The copper used in Copper T has the following action
- A. Blastocidal
- B. Bacteriostatic
- C. Bacteriocidal
- D. Spermicidal
Correct Answer: D
Rationale: Copper in Copper T releases ions that are toxic to sperm, acting as a spermicidal agent.
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A postpartum primipara asks the nurse, 'When can we have sexual intercourse again?' Which of the following would be the nurse's best response?
- A. When The Discharge Has Stopped And The Incision Is Healed.
- B. As Soon As Choose A Contraceptive Method.
- C. Anytime You Both Want To.
- D. After Your 6 Weeks Examination.
Correct Answer: A
Rationale: Resuming intercourse after lochia stops and any perineal or cesarean incisions heal (typically by 6 weeks) minimizes infection and discomfort risks.
After 4 hours of active labor, the nurse notes that the contractions of a primigravida client are not strong enough to dilate the cervix. Which of the following would the nurse anticipate doing?
- A. Increasing The Encouragement To The Patient When Pushing Begins
- B. Preparing For A Cesarean Section For Failure To Progress
- C. Administering A Light Sedative To Allow The Patient To Rest For Several Hour
- D. Obtaining An Order To Begin IV Oxytocin Infusion
Correct Answer: D
Rationale: IV oxytocin is used to augment labor by strengthening contractions when progress is inadequate, facilitating cervical dilation.
Which of the following is incorrect about oral contraceptive pill 'Saheli'?
- A. It is taken by females
- B. It has very few side effects
- C. It is a steroidal preparation
- D. It is 'Once a week' pill
Correct Answer: C
Rationale: Saheli is a non-steroidal contraceptive pill.
When examining a patient who has otitis media with effusion, the pediatric primary care nurse practitioner expects to find:
- A. a perforated tympanic membrane.
- B. decreased mobility of the tympanic membrane.
- C. normal hearing.
- D. pain on manipulation of the external auditory canal.
Correct Answer: B
Rationale: Otitis media with effusion is characterized by fluid in the middle ear without acute infection, leading to decreased tympanic membrane mobility due to pressure changes, detectable via pneumatic otoscopy.
Immediately after birth the nurse notes the following on a male newborn: respirations 78; apical hearth rate 160 BPM, nostril flaring; mild intercostal retractions; and grunting at the end of expiration. Which of the following should the nurse do?
- A. Recognize This As Normal First Period Of Reactivity
- B. Suction The Infant's Mouth And Nares
- C. Call The Assessment Data To The Physician's Attention
- D. Start Oxygen Per Nasal Cannula At 2 L/Min.
Correct Answer: C
Rationale: Signs of respiratory distress (flaring, retractions, grunting) in a newborn require immediate physician notification for evaluation and management.
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