Nokea
A pregnant woman diagnosed with syphilis comes to the clinic for a visit. The nurse discusses the risk of transmitting the infection to her newborn, explaining that this infection is transmitted to the newborn through the:
- A. Breast milk
- B. Birth canal
- C. Amniotic fluid
- D. Placenta
- G. D
Correct Answer: Syphilis is transmitted to the fetus via the placenta, causing congenital syphilis, which can lead to serious complications like stillbirth or deformities. It is not transmitted through breast milk, birth canal, or amniotic fluid.
Rationale:
You may also like to solve these questions
A nurse is preparing a class discussion on the clinical manifestations of a heart attack observed in women. Which symptoms would the nurse include as key assessment data? Select all that apply.
- A. Sleep disturbances
- B. Syncope
- C. Unusual fatigue
- D. Extreme hunger
- E. Arm pain
- G. A,C,E
Correct Answer: Women may experience sleep disturbances (48%), unusual fatigue (70%), and arm pain (42%) before a heart attack, indicating reduced cardiac function. Syncope (12%) and extreme hunger (4%) are less common.
Rationale:
While obtaining a health history from a male adolescent during a well check-up, the nurse assesses his sexual behavior and risk for sexually transmitted infections. Based on the information, the nurse plans to teach the adolescent about using a condom. What statement would the nurse include in the teaching plan?
- A. Store your condoms in your wallet so they are ready for use.
- B. Use petroleum jelly with a latex condom for extra lubrication.
- C. Put the condom on before engaging in any genital contact.
- D. You can reuse a condom if it's within 3 hours.
- G. C
Correct Answer: Applying a condom before genital contact prevents STI and pregnancy transmission. Wallets damage condoms, petroleum jelly weakens latex, and reusing condoms increases infection risk.
Rationale:
The nurse is working with a group of community health members to develop a plan to address the special health needs of women. The group would design educational programs to address which condition is the priority.
- A. Cancer
- B. Heart Disease
- C. Diabetes
- D. Smoking
- G. B
Correct Answer: Heart disease is the leading cause of death among women globally (21% of deaths in 2019 per WHO), making it the priority for educational programs to raise awareness and promote prevention.
Rationale:
The public health nurse is teaching young adolescents in a sexual health class the proper use of a condom. Which statements made by the students indicate teaching was successful? Select all that apply.
- A. Baby oil is an acceptable lubricant.
- B. Ensure a tight fit of the condom.
- C. Only use latex condoms.
- D. Place the condom on an erect penis.
- E. Store the condoms in a cool dry place.
- G. C,D,E
Correct Answer: Latex condoms are effective against STIs and pregnancy, unlike natural skin condoms. Condoms should be applied on an erect penis to prevent slippage, and stored in a cool, dry place to avoid damage. Baby oil degrades latex, and a tight fit increases breakage risk.
Rationale:
A nurse is providing discharge teaching for a client who is postoperative following a simple mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the following instructions about maintaining skin integrity should the nurse include?
- A. Do not apply heat to the area of irradiation.
- B. Use an antibiotic ointment to treat skin breakdown.
- C. Lubricate the skin with hypoallergenic lotion.
- D. Do not wash the area of irradiation.
- G. A
Correct Answer: Avoiding heat prevents increased inflammation in the irradiated area. Antibiotic ointments and lotions may interfere with therapy, and gentle washing with mild soap is recommended.
Rationale: