Nokea
What is the nurse's role in supporting breastfeeding for a first-time mother?
- A. Provide formula supplements
- B. Demonstrate proper latching techniques
- C. Recommend stopping breastfeeding
- D. Provide pacifiers to prevent overfeeding
Correct Answer: A
Rationale: Proper latching techniques help establish successful breastfeeding and prevent complications.
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When teaching parents about mandatory newborn screening, it is important for the nurse to explain that the main purpose is to:
- A. keep the State records updated.
- B. allow accurate statistical information.
- C. document the number of births.
- D. recognize and treat newborn disorders early.
Correct Answer: D
Rationale: Early recognition and treatment can prevent serious health issues.
What is the LNG-IUC mechanism of action?
- A. disruption of fertilization of the egg and sperm
- B. termination of a pregnancy
- C. creation of a hostile uterine environment
- D. thickening cervical mucus, atrophic endometrium
Correct Answer: D
Rationale: The LNG-IUC, or levonorgestrel-releasing intrauterine system, works primarily by thickening the cervical mucus, which inhibits the passage of sperm through the cervix. This mechanism reduces the likelihood of fertilization occurring. Additionally, LNG-IUC also causes atrophic changes in the endometrium, which makes it less conducive for implantation of a fertilized egg, further decreasing the chance of pregnancy.
The primiparous patient that's 40 weeks' gestation reports to the nurse that she has increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?
- A. This symptom usually means the baby's head has descended further
- B. Unless you have pain with urination, we don't need to worry it
- C. Come in for an appointment today and we'll check out everything
- D. This might indicate that the baby is no longer in a head down position
Correct Answer: A
Rationale: The best response by the nurse is to reassure the primiparous patient that her increased pelvic pressure and urinary frequency could mean that the baby's head has descended further into the pelvis. This can indicate that labor is approaching, as the baby is getting into position for birth. It is important for the nurse to provide this information to ease the patient's concerns and help her understand the potential significance of these symptoms at 40 weeks' gestation.
The nurse teaches a new mother that neonatal weight loss in the first 3 days of life is most often the result of:
- A. Allergy to formula
- B. a hypoglycemic response
- C. Inadequate breast or formula feeding
- D. Excretion of fluid via lungs, urinary bladder and bowels.
Correct Answer: D
Rationale: Fluid loss is the primary cause of early weight loss.
What is an appropriate response to a 16-year-old woman seeking emergency contraception after unprotected intercourse?
- A. You can walk into your local pharmacy and buy Plan B (levonorgestrel).
- B. I am sorry but because of your age I am unable to assist you.
- C. The emergency room doctor can prescribe high-dose birth control pills (BCP) for you.
- D. The nurse's response is dependent upon which state he or she is practicing in.
Correct Answer: A
Rationale: Plan B is available over-the-counter for individuals of all ages.