A primiparous client diagnosed with postpartum depression at 2 weeks postpartum asks about treatment options. The nurse should include:
- A. Immediate hospitalization.
- B. Counseling and possible medication.
- C. Discontinuing breastfeeding.
- D. Limiting family support to reduce stress.
Correct Answer: B
Rationale: Counseling and medication are standard treatments for postpartum depression, tailored to the client's needs.
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A neonate delivered at 37 weeks' gestation has been admitted to the neonatal intensive care unit for respiratory distress. The physician has ordered an I.V. for fluid support. To increase safety prior to hanging new I.V. fluids for a neonate, the nurse should:
- A. Check the neonate's weight.
- B. Determine if the neonate has adequate urine output.
- C. Determine the neonate's glucose level.
- D. Double-check the fluids and physician's order with another nurse.
Correct Answer: D
Rationale: Double-checking the fluids and physician's order with another nurse ensures accuracy and safety, reducing the risk of medication or fluid errors.
The nurse observes a bottle-feeding multiparous client tilting the bottle so the nipple is partially filled with air. The nurse should:
- A. Instruct the client to tilt the bottle to fill the nipple with formula.
- B. Suggest switching to a different nipple size.
- C. Encourage burping the neonate more frequently.
- D. Document the observation as normal.
Correct Answer: A
Rationale: Tilting the bottle to fill the nipple prevents air swallowing, reducing the risk of gas and regurgitation.
A client is considering the hormonal IUD. Which of the following client statements indicates a need for further teaching?
- A. The IUD may reduce my menstrual bleeding.
- B. The IUD can stay in place for several years.
- C. The IUD will prevent ovulation every month.
- D. The IUD does not protect against STIs.
Correct Answer: C
Rationale: The hormonal IUD does not primarily prevent ovulation every month; it mainly thins the uterine lining and thickens cervical mucus. The other statements are correct, indicating a need for further teaching.
Approximately 90 minutes after birth, the nurse should encourage the mother of a term neonate to do which of the following?
- A. Feed the neonate.
- B. Allow the neonate to sleep.
- C. Get to know the neonate.
- D. Change the neonate's diaper.
Correct Answer: A
Rationale: Feeding within 90 minutes promotes bonding, stabilizes blood glucose, and initiates breastfeeding or formula feeding.
A nurse is discussing the benefits of the copper IUD with a client. Which of the following statements by the nurse is accurate?
- A. The copper IUD can reduce menstrual bleeding.
- B. The copper IUD is effective for up to 10 years.
- C. The copper IUD requires daily monitoring.
- D. The copper IUD prevents ovulation.
Correct Answer: B
Rationale: The copper IUD is effective for up to 10 years, providing long-term contraception. It may increase menstrual bleeding, does not require daily monitoring, and does not prevent ovulation, working primarily by affecting sperm motility.
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