Nokea
The neonate usually passes meconium within
- A. 6 to 8 hours
- B. 8 to 24 hours
- C. 48 to 72 hours
Correct Answer: B
Rationale: Most neonates pass meconium within the first 24 hours of life.
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Dichorionic-diamniotic twins result from separation of embryonic cells at the:
- A. Four-cell stage
- B. Blastocyst stage
- C. Implantation stage
- D. Trilaminar disc stage
Correct Answer: A
Rationale: The correct answer is A: Four-cell stage. Dichorionic-diamniotic twins occur when the embryo splits into two separate embryos very early in development, typically at the four-cell stage. At this stage, each embryo will have its own chorion and amnion, leading to separate placentas and amniotic sacs. Choices B, C, and D occur later in development and do not result in the formation of two separate embryos with their own chorion and amnion, making them incorrect for the scenario of dichorionic-diamniotic twins.
The nurse is reviewing information in anticipation of providing education to her patient. What is an accurate statement about ovarian cancer?
- A. The symptoms of ovarian cancer are easy to detect because they are very specific to the disease process.
- B. The symptoms of ovarian cancer are difficult to detect because they are vague and nonspecific.
- C. There are no symptoms of ovarian cancer.
- D. There are screening tests available for ovarian cancer that make it easy to detect.
Correct Answer: B
Rationale: The correct answer is B because the symptoms of ovarian cancer are often vague and nonspecific, leading to challenges in early detection. Symptoms such as bloating, pelvic pain, difficulty eating, and frequent urination can be mistaken for other conditions. This lack of specific symptoms makes it difficult for individuals to recognize the signs of ovarian cancer. Choice A is incorrect because the symptoms are not easy to detect. Choice C is incorrect as ovarian cancer does present symptoms. Choice D is incorrect as there are no reliable screening tests for ovarian cancer, which contributes to the difficulty in early detection.
A sign of impaired attachment between the postpartum mother and her infant is
- A. decreasing maternal interaction with the infant over time
- B. maternal request to rest and refuse visitors
- C. maternal encouragement for family members to hold the infant
Correct Answer: A
Rationale: Decreased interaction may indicate difficulties in bonding between the mother and infant.
If a breastfeeding woman shows a nonimmune rubella titer prior to discharge, the woman should be
- A. given the MMR vaccine and continue breastfeeding
- B. given the MMR vaccine and stop breastfeeding for a few days
- C. told to take the MMR vaccine in 3 to 6 months
Correct Answer: C
Rationale: MMR vaccination is contraindicated during breastfeeding; postponement ensures safety.
What condition would the nurse suspect in a patient who presents with very painful menstrual cramps that prevent them from working each month?
- A. amenorrhea
- B. dysmenorrhea
- C. premenstrual syndrome
- D. abnormal uterine bleeding
Correct Answer: B
Rationale: The correct answer is B: dysmenorrhea. Dysmenorrhea refers to painful menstrual cramps that can be severe enough to interfere with daily activities like work. This condition is common and can be caused by increased prostaglandin levels leading to uterine contractions. Amenorrhea (A) is the absence of menstruation, not painful cramps. Premenstrual syndrome (C) involves a variety of physical and emotional symptoms before menstruation, but not necessarily severe cramps. Abnormal uterine bleeding (D) refers to irregular or excessive bleeding, not specifically related to cramps.