Nokea
During the physical assessment of a female client with HPV, which should the nurse expect to find?
- A. Purulent vaginal discharge
- B. Condylomata
- C. Malodorous vaginal discharge
- D. No clinical manifestation
Correct Answer: B
Rationale: The correct answer is B: Condylomata. HPV can manifest as genital warts or condylomata acuminata. These are flesh-colored growths that appear on the genital area. The presence of condylomata indicates an active HPV infection. Choices A and C are incorrect as purulent or malodorous discharge is not typically associated with HPV. Choice D is incorrect as HPV often presents with visible symptoms like condylomata.
You may also like to solve these questions
What nursing action will the nurse implement after feeding an infant with hydrocephalus?
- A. Position the infant sitting upright in an infant seat
- B. Place the infant over the shoulder to burp
- C. Leave the infant in a side-lying position
- D. Stimulate the infant by rubbing its feet
Correct Answer: C
Rationale: The correct answer is C: Leave the infant in a side-lying position. This is important for infants with hydrocephalus as it helps prevent aspiration and reflux. Placing the infant in an upright position (Choice A) may increase the risk of regurgitation and aspiration. Burping (Choice B) is important after feeding but may not specifically address the needs of an infant with hydrocephalus. Stimulating the infant by rubbing its feet (Choice D) is unrelated to the specific care needed for an infant with hydrocephalus.
The correct injection technique for infants of mothers who are known carriers of hepatitis B virus is to:
- A. Avoid all intramuscular injections until 1 month of age
- B. Dilute intramuscular injections with added normal saline
- C. Mix all injections that the infant will need in a single syringe
- D. Bathe the area where the infant will receive injections
Correct Answer: A
Rationale: The correct answer is A because infants born to mothers who are known carriers of hepatitis B virus should receive the hepatitis B vaccine within 12 hours of birth. Delaying intramuscular injections until 1 month of age increases the risk of vertical transmission of the virus. Choice B is incorrect because diluting injections with normal saline is unnecessary and may compromise the effectiveness of the vaccine. Choice C is incorrect as mixing all injections in a single syringe can lead to contamination and inaccurate dosing. Choice D is incorrect as bathing the injection site does not prevent vertical transmission of the virus.
A 32-week-gestation client was last seen in the prenatal clinic at 28 weeks' gestation. Which of the following changes should the nurse bring to the attention of the certified nurse midwife?
- A. Weight change from 128 pounds to 138 pounds.'
- B. Pulse rate change from 88 bpm to 92 bpm.'
- C. Blood pressure change from 120/80 to 118/78.'
- D. Respiratory rate change from 16 rpm to 20 rpm.'
Correct Answer: A
Rationale: The correct answer is A because a weight gain of 10 pounds in 4 weeks for a 32-week-gestation client is excessive and may indicate a potential issue such as gestational diabetes or preeclampsia.
B: The pulse rate change is within a normal range for pregnancy.
C: The blood pressure change is minimal and still within normal limits.
D: The respiratory rate change is also within normal limits for pregnancy.
Most congenital anomalies of the central nervous system (CNS) result from defects in the closure of the neural tube during fetal development. Which factor has the greatest impact on this process?
- A. Maternal diabetes
- B. Maternal folic acid deficiency
- C. Socioeconomic status
- D. Maternal use of anticonvulsant
Correct Answer: B
Rationale: The correct answer is B: Maternal folic acid deficiency. Folic acid is essential for neural tube closure. Deficiency can lead to neural tube defects in the fetus. Maternal diabetes (choice A) can increase the risk, but it's not the primary factor. Socioeconomic status (choice C) may indirectly impact nutrition but isn't directly related to neural tube closure. Maternal use of anticonvulsants (choice D) can increase the risk, but it's not as significant as folic acid deficiency in neural tube closure.
The nurse is advising parents about feeding their infant with phenylketonuria. What formula and/or diet should the nurse suggest?
- A. Lifelong high-protein diet
- B. A formula that is low in the amino acid leucine
- C. A soy-based formula
- D. Substitute Lofenalac for some protein foods
Correct Answer: D
Rationale: The correct answer is D, substitute Lofenalac for some protein foods. In phenylketonuria (PKU), individuals lack the enzyme to break down phenylalanine found in protein. Lofenalac is a special formula with low phenylalanine content, suitable for PKU patients. Lifelong high-protein diet (A) is incorrect as it would worsen the condition. A formula low in leucine (B) is not specific to PKU. Soy-based formula (C) still contains high levels of phenylalanine.