Nokea
Individuals 35 years or older at conception have an increased risk of what complication?
- A. low birth weight
- B. hypoglycemia
- C. neural tube defects
- D. chromosomal abnormalities
Correct Answer: D
Rationale:
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The nurse assures the breastfeeding mother that she will know that her infant is getting an adequate supply of breast milk if the infant gains weight and:
- A. Rarely sucks on a pacifier.
- B. Ha several hard stools daily
- C. Voids 6 or more times a day
- D. Awakens to feed every 4 hours
Correct Answer: C
Rationale: Frequent voiding indicates adequate intake.
When integrating the principles of family-centered care, the nurse would include which concept?
- A. Parents want nurses to make decisions about their child's treatment.
- B. Families are unable to make informed choices.
- C. People have taken increased responsibility for their own health.
- D. Families require little information to make appropriate decisions.
Correct Answer: C
Rationale: Due to the influence of managed care, the focus on prevention, better education, and technological advances, people have taken increased responsibility for their own health.
How does estrogen work in COC pills?
- A. inhibits ovulation through suppression of LH hormone
- B. provides most of the contraceptive effect of the COC
- C. stabilizes the endometrium for less unscheduled bleeding
- D. inhibits sperm penetration by thickening cervical mucus
Correct Answer: A
Rationale: Estrogen in combined oral contraceptive (COC) pills works primarily by inhibiting ovulation through the suppression of the luteinizing hormone (LH) surge. By maintaining consistent levels of estrogen in the body, COC pills prevent the release of eggs from the ovary. This prevents fertilization from occurring, which is one of the main mechanisms of action of COC pills to provide contraception. While estrogen also has other effects such as stabilizing the endometrium to reduce unscheduled bleeding, its main role in COC pills is to inhibit ovulation and prevent pregnancy through hormonal regulation.
What behavior indicates effective teaching about the temperature rhythm method of fertility control?
- A. The woman takes her basal body temperature before retiring each evening.
- B. The couple charts information from at least six menstrual cycles before using the method.
- C. The couple resumes having intercourse as soon as they see a rise in the basal body temperature.
- D. The woman assesses her vaginal discharge daily for changes in color and odor.
Correct Answer: B
Rationale: Charting multiple cycles helps identify the fertile window accurately.
What is the first action when a newborn has a heart rate below 100 bpm immediately after birth?
- A. Provide chest compressions
- B. Administer oxygen and provide stimulation
- C. Delay interventions and reassess in 5 minutes
- D. Start an IV line for medications
Correct Answer: B
Rationale: Providing oxygen and stimulation helps improve heart rate and respiratory status.