Nokea
A couple asks the nurse about the procedure for surrogate parenting. Which correct responses should the nurse provide for this couple? (Select all that apply.)
- A. Donated embryos can be implanted into the surrogate mother.
- B. The surrogate mother needs to have carried one previous birth to term.
- C. You both need to be infertile to be eligible for surrogate parenting.
- D. Conception can take place outside the surrogate mother’s body and then implanted.
Correct Answer: A
Rationale: A. Donated embryos can be implanted into the surrogate mother: This is a common method in surrogate parenting where embryos from either the intended parents or donors are implanted into the surrogate mother's uterus.
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A client has been prescribed adjuvant tamoxifen therapy. What common side effect might she experience?
- A. Weight gain, hot flashes, and blood clots
- B. Vomiting, weight loss, and hair loss
- C. Nausea, vomiting, and diarrhea
- D. Hot flashes, weight gain, and headaches
Correct Answer: A
Rationale: Common side effects of tamoxifen include hot flashes, weight gain, and blood clots. Other side effects like nausea and hair loss are not typical.
A nurse is caring for a client who is receiving oxytocin to augment labor. The client has an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring. Which of the following is an indication that the nurse should discontinue the infusion?
- A. Contraction frequency every 3 min
- B. Contraction duration of 100 seconds
- C. Fetal heart rate with moderate variability
- D. Fetal heart rate of 118/min
Correct Answer: B
Rationale: Contractions lasting longer than 90 seconds (tachysystole) can lead to fetal distress by reducing uteroplacental blood flow. Oxytocin should be discontinued if contractions become excessive. Moderate variability and normal fetal heart rate do not indicate distress.
The secondary level of prevention is best illustrated by which example?
- A. Approved infant car seats
- B. BSE
- C. Immunizations
- D. Support groups for parents of children with Down syndrome
Correct Answer: B
Rationale: BSE (Breast Self-Examination) is a secondary prevention measure aimed at early detection of health problems, like breast cancer. Immunizations are primary prevention, and support groups fall under tertiary prevention, which addresses issues post-diagnosis.
Which situation is most representative of an extended family?
- A. It includes adoptive children.
- B. It is headed by a single-parent.
- C. It contains children from previous marriages.
- D. It is composed of children, parents, and grandparents living in the same house.
Correct Answer: D
Rationale: An extended family is a type of family unit that includes not only the nuclear family (parents and children) but also other relatives such as grandparents, aunts, uncles, cousins, etc., all living together or in close proximity. Option D, which states that the family is composed of children, parents, and grandparents living in the same house, is most representative of an extended family structure. This situation reflects the multi-generational aspect of an extended family where multiple generations live together and contribute to the household dynamics.
A nurse is conducting an infertility assessment for a newly admitted client. Which of the following factors should the nurse identify as affecting the client's fertility?
- A. Premature ovarian failure
- B. Renal calculi
- C. Dysmenorrhea
- D. Recurrent urinary tract infection
Correct Answer: A
Rationale: Premature ovarian failure leads to decreased estrogen production and lack of ovulation, significantly affecting fertility.