Maternal and Newborn Nursing

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Which foods control option. Which is the most effective and should she discuss?

  • A. Whole grains
  • B. Copper intrauterine device
  • C. Meats
  • D. Cervical cap
Correct Answer: B

Rationale: Among the options provided, the most effective birth control method is the copper intrauterine device (IUD). IUDs are over 99% effective at preventing pregnancy and provide long-term contraception without the need for daily management. Copper IUDs work by releasing copper ions that are toxic to sperm, thus preventing fertilization. It is a reversible form of birth control and can be easily removed if a person decides to become pregnant. Additionally, IUDs do not contain hormones, making them a suitable option for individuals who prefer non-hormonal birth control methods. It is advisable for the individual to discuss the possibility of using a copper IUD with their healthcare provider to determine if it is the right choice for them based on their specific health needs and preferences.

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When integrating the principles of family-centered care into the birthing process, the nurse would base care upon which belief?

  • A. Birth is viewed as a medical event.
  • B. Families are unable to make informed choices due to stress.
  • C. Birth results in changes in relationships.
  • D. Families require little information to make appropriate decisions for care.
Correct Answer: C

Rationale: Family-centered care is based on the following principles: Birth affects the entire family, and relationships will change; birth is viewed as a normal, healthy event in the life of the family; and families are capable of making decisions about their own care if given adequate information and professional support.

Which data must the nurse consider before administering Depo-Provera (medroxyprogesterone acetate) to a postpartum client?

  • A. The capsule must be taken at the same time each day.
  • B. The client must be taught to use sunscreen whenever in the sunlight.
  • C. The medicine is contraindicated if the woman has lung or esophageal cancer.
  • D. The client must use an alternate form of birth control for the first two months.
Correct Answer: C

Rationale: Medroxyprogesterone acetate is contraindicated in women with certain cancers.

A patient would like to use the calendar method for contraception. She has charted her menstrual cycles for several months. Her longest menstrual cycle was 39 days long, and her shortest period was 29 days long. The nurse educates the patient to avoid condomless intercourse during what range of days of the cycle?

  • A. day 9 through day 19
  • B. day 10 through day 15
  • C. day 12 through day 16
  • D. day 11 through day 28
Correct Answer: B

Rationale: In the calendar method of contraception, a woman tracks her menstrual cycle to determine the fertile window in which she is most likely to conceive. The fertile window is typically considered to be the days leading up to and including ovulation.

A nurse is reviewing the prenatal laboratory results. to feed.

  • A. Have the mother lean over the infant while feeding action? to facilitate gravity, thereby creating enhanced
  • B. Platelet count of 300,000 per μL of blood milk flow.
  • C. Red blood cell count of 4 million/microliter
  • D. Breastfeeding should not be attempted at this time
Correct Answer: B

Rationale: Platelets are essential for blood clotting and preventing excessive bleeding. A platelet count of 300,000 per μL of blood is within the normal range for adults, indicating that the nurse can proceed with breastfeeding without concerns related to the platelet count. High platelet levels can be associated with conditions like thrombocytosis, which may increase the risk of blood clotting, but in this case, the platelet count is within the normal range. Therefore, the nurse can focus on other factors when determining the readiness for breastfeeding, such as the baby's ability to latch effectively and the mother's comfort and milk supply.

What contraceptive method is best suited for a single, perimenopausal woman with four sex partners who smokes 1 pack of cigarettes per day?

  • A. Male condom.
  • B. Intrauterine device.
  • C. NuvaRing.
  • D. Oral contraceptives.
Correct Answer: A

Rationale: Male condoms provide dual protection against pregnancy and STIs.

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