Nokea
A young man is planning to use the condom as a contraceptive device. The nurse should teach him that which of the following actions is needed to maximize the condom's effectiveness?
- A. Use only water-soluble lubricants.
- B. Use only natural lambskin condoms.
- C. Apply the condom to a flaccid penis.
- D. Apply it tightly to the tip of the penis.
Correct Answer: A
Rationale: Water-soluble lubricants should be used with condoms to prevent breakage. Natural lambskin condoms do not protect against STIs, and condoms should be applied to an erect penis.
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A woman asks the nurse to recommend the best douche for use after menstruation. Which of the following responses by the nurse is appropriate?
- A. Tap water with white vinegar is most refreshing and least allergenic.'
- B. It is really best for women not to douche.'
- C. Any of the over-the-counter douches is satisfactory.'
- D. It is best to douche during menstruation rather than after it is over.'
Correct Answer: B
Rationale: Douching can disrupt the natural vaginal flora and increase the risk of infections, so it is generally not recommended.
Young pregnant adolescents have increased nutritional needs as compared with pregnant adults. Which of the following foods would meet those needs?
- A. Banana.
- B. Cheeseburger.
- C. Strawberries.
- D. Rice.
Correct Answer: B
Rationale: Cheeseburgers provide protein, iron, and calcium, which are essential for the increased nutritional needs of pregnant adolescents.
The nurse receives a phone call from a pregnant patient who states she has not felt the baby move. Identify the first question for the nurse to ask the patient.
- A. Have you experienced any recent vaginal bleeding?
- B. Have you experienced any recent vaginal discharge?
- C. How many weeks pregnant are you?
- D. When was the last time you felt the baby move?
Correct Answer: D
Rationale: The correct first question for the nurse to ask the patient is D: When was the last time you felt the baby move? This question is crucial because it helps assess the fetal well-being and can indicate any potential issues with the baby's health or development. It allows the nurse to determine if there has been a recent decrease in fetal movements, which could be a sign of distress. Asking about vaginal bleeding or discharge (choices A and B) may not provide immediate insight into the baby's well-being. Question C is relevant but not as urgent as knowing when the baby was last felt moving.
It is noted that a baby admitted to the nursery has translucent skin with visible veins. Because of this finding, the nurse should monitor this baby carefully for which of the following?
- A. Polycythemia.
- B. Hypothermia.
- C. Hyperglycemia.
- D. Polyuria.
Correct Answer: B
Rationale: Translucent skin with visible veins is common in preterm infants, who are at higher risk for hypothermia due to poor thermoregulation.
A nurse notes that a baby is lying in a crib in the tonic neck position. In which of the following positions is the baby lying?
- A. One of the baby's arms and one of its legs are extended to the same side the baby's head is facing.
- B. When the baby faces straight ahead, the baby's head tilts toward one side.
- C. Both the baby's back and head are sharply arched backward and resist being moved to midline.
- D. When the baby lies prone, the baby's body arches to one side.
Correct Answer: A
Rationale: The tonic neck reflex, or fencer's position, involves the baby's arm and leg on one side extending while the opposite arm and leg flex.