Nokea
For which conditions is the lactational amenorrhea method of birth control effective?
- A. Being less than 6 months postpartum.
- B. Being amenorrheic since delivery of the baby.
- C. Supplementing with formula no more than once per day.
- D. Losing less than 10% of weight since delivery.
Correct Answer: A
Rationale: Lactational amenorrhea is effective only within 6 months postpartum if exclusively breastfeeding.
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As a nurse providing anticipatory guidance to parents of newborns, for which reason would you advise against allowing young siblings to feed an infant?
- A. Increased risk of aspiration
- B. Increased risk of mouth injury
- C. increased risk of bowel obstruction
- D. Increased risk of vomiting
Correct Answer: A
Rationale: Young children may not properly handle the infant, increasing the risk of aspiration.
The nurse is monitoring a client with gestational hypertension. What symptom requires immediate intervention?
- A. Weight gain of 1 pound in a week.
- B. Slight swelling of the hands and feet.
- C. Severe headache and vision changes.
- D. Blood pressure of 135/85 mmHg.
Correct Answer: C
Rationale: Severe headache and vision changes may indicate preeclampsia and require immediate evaluation.
After her baby's birth a patient wishes to begin breastfeeding. The nurse assists the client by:
- A. Positioning the infant to grasp the nipple to express milk.
- B. Giving the infant a bottle first to evaluate the baby's ability to suck
- C. Leaving them alone and allowing the infant to nurse as long as desired
- D. Touching the infant's cheek adjacent to the nipple to elicit the rooting reflex
Correct Answer: D
Rationale: The rooting reflex helps initiate breastfeeding.
A patient would like to use the calendar method for contraception. She has charted her menstrual cycles for several months. Her longest menstrual cycle was 39 days long, and her shortest period was 29 days long. The nurse educates the patient to avoid condomless intercourse during what range of days of the cycle?
- A. day 9 through day 19
- B. day 10 through day 15
- C. day 12 through day 16
- D. day 11 through day 28
Correct Answer: B
Rationale: In the calendar method of contraception, a woman tracks her menstrual cycle to determine the fertile window in which she is most likely to conceive. The fertile window is typically considered to be the days leading up to and including ovulation.
During the first few minutes after birth which physiologic changes occurs in the newborn as response to vascular pressure changes in increased oxygen levels?
- A. Dilation of pulmonary vessel (dilation of pulmonary vessels occurs in response to increased oxygen levels)
Correct Answer: A
Rationale: Immediately after birth, as the newborn takes its first breaths and transitions to breathing air, there is a rapid increase in oxygen levels in the blood. This sudden increase in oxygen causes the pulmonary vessels in the newborn's lungs to dilate. This dilation helps improve blood flow through the lungs, allowing for efficient exchange of oxygen and carbon dioxide. The dilation of pulmonary vessels is a normal physiologic response to the changing environment in the newborn's body after birth.