Nokea
An assessment of the newborn includes the differentiation between cephalhematoma and caput succedaneum. When making this assessment, the nurse understands that with caput succedaneum the:
- A. Edema crosses the suture line
- B. Swelling increases within 24 hours
- C. Scalp over the swelling becomes ecchymotic
- D. Area surrounding the swelling will be tender
Correct Answer: A
Rationale: Caput succedaneum involves edema that crosses suture lines.
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A mother's laboratory results indicate the presence of cocaine and alcohol. The characteristic in her newborn that would indicate to the nurse that the baby has been affected with fetal alcohol syndrome would be:
- A. Cleft lip
- B. Polydactyly
- C. Umbilical Hernia
- D. Small upturned nose
Correct Answer: D
Rationale: Small upturned nose is a feature of fetal alcohol syndrome.
What is important for the nurse to provide a woman with bacterial vaginosis?
- A. The woman must be careful to observe for signs of preterm labor.
- B. The woman must advise her partner to seek therapy as soon as possible.
- C. A common side effect of the medicine is a copious vaginal discharge.
- D. A repeat culture should be taken two weeks after completing the therapy.
Correct Answer: A
Rationale: Bacterial vaginosis increases the risk of preterm labor in pregnant women.
What is an appropriate statement for the nurse to make to a woman with a swollen eye and bruised cheek?
- A. I am required by law to notify the police department of your injuries.
- B. Women who are abused often have injuries like yours.
- C. You must leave your partner before you are injured again.
- D. It is important that you refrain from doing things that anger your partner.
Correct Answer: B
Rationale: Acknowledging patterns of abuse encourages disclosure.
How should the nurse explain the consistency of cervical mucus at the time of ovulation?
- A. It becomes thin and elastic.
- B. It becomes opaque and acidic.
- C. It contains numerous leukocytes to prevent vaginal infections.
- D. It decreases in quantity in response to body temperature changes.
Correct Answer: A
Rationale: Thin, elastic mucus facilitates sperm transport during ovulation.
What client statement would most influence the nurse's teaching regarding contraceptive choices?
- A. I have 2 children.
- B. My partner and I have sex twice a week.
- C. I am 25 years old.
- D. I feel funny touching my private parts.
Correct Answer: D
Rationale: Comfort with intimate touch influences method selection.