Nokea
Before giving a client oral combination contraceptives, which side effects should the nurse tell the patient to be aware of? Select all that apply.
- A. Irregular bleeding
- B. Thick vaginal discharge
- C. Nausea
- D. Breast tenderness
Correct Answer: B
Rationale: Common side effects of oral combination contraceptives include irregular bleeding, nausea, and breast tenderness. Choice B, thick vaginal discharge, is not typically associated with oral contraceptives.
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What is a statement about premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) that is true?
- A. PMS and PMDD affect only persons who have already reached menopause.
- B. Hormonal fluctuations are not considered potential causes of PMS and PMDD.
- C. PMS and PMDD are characterized by physical symptoms but not emotional symptoms.
- D. PMS and PMDD involve a range of physical and emotional symptoms due to fluctuating hormone levels.
Correct Answer: D
Rationale:
After delivery it is determined there is a placental accreta, what intervention should the nurse anticipate?
- A. Hysterectomy
- B. IV antibiotic
- C. IV Pitocin
- D. 2L oxygen by mask
Correct Answer: A
Rationale: In the case of placental accreta, where the placenta is abnormally attached to the uterine wall, it can be very difficult to detach the placenta without significant bleeding. In severe cases, the safest intervention to prevent life-threatening hemorrhage is a hysterectomy, which involves the removal of the uterus. This is a serious surgical procedure that may be necessary to save the mother's life. Other interventions mentioned in the options (IV antibiotic, IV Pitocin, 2L oxygen by mask) may be part of the management plan but would not address the underlying issue of placental accreta like a hysterectomy would.
What actions should the nurse advise women to take when educating them on breast self-examination (BSE)?
- A. Use the fingertips of their index, middle, and ring fingers.
- B. Use pressure in two intensities, light and deep.
- C. Look for dimpling while bending forward from the waist.
- D. Feel for lumps while encircling the breast from nipple outward.
Correct Answer: A
Rationale: Proper technique ensures accurate detection of abnormalities.
A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?
- A. "should position my baby's car seat at a 45-degree angle in the car."
- B. "should place the car seat rear facing until my baby is 12 months old."
- C. "should place the harness snugly in a slot above my baby's shoulders."
- D. "should position the retainer clip at the top of my baby's abdomen."
Correct Answer: B
Rationale: The correct statement indicating an understanding of car seat safety is "I should place the car seat rear facing until my baby is 12 months old." This statement reflects the current recommendation by the American Academy of Pediatrics (AAP), which suggests that infants should ride in a rear-facing car seat until they are at least 2 years old or until they reach the maximum height or weight limit allowed by the car seat manufacturer. This position provides the best protection for the baby's head, neck, and spine in the event of a crash. The other statements are incorrect:
A newborn's birth was prolonged because the shoulders were very wide. The nurse performing the assessment would be particularly observant for a problem with the:
- A. Moro reflex
- B. Plantar reflex
- C. Babinski reflex
- D. Stepping reflex
Correct Answer: B
Rationale: Shoulder dystocia can affect the plantar reflex.