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The nurse is educating a client with gestational hypertension about home care. What instruction should the nurse include?
- A. Monitor your blood pressure once a week.
- B. Report any sudden swelling or weight gain.
- C. Increase sodium intake to maintain hydration.
- D. Avoid taking daily medications.
Correct Answer: B
Rationale: Sudden swelling or rapid weight gain may indicate worsening gestational hypertension or preeclampsia.
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When teaching parents about mandatory newborn screening, it is important for the nurse to explain that the main purpose is to:
- A. keep the State records updated.
- B. allow accurate statistical information.
- C. document the number of births.
- D. recognize and treat newborn disorders early.
Correct Answer: D
Rationale: Early recognition and treatment can prevent serious health issues.
The nurse is assessing a client with hyperemesis gravidarum. What finding requires immediate intervention?
- A. Urine output of 50 mL/hr.
- B. Weight loss of 5 pounds in 2 weeks.
- C. Dry mucous membranes and poor skin turgor.
- D. Nausea relieved by eating crackers.
Correct Answer: C
Rationale: Dehydration, indicated by dry mucous membranes and poor skin turgor, requires immediate intervention in hyperemesis gravidarum.
The nurse is teaching a prenatal class about fetal development. When does the heart begin to beat?
- A. At 4 weeks' gestation.
- B. At 8 weeks' gestation.
- C. At 12 weeks' gestation.
- D. At 16 weeks' gestation.
Correct Answer: A
Rationale: The fetal heart begins beating as early as 4 weeks' gestation, signaling early circulatory development.
When teaching a parenting class on childhood discipline, the nurse is asked by a parent, 'How long do I place my child in time-out?' How should the nurse best respond?
- A. Use the amount of time it takes to elicit a behavior change.
- B. Use 1 minute per year of age, but do not exceed 5 minutes.
- C. Use as much time as is needed to control the behavior.
- D. Use 1 minute per year of the child's age as needed.
Correct Answer: B
Rationale: When using time-out, use 1 minute per year of the child's age (a 3-year-old would have time-out for 3 minutes). Do not exceed 5 minutes.
When should a man with a chlamydial infection expect to experience pain?
- A. When urinating.
- B. When ejaculating.
- C. When the penis becomes erect.
- D. When the testicles are touched.
Correct Answer: A
Rationale: Chlamydia often causes painful urination.