Nokea
In a 28-day menstrual cycle, when does ovulation typically occur?
- A. around day 7
- B. around day 14
- C. around day 21
- D. around day 28
Correct Answer: B
Rationale: The correct answer is B: around day 14. Ovulation typically occurs around day 14 in a 28-day menstrual cycle. This is because ovulation usually happens around 14 days before the start of the next menstrual period. This timing aligns with the midpoint of the menstrual cycle, which is around day 14. Ovulation is the release of an egg from the ovary, marking the most fertile period for conception. Choices A, C, and D are incorrect because ovulation does not typically occur on day 7, day 21, or day 28 in a 28-day menstrual cycle.
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The nurse is assessing a client with suspected chorioamnionitis. What is the priority nursing assessment?
- A. Assess for foul-smelling vaginal discharge.
- B. Monitor maternal blood pressure.
- C. Evaluate fetal heart rate.
- D. Check maternal glucose levels.
Correct Answer: C
Rationale: The correct answer is C: Evaluate fetal heart rate. In chorioamnionitis, fetal distress can occur due to infection and inflammation of the fetal membranes. Monitoring fetal heart rate is crucial to assess the well-being of the baby. Assessing for foul-smelling discharge (A) is important but not the priority. Monitoring maternal blood pressure (B) and checking glucose levels (D) are relevant assessments but do not address the immediate risk of fetal distress in chorioamnionitis.
Alaska Natives experience higher levels of violence, poverty, and drug and alcohol use, and fewer resources. How can the nurse help these patients?
- A. Tell the patient to stop using substances.
- B. Provide resources that are specific for this population.
- C. Tell the patient to call the police.
- D. Report the abuse to the social worker.
Correct Answer: B
Rationale: The correct answer is B because providing resources specific to Alaska Natives addresses the unique challenges they face. This can include culturally sensitive support services, mental health resources, and community programs. Choice A is incorrect as simply telling the patient to stop using substances is not addressing the underlying issues. Choice C is inappropriate as telling the patient to call the police may not be safe or effective in all situations. Choice D is also incorrect as reporting abuse to a social worker may be necessary but does not directly address the patient's immediate needs for support and resources.
A couple comes in for an infertility workup, having attempted to get pregnant for 2 years. The woman, 37, has always had irregular menstrual cycles but is otherwise healthy. The man has fathered two children from a previous marriage and had a vasectomy reversal 2 years ago. The man has had two normal semen analyses, but the sperm seem to be clumped together. What additional test is needed?
- A. FSH level
- B. Antisperm antibodies
- C. Testicular biopsy
- D. Test of testicular infection
Correct Answer: B
Rationale: The correct answer is B: Antisperm antibodies. In this case, the man's history of vasectomy reversal and normal semen analyses with clumped sperm suggest a possible presence of antisperm antibodies. These antibodies can cause sperm agglutination, affecting fertility. Testing for antisperm antibodies can provide valuable information on potential immune-related infertility issues.
A: FSH level is not the most appropriate test in this scenario as the man's semen analyses were normal, indicating potential issues with sperm-egg interaction rather than hormonal imbalances.
C: Testicular biopsy is invasive and not necessary at this stage when the issue seems to be related to sperm clumping rather than a structural problem within the testes.
D: Test of testicular infection is unlikely as the man's semen analyses were normal, and there are no indications of infection based on the information provided.
Why was the Bradley Method originally introduced?
- A. as a novel approach to pregnancy where low-intervention, medication-free births were the goal
- B. as an education program that supported use of twilight birth
- C. as a system of supporting families wanting community birth
- D. as a program of education that focused on the importance of using a doula instead of a partner as a birth support
Correct Answer: A
Rationale: The correct answer is A: as a novel approach to pregnancy where low-intervention, medication-free births were the goal. The Bradley Method was introduced in the late 1940s by Dr. Robert Bradley with the aim of empowering women to have natural childbirth experiences without unnecessary medical interventions. This method promotes education and preparation for childbirth, emphasizing relaxation techniques, partner involvement, and natural pain management strategies. The other choices, B, C, and D, are incorrect because they do not align with the fundamental principles of the Bradley Method, which focuses on promoting low-intervention, medication-free births through education and empowerment of expectant parents.
The nurse is preparing a client for a scheduled cesarean delivery. What is the priority preoperative instruction?
- A. Eat a high-protein meal before surgery.
- B. Empty your bladder before the procedure.
- C. Avoid brushing your teeth on the morning of surgery.
- D. Refrain from taking prescribed medications.
Correct Answer: B
Rationale: The correct answer is B: Empty your bladder before the procedure. This is the priority preoperative instruction because a full bladder can increase the risk of complications during surgery, such as injury to the bladder or difficulties in catheter insertion. It is essential to ensure the bladder is empty to provide a clear surgical field and prevent urinary retention postoperatively.
Explanation for other choices:
A: Eating a high-protein meal before surgery is not recommended as it can increase the risk of aspiration during anesthesia.
C: Avoiding brushing teeth on the morning of surgery is not a priority instruction. Maintaining oral hygiene is important, but it does not directly impact the surgical procedure.
D: Refraining from taking prescribed medications should be discussed with the healthcare provider, as certain medications may need to be taken even on the day of surgery to prevent complications.