is the recommended weight gain for a client with a normal BMI?
- A. 11–20 pounds.
- B. 15–25 pounds.
- C. 25–35 pounds.
- D. 35–45 pounds.
Correct Answer: C
Rationale: For clients with a normal BMI, the recommended weight gain during pregnancy is 25–35 pounds.
In teaching parents to use a bulb syringe to suction an infant, the nurse should teach them to:
- A. suction the back of the throat vigorously.
- B. always suction the nose before suctioning the mouth.
- C. use it only once a day.
- D. insert the syringe into the sides of the mouth.
Correct Answer: B
Rationale: Suctioning the nose first prevents pushing secretions further down the throat.