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A patient is prescribed birth control pills. What should the nurse include in the patient education regarding missed doses?
- A. Take two doses the next day if you miss a dose.
- B. You should take the missed dose as soon as you remember, and take the next dose at the regular time.
- C. If you miss a dose, skip that day and continue as usual the next day.
- D. You should stop taking the pills if you miss a dose and contact your healthcare provider.
Correct Answer: B
Rationale: If a dose is missed, it should be taken as soon as remembered and the next dose taken at the usual time. Choice A is incorrect because taking two doses at once may cause side effects. Choice C is incorrect because missing a dose does not require skipping the next dose. Choice D is incorrect because missing a dose does not typically require stopping the pills, but rather following instructions to compensate for the missed dose.
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A client at 34 weeks' gestation is diagnosed with polyhydramnios. What complication should the nurse monitor for?
- A. Preterm labor.
- B. Placental abruption.
- C. Fetal growth restriction.
- D. Cord prolapse.
Correct Answer: A
Rationale: Polyhydramnios increases the risk of preterm labor due to uterine overdistension.
During preconception counseling the nurse explains the time-period as when the fetus is most vulnerable to the effects of teratogens occurs is which of the following?
- A. 2 to 8 weeks
- B. 4 to12 weeks
- C. 5 to 10 weeks
- D. 6 to 15 weeks
Correct Answer: A
Rationale: The time period when the fetus is most vulnerable to the effects of teratogens is considered to be between weeks 2 to 8 of pregnancy. This period is known as the embryonic period, during which the organs and major body systems are forming. Exposure to teratogens during this time can lead to structural abnormalities or birth defects. It is crucial for women to be aware of this critical window of susceptibility during preconception counseling to avoid potential harm to the developing fetus.
The best indication that correct attachment to the breast has occurred is when the:
- A. Baby's tongue is securely on top of the nipple.
- B. Baby's mouth covers most of the areolar surface
- C. Baby makes frequent loud clucking sounds while nursing at each breast d, Baby sucks each breast vigorously for five minutes before falling asleep
Correct Answer: B
Rationale: The best indication that correct attachment to the breast has occurred is when the baby's mouth covers most of the areolar surface. This is important because proper latch and attachment are crucial for effective breastfeeding. When the baby's mouth covers most of the areola, it ensures that the baby is latched onto the breast properly, allowing them to feed efficiently and receive an adequate amount of milk. This also helps prevent nipple soreness and pain for the mother. Additionally, when the baby's mouth covers most of the areola, it helps ensure that the baby is positioned correctly to effectively stimulate milk production and flow.
How would the nurse best analyze the results from a patient sonogram that shows the fetal shoulder is the presenting part? What position?
- A. Bridge transverse
- B. Cephalic presentation
- C. Breech presentation
- D. Vertex presentation
Correct Answer: A
Rationale: When the sonogram shows the fetal shoulder as the presenting part, it indicates a bridge transverse position. This position means that the baby is lying sideways in the uterus, with one shoulder presenting first. It is essential for the nurse to recognize this position as it may impact the mode of delivery and require additional monitoring to ensure the safe delivery of the baby. Through proper analysis and understanding of the sonogram results, healthcare providers can make informed decisions and provide appropriate care for both the mother and the baby.
Which statement best describes the problem of regulation of body temperature in a 3-lb. (1361g) premature infant?
- A. The surface area of the premature infant is relatively smaller than that of a healthy-term infant.
- B. There is a lack of subcutaneous fat, which furnishes insulation.
- C. There are frequent episodes of diaphoresis causing loss of body heat.
- D. There is a limited ability to produce body proteins.
Correct Answer: B
Rationale: Lack of subcutaneous fat contributes to poor thermoregulation.