A primigravid client admitted to the labor area in the upper and lower lower than the lower was born with cystic fibrosis and she wonders if her baby will also have the disease. The nurse can tell the client that cystic fibrosis is:
- A. X-linked recessive and the disease will only occur if the baby is a boy.
- B. X-linked dominant and there is no likelihood of the baby having cystic fibrosis.
- C. Autosomal recessive and that unless the baby's father has the gene, the baby will not have the disease.
- D. Autosomal dominant and there is a 50 per cent chance of the baby having the disease.
Correct Answer: C
Rationale: Cystic fibrosis is an autosomal recessive disorder, requiring both parents to carry the gene for the child to be affected. If the father does not carry the gene, the baby cannot have the disease but may be a carrier. X-linked and dominant inheritance patterns do not apply.
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A nurse is teaching a client about the withdrawal method of contraception. Which of the following statements by the nurse is accurate?
- A. The withdrawal method is highly effective when performed correctly.
- B. The withdrawal method does not protect against STIs and has a high failure rate.
- C. The withdrawal method requires medical supervision for effectiveness.
- D. The withdrawal method is more effective than condoms.
Correct Answer: B
Rationale: The withdrawal method does not protect against STIs and has a high failure rate due to pre-ejaculate containing sperm and reliance on timing. It does not require medical supervision and is less effective than condoms.
The nurse enlists the aid of an interpreter when caring for a primiparous client from Mexico who speaks very little English and delivered a viable term neonate 8 hours ago. When developing the postpartum dietary plan of care for the client, the nurse would encourage the client's intake of which of the following?
- A. High-fiber foods and adequate fluids.
- B. Low-calorie foods to promote weight loss.
- C. High-protein foods only.
- D. Caffeinated beverages to maintain energy.
Correct Answer: A
Rationale: High-fiber foods and adequate fluids promote bowel function and hydration, which are essential for postpartum recovery.
The health care provider has determined that a preterm labor client at 34 weeks' gestation has no fetal fibronectin present. The nurse should assess the client for which of the following outcomes in the next week?
- A. The client will develop preeclampsia.
- B. The fetus will develop mature lungs.
- C. The client will not likely develop preterm labor.
- D. The fetus will not develop gestational diabetes.
Correct Answer: C
Rationale: Absence of fetal fibronectin indicates reduced likelihood of preterm labor.
The nurse is monitoring a primiparous client with postpartum hemorrhage. Which intervention is the highest priority?
- A. Administer oxygen at 2 L/min.
- B. Insert a second IV line.
- C. Massage the fundus vigorously.
- D. Administer methylergonovine as ordered.
Correct Answer: B
Rationale: Inserting a second IV line ensures access for fluid resuscitation, critical in managing hemorrhage.
A nurse is discussing the copper IUD with a client. Which of the following client statements indicates understanding?
- A. The copper IUD is effective for up to 10 years.
- B. The copper IUD prevents ovulation.
- C. The copper IUD reduces menstrual bleeding.
- D. The copper IUD requires daily insertion.
Correct Answer: A
Rationale: The copper IUD is effective for up to 10 years, providing long-term contraception. It does not prevent ovulation, may increase menstrual bleeding, and does not require daily insertion.
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