Nokea
The nurse is teaching a client about signs of labor. Which symptom indicates true labor?
- A. Irregular contractions that stop with activity.
- B. Contractions felt in the abdomen only.
- C. Cervical dilation and effacement.
- D. Absence of fetal movement.
Correct Answer: C
Rationale: True labor is characterized by regular contractions that cause cervical dilation and effacement.
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What is the primary reason for administering Rh immunoglobulin to an Rh-negative mother after delivery?
- A. To prevent maternal sensitization in future pregnancies
- B. To treat postpartum hemorrhage
- C. To reduce the risk of infection
- D. To boost maternal immune response
Correct Answer: A
Rationale: Rh immunoglobulin prevents maternal sensitization to Rh-positive blood.
Family roles are often defined by culture and religion. What does the nurse know about collectivism?
- A. Collectivist cultures place an emphasis on individuality.
- B. Decisions are made for the benefit of the individual person, then the family.
- C. A person from a collectivist culture might leave treatment decisions to their family.
- D. These cultures believe that it is best for society when everyone decides on their own health care.
Correct Answer: C
Rationale: Collectivist cultures prioritize family and group decision-making over individual choices.
The nurse is caring for a client in labor who reports intense pressure and the urge to push. What is the priority nursing action?
- A. Perform a sterile vaginal examination.
- B. Instruct the client to breathe through the urge to push.
- C. Notify the healthcare provider.
- D. Increase the oxytocin infusion rate.
Correct Answer: A
Rationale: A vaginal examination is needed to confirm full cervical dilation and readiness for delivery.
What is an advantage of the cervical cap over the diaphragm?
- A. a lower failure rate
- B. its ease of insertion
- C. that it can remain in place for 48 hours
- D. that spermicide is not needed
Correct Answer: A
Rationale: The advantage of the cervical cap over the diaphragm is that it typically has a lower failure rate in preventing pregnancy. Failure rates for contraceptive methods refer to the percentage of women who become pregnant within the first year of typical use. The cervical cap is generally associated with a lower failure rate compared to the diaphragm due to its snugger fit and ability to cover the cervix more effectively, resulting in better protection against sperm entering the uterus. This makes the cervical cap a more reliable option for women seeking effective contraception.
A nurse is providing teaching to a group of women about risk factors for ovarian cancer. Which of the following should the nurse include? (Select all that apply.)
- A. Nulliparity
- B. History of breastfeeding (???)
- C. Previous use of oral contraceptives
- D. History of breast cancer
Correct Answer: A
Rationale: A. Nulliparity: Women who have never been pregnant (nulliparity) are at an increased risk for ovarian cancer compared to women who have had full-term pregnancies. This is thought to be due to the protective effect of pregnancy and childbirth on the ovaries.