Nokea
A pregnant client reports frequent urination and lower abdominal pressure at 36 weeks. What should the nurse explain?
- A. This is a sign of preterm labor.
- B. This indicates urinary tract infection.
- C. This is common due to fetal descent.
- D. This is caused by Braxton Hicks contractions.
Correct Answer: C
Rationale: As the fetus descends into the pelvis (lightening), increased pressure on the bladder causes frequent urination.
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What is the most effective form of contraception for a woman who has just given birth and is breastfeeding?
- A. Oral contraceptives
- B. Copper IUD
- C. Contraceptive injections
- D. Emergency contraception
Correct Answer: B
Rationale: The copper IUD is a highly effective, long-term contraception method that does not interfere with breastfeeding. Choice A is incorrect because oral contraceptives may reduce milk supply, and many types are not recommended during breastfeeding. Choice C is incorrect because contraceptive injections may not be ideal during breastfeeding. Choice D is incorrect because emergency contraception is used only after unprotected sex and is not a long-term solution.
What physical changes are more persistent and commonly experienced during menopause?
- A. secondary sex characteristics and growth spurt
- B. variable hot flushes and sleep difficulties
- C. thinning of skin and loss or dryness of hair
- D. irregular menstruation for a few years after menarche transition
Correct Answer: B
Rationale:
A client at 34 weeks' gestation reports regular uterine contractions. What is the nurse's priority action?
- A. Encourage ambulation to relieve discomfort.
- B. Perform a sterile vaginal examination.
- C. Assess fetal heart rate and contraction pattern.
- D. Administer an analgesic as prescribed.
Correct Answer: C
Rationale: Assessing fetal heart rate and contraction pattern is crucial to evaluate for preterm labor.
The nurse is caring for a client in labor with meconium-stained amniotic fluid. What is the priority action?
- A. Administer oxygen to the mother.
- B. Notify the healthcare provider.
- C. Prepare for potential neonatal resuscitation.
- D. Increase IV fluid rate.
Correct Answer: C
Rationale: Meconium-stained amniotic fluid poses a risk of aspiration; preparation for neonatal resuscitation is critical.
A newborn is delivered vaginally in the breech presentation. When examining her baby, the mother asks if the baby has been injured during birth because of the large black and blue areas on the buttocks and legs, The nurse should respond that:
- A. This is not a birth injury probably just a birthmark
- B. These are caused by forceps used to aid in the delivery of the baby
- C. This a temporary complication that will disappear in about a week
- D. These Mongolian spots, common in dark-skinned babies, disappear within a year
Correct Answer: A
Rationale: The large black and blue areas on the buttocks and legs of the newborn are likely Mongolian spots. Mongolian spots are common in infants with dark skin and are not a result of birth trauma. They are benign birthmarks caused by pigment that did not make it to the top layer of the skin before birth. These spots typically fade over time and may disappear completely within a few years. It is important to educate parents about Mongolian spots to alleviate any concerns they may have about their baby's skin markings.