Nokea
Assessment of a pregnant woman reveals that she compulsively craves ice. The nurse documents this finding as
- A. linea nigra
- B. pica
- C. ballottement
- D. quickening
Correct Answer: B
Rationale: Pica is the craving for non-food items like ice, often linked to nutrient deficiencies such as iron. Linea nigra is a skin line, ballottement is a fetal palpation technique, and quickening is feeling fetal movement, none related to cravings.
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A woman with a history of systemic lupus erythematosus comes to the clinic for evaluation. The woman tells the nurse that she and her partner would like to have a baby but that they are afraid her lupus will be a problem. Which response would be most appropriate for the nurse to make?
- A. Be sure that your lupus is stable or in remission for 6 months before getting pregnant.
- B. It's probably not a good idea for you to get pregnant since you have lupus.
- C. Your lupus will not have any effect on your pregnancy whatsoever.
- D. When you get pregnant we'll have to add quite a few medications to your normal treatment plan.
Correct Answer: A
Rationale: Stable lupus for 6 months before pregnancy reduces risks like flares or miscarriage. Discouraging pregnancy is insensitive, claiming no effect is false, and adding many medications is inaccurate without specifics.
During a vaginal exam, the nurse notes that the lower uterine segment is softened. The nurse documents this finding as:
- A. Ortolani's sign
- B. Chadwick's sign
- C. Goodell's sign
- D. Hegar's sign
Correct Answer: D
Rationale: Hegar's sign is softening of the lower uterine segment, felt early in pregnancy. Ortolani's tests infant hips, Chadwick's is cervical discoloration, and Goodell's is cervical softening, not uterine.
A nurse is planning a presentation about HIV for a church-based group. Which of the following information about HIV transmission should the nurse include?
- A. It is primarily transmitted through mosquitoes.
- B. It is primarily transmitted through accidental puncture wounds.
- C. It is primarily transmitted through sexual contact.
- D. It is primarily transmitted through respiratory droplets.
Correct Answer: C
Rationale: HIV is primarily transmitted through sexual contact involving infected fluids like semen or vaginal secretions. Mosquitoes, respiratory droplets, and puncture wounds (rare) don't commonly spread HIV.
A nurse is preparing to administer chlordiazepoxide 50 mg PO every 8 hours to a client. The amount available is chlordiazepoxide 25 mg per capsule. How many capsules should the nurse administer per dose?
- A. 2 capsules
- B. 1 capsule
- C. 3 capsules
- D. 4 capsules
Correct Answer: A
Rationale: Dose (50 mg) / concentration (25 mg/capsule) = 2 capsules per dose. Other options miscalculate the number needed to achieve 50 mg.
A client with hyperemesis gravidarum is admitted to the facility after being cared for at home without success. What would the nurse expect to include in the client's plan of care?
- A. clear liquid diet
- B. administration of diethylstilbestrol
- C. total parenteral nutrition
- D. nothing by mouth
Correct Answer: C
Rationale: Hyperemesis gravidarum causes severe vomiting, risking dehydration and malnutrition. Total parenteral nutrition delivers complete nutrients intravenously, addressing these risks when oral intake fails. Clear liquids or nothing by mouth worsen malnutrition, and diethylstilbestrol, a discontinued drug, is irrelevant.