Nokea
The microscopic examination of scrapings from the cervix, endocervix, or other mucous membranes to detect premalignant or malignant cells is called what?
- A. Bimanual palpation
- B. Rectovaginal palpation
- C. Papanicolaou (Pap) test
- D. Four As procedure
Correct Answer: C
Rationale: The Pap test is used to detect cancer and should be performed regularly depending on the client's age.
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Many communities now offer the availability of free-standing birth centers to provide care for low-risk women during pregnancy, birth, and postpartum. When counseling the newly pregnant patient regarding this option, the nurse should be aware that this type of care setting includes which advantages? (Select all that apply.)
- A. Staffing by lay midwives
- B. Equipped for obstetric emergencies
- C. Less expensive than acute care hospitals
- D. Safe, homelike births in a familiar setting
Correct Answer: B
Rationale: B. Equipped for obstetric emergencies: Free-standing birth centers are equipped to handle any obstetric emergencies that may arise during labor and birth. They have the necessary equipment and trained staff to respond quickly and effectively to emergencies to ensure the safety of both the mother and baby.
A nurse educator is teaching a group of nursing students about the history of family-centered maternity care. Which statement should the nurse include in the teaching session?
- A. The Sheppard-Towner Act of 1921 promoted family-centered care.
- B. Changes in pharmacologic management of labor prompted family-centered care.
- C. Demands by physicians for family involvement in childbirth increased the practice of family-centered care.
- D. Parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care.
Correct Answer: D
Rationale: The statement that parental requests that infants be allowed to remain with them rather than in a nursery initiated the practice of family-centered care is the most accurate regarding the history of family-centered maternity care. Family-centered care evolved in response to the recognition of the importance of family involvement in maternity care and the benefits of promoting bonding between the newborn and their parents. This shift in practice came about in response to increasing parental requests for infants to remain with them rather than being separated in a nursery setting. This marked a significant departure from traditional policies that separated mothers and infants after birth and paved the way for the development of family-centered approaches to maternity care.
A nurse is caring for a patient who states she is experiencing a thin vaginal discharge with a strong fishy odor. What test does the nurse prepare?
- A. whiff test
- B. vaginal culture
- C. urine culture
- D. blood test
Correct Answer: A
Rationale: A nurse caring for a patient who presents with a thin vaginal discharge with a strong fishy odor should prepare for performing a whiff test. The whiff test, also known as the amine or sniff test, is used to aid in the diagnosis of bacterial vaginosis (BV). BV is a common vaginal infection characterized by an overgrowth of harmful bacteria in the vagina and can cause symptoms like thin, grayish-white discharge with a strong fishy odor.
What information is important for the nurse to include in planning for the care of a woman who has had a vaginal hysterectomy?
- A. Expect to be fully recovered in 4 to 6 weeks.
- B. Expect no changes in her hormone levels.
- C. Expect surgical menopause.
- D. Take tub baths to aid in healing.
Correct Answer: B
Rationale: Unless the ovaries were also removed, hormonal levels should not change. The woman should expect vaginal discharge for 4 to 6 weeks. Full recovery varies from woman to woman, depending on risk factors and individual healing.
A nurse is discussing recommendations for daily nutrient intake during pregnancy with a client who is at 10 weeks of gestation. For which of the following nutrients should the nurse instruct the client to increase intake during pregnancy?
- A. Vitamin E
- B. Vitamin D
- C. Fiber
- D. Calcium
Correct Answer: D
Rationale: Calcium is crucial for fetal bone and teeth development during pregnancy.