For which health history should the nurse counsel a woman that the diaphragm may lead to a recurrence of her problem?
- A. Urinary tract infections.
- B. Herpes simplex infections.
- C. Deep vein thromboses.
- D. Human papilloma warts.
Correct Answer: A
Rationale: Diaphragm use can increase the risk of UTIs.
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What action is appropriate for a school nurse noticing a young woman with scars on her knuckles running to the bathroom after lunch?
- A. Nothing, because her behavior is normal.
- B. Question the young woman to see if she is being abused.
- C. Recommend that the young woman be seen by her doctor.
- D. Follow the young woman to the bathroom.
Correct Answer: C
Rationale: Medical evaluation is necessary to confirm suspected bulimia.
An assessment of the newborn includes the differentiation between cephalhematoma and caput succedaneum. When making this assessment, the nurse understands that with caput succedaneum the:
- A. Edema crosses the suture line
- B. Swelling increases within 24 hours
- C. Scalp over the swelling becomes ecchymotic
- D. Area surrounding the swelling will be tender
Correct Answer: A
Rationale: Caput succedaneum involves edema that crosses suture lines.
What is a risk factor for osteoporosis?
- A. Multiparity.
- B. Increased body weight.
- C. Late onset of menopause.
- D. Heavy alcohol intake.
Correct Answer: D
Rationale: Heavy alcohol intake negatively affects bone density.
The newborn's mother is concerned about the shape of the baby's head after delivery. She states that the baby looks like a "cone head." What is the most appropriate response by the nurse?
- A. You don't need to worry about it. It is perfectly normal after birth.
- B. It is molding caused by the pressure during birth and will disappear in a few days.
- C. I will report it to the physician and recommend a diagnostic scan.
- D. It is a collection of blood related to the trauma of delivery and will absorb in a few weeks.
Correct Answer: B
Rationale: Molding is a normal finding after birth and resolves spontaneously.
What procedure should a couple take if the man's penis becomes flaccid immediately after ejaculation?
- A. The woman should douche with white vinegar and water.
- B. The woman should consider taking a postcoital contraceptive.
- C. The man should hold the edges of the condom during its removal.
- D. The man should apply spermicide to the upper edges of the condom.
Correct Answer: C
Rationale: Holding the condom edges prevents semen leakage.