Nokea
If a breastfeeding woman shows a nonimmune rubella titer prior to discharge, the woman should be
- A. given the MMR vaccine and continue breastfeeding
- B. given the MMR vaccine and stop breastfeeding for a few days
- C. told to take the MMR vaccine in 3 to 6 months
Correct Answer: C
Rationale: MMR vaccination is contraindicated during breastfeeding; postponement ensures safety.
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The fetal/neonatal lung substance that improves pulmonary compliance by decreasing alveolar surface tension is
- A. meconium
- B. prostaglandin
- C. surfactant
Correct Answer: C
Rationale: Surfactant is a substance produced in the lungs that decreases alveolar surface tension, improving pulmonary compliance and preventing lung collapse.
The hormone that causes the follicle to rupture and the egg to be expelled is:
- A. Luteinizing hormone (LH)
- B. Follicle-stimulating hormone (FSH)
- C. Estrogen
- D. Progesterone
Correct Answer: A
Rationale: LH triggers ovulation, causing the follicle to rupture and release the egg.
The part of the vulva that is composed of erectile tissue and is located just behind the junction of the labia minora is called the:
- A. Mons pubis
- B. Clitoris
- C. Urinary meatus
- D. Labia majora
Correct Answer: B
Rationale: The clitoris is composed of erectile tissue and is located just behind the junction of the labia minora.
Before the nurse encourages this patient to begin annual screening, it is important for her to understand the reasons why women avoid testing. These reasons include which of the following? (Select all that apply.)
- A. Fear of x-ray exposure
- B. Expense of the procedure
- C. Reluctance to hear bad news
- D. Having heard that the test is painful
Correct Answer: B
Rationale: The correct answer is B: Expense of the procedure. This is correct because cost can be a significant barrier to healthcare access, including screening tests. Women may avoid testing due to financial constraints.
A: Fear of x-ray exposure is not typically a reason for avoiding annual screening, as modern screening methods use minimal radiation.
C: Reluctance to hear bad news may be a concern, but it is not a common reason for avoiding testing altogether.
D: Having heard that the test is painful is not a typical reason for avoiding annual screening, as most screening tests are not painful.
The drug-exposed infant is most likely to have symptoms of withdrawal in the newborn period after chronic intrauterine exposure to
- A. caffeine
- B. marijuana
- C. oxycodone
Correct Answer: C
Rationale: Opioids like oxycodone can cause neonatal abstinence syndrome, characterized by withdrawal symptoms.