Nokea
A sign of impaired attachment between the postpartum mother and her infant is
- A. decreasing maternal interaction with the infant over time
- B. maternal request to rest and refuse visitors
- C. maternal encouragement for family members to hold the infant
Correct Answer: A
Rationale: Decreased interaction may indicate difficulties in bonding between the mother and infant.
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Severe post-dural puncture (spinal) headache is best treated with
- A. epidural blood patch
- B. opioid analgesia
- C. caffeinated beverages
Correct Answer: A
Rationale: An epidural blood patch effectively seals the dural puncture and relieves headache symptoms.
Breastfeeding in the immediate postpartum period can improve uterine contractions because of the release of
- A. prolactin
- B. oxytocin
- C. human chorionic gonadotropin
Correct Answer: B
Rationale: Oxytocin released during breastfeeding stimulates uterine contractions, aiding in involution.
Before the nurse encourages this patient to begin annual screening, it is important for her to understand the reasons why women avoid testing. These reasons include which of the following? (Select all that apply.)
- A. Fear of x-ray exposure
- B. Expense of the procedure
- C. Reluctance to hear bad news
- D. Having heard that the test is painful
Correct Answer: B
Rationale: The correct answer is B: Expense of the procedure. This is correct because cost can be a significant barrier to healthcare access, including screening tests. Women may avoid testing due to financial constraints.
A: Fear of x-ray exposure is not typically a reason for avoiding annual screening, as modern screening methods use minimal radiation.
C: Reluctance to hear bad news may be a concern, but it is not a common reason for avoiding testing altogether.
D: Having heard that the test is painful is not a typical reason for avoiding annual screening, as most screening tests are not painful.
The neural tube defect that is most likely to result in hydrocephalus is
- A. spina bifida occulta
- B. myelomeningocele
- C. meningocele
Correct Answer: B
Rationale: Myelomeningocele often accompanies Chiari II malformation, predisposing to hydrocephalus.
The fundus of the uterus is the:
- A. Lower, narrow section
- B. Area above where the tubes enter
- C. Central portion
- D. Opening into the uterus
Correct Answer: B
Rationale: The fundus is the rounded region of the body of the uterus above the attachment of the uterine tubes.