Nokea
A woman asks the nurse, 'How do oral contraceptives prevent pregnancy?' What will the nurse explain about the combination of estrogen and progesterone in oral contraceptives?
- A. Makes cervical mucus hostile to sperm
- B. Prevents ovulation
- C. Prohibits implantation of the egg
- D. Acts as a barrier by destroying sperm
Correct Answer: B
Rationale: Oral contraceptives contain a combination of estrogen and progesterone that suppresses ovulation.
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What is the nurse's best response to a mother who is voicing concern about the molding of her 2-day-old infant?
- A. Molding doesn't cause any problems. Don't worry about it.'
- B. Did you deliver vaginally or by cesarean section?'
Correct Answer: B
Rationale: Molding is a common occurrence in vaginal deliveries due to the head passing through the birth canal. Asking about the delivery method helps assess whether molding is expected and provides an opportunity to reassure the mother that it typically resolves without complications.
While inspecting a newborn's head, the nurse identifies a swelling of the scalp that does not cross the suture line. How would the nurse refer to this finding when documenting?
- A. Molding
- B. Caput succedaneum
- C. Cephalohematoma
- D. Enlarged fontanelle
Correct Answer: C
Rationale: A cephalohematoma is caused by a collection of blood beneath the periosteum of the cranial bone. It does not cross the suture line.
What statement by a man considering a vasectomy indicates a need for further information?
- A. Sterility does not occur immediately after the procedure.'
- B. We will need to use some form of birth control for about a month afterward.'
- C. The procedure involves the use of local anesthesia.'
- D. I'll need to remain in the hospital for a few days.'
Correct Answer: D
Rationale: A vasectomy takes about 20 minutes and is performed on an outpatient basis under local anesthesia.
What information will the nurse provide when educating a woman about the correct use of a diaphragm?
- A. Use of a spermicidal cream or jelly is not recommended.
- B. Leave in place for at least 6 hours after intercourse.
- C. Remove immediately after intercourse for douching.
- D. It is effective for up to 48 hours if positioned properly.
Correct Answer: B
Rationale: To act as a barrier, the diaphragm must be left in place for at least 6 hours after intercourse and can be left in place up to, but no more than 24 hours.
At her regular gynecological examination, a woman tells the nurse that she is concerned about osteoporosis. What suggestion can the nurse make to this patient?
- A. Take a vitamin E supplement daily.
- B. Do isometric exercises that can be practiced every day.
- C. Include more dairy products and green, leafy vegetables in her diet.
- D. Try to limit her intake of caffeine.
Correct Answer: C
Rationale: Foods rich in calcium include milk, dairy products, and green, leafy vegetables.