Nokea
The CARE principles applied to the care of a pregnant woman refer to (C) communication, (A) advocate, (R) respect, and (E)
- A. enable
- B. educate
- C. engage
Correct Answer: A
Rationale: Enable emphasizes empowering women to make informed decisions about their care.
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Which patient is most likely to develop osteoporosis?
- A. A 50-year-old patient on estrogen therapy
- B. A 55-year-old patient with a sedentary lifestyle
- C. A 65-year-old patient who walks 2 miles each day
- D. A 60-year-old patient who takes supplemental calcium
Correct Answer: B
Rationale: The correct answer is B. Osteoporosis is more common in individuals with sedentary lifestyles due to decreased bone density from lack of weight-bearing exercise. Choice A on estrogen therapy may have lower risk. Choice C, who exercises, has a reduced risk. Choice D with calcium intake may help prevent osteoporosis but not as effective as weight-bearing exercise.
A postpartum patient who has had a vaginal birth asks the nurse, I was wondering if my cervix will return to its previous shape before I had the baby? Which is the best response by the nurse?
- A. The cervix will now have a slit-like shap
- C. The cervix will be round and smooth after healing occurs.
- D. The cervix will remain 50% effaced now that you have had a baby.
Correct Answer: A
Rationale: The correct answer is A: The cervix will now have a slit-like shape. After giving birth, the cervix undergoes changes in shape and size to adapt to the delivery process. It becomes slit-like instead of round to allow for easier dilation in future pregnancies. This response is correct as it addresses the anatomical changes that occur postpartum.
Choice B is incorrect because it does not provide an explanation of the postpartum cervix shape changes.
Choice C is incorrect because it describes the cervix in a way that does not reflect the usual postpartum changes.
Choice D is incorrect because it refers to effacement, which is the thinning of the cervix during labor and not a permanent change postpartum.
A patient who experienced placenta previa is at increased risk of hemorrhage during the postpartal period because
- A. the placenta was smaller than normal
- B. the area of implantation does not contract effectively
- C. the placenta implanted very high in the uterus
Correct Answer: B
Rationale: Ineffective contraction of the placental site increases bleeding risk.
The cell free fetal DNA test assesses for
- A. chromosomal disorders
- B. neural tube defects
- C. fetal alcohol syndrome
Correct Answer: A
Rationale: Cell-free fetal DNA testing screens for chromosomal abnormalities like trisomy 21, 18, and .
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.