Nokea
The nurse is teaching a prenatal class about breastfeeding. What is a key benefit of colostrum?
- A. It increases the baby’s birth weight.
- B. It provides antibodies that protect against infection.
- C. It eliminates the need for formula supplementation.
- D. It reduces maternal fatigue.
Correct Answer: B
Rationale: Colostrum is rich in antibodies, which provide passive immunity and protect the newborn from infections.
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What response by a client indicates effective postvasectomy teaching?
- A. I will measure my urinary output for two days.
- B. I will ejaculate the same amount of semen as I did before the surgery.
- C. I will refrain from having an erection until next week.
- D. I will irrigate the wound twice today and once more tomorrow.
Correct Answer: B
Rationale: Semen volume remains unchanged after vasectomy.
The nurse is monitoring a client in labor. What finding indicates the transition phase?
- A. Cervix dilated to 4 cm.
- B. Cervix dilated to 8 cm.
- C. Irregular contractions.
- D. Client reports feeling the urge to push.
Correct Answer: B
Rationale: The transition phase is marked by cervical dilation of 8–10 cm, intense contractions, and significant discomfort.
Why is an ultrasound important for a woman who got pregnant with a Copper T intrauterine device (IUD) in place?
- A. To assess for the presence of an ectopic pregnancy.
- B. To check the baby for serious malformations.
- C. To assess for pelvic inflammatory disease.
- D. To check for the possibility of a twin pregnancy.
Correct Answer: A
Rationale: Ectopic pregnancies are a concern with IUD use during pregnancy.
A new mother asks the nurse why newborns receive an injection of vit. K after delivery. What will be the best response from the nurse?
- A. Newborns are given vit K to help with the digestion to help them absorb fat soluble vitamins
- B. Newborns are given vit K and erythromycin ointment to help prevent ophthalmia neonatorum
- C. Newborns lack the intestinal flora needed to produce vit K, so it is given to prevent bleeding episodes
- D. This vitamin substitutes for vitamin C and newborns will strengthen their immune system
Correct Answer: C
Rationale: Vitamin K is essential for clotting and prevents hemorrhagic disease.
The nurse is teaching a prenatal class about fetal development. When does the heart begin to beat?
- A. At 4 weeks' gestation.
- B. At 8 weeks' gestation.
- C. At 12 weeks' gestation.
- D. At 16 weeks' gestation.
Correct Answer: A
Rationale: The fetal heart begins beating as early as 4 weeks' gestation, signaling early circulatory development.