Nokea
The nurse is preparing a client for a nonstress test. What instruction should the nurse provide?
- A. Avoid eating or drinking before the test.
- B. Press the button whenever you feel the baby move.
- C. Lie flat on your back during the test.
- D. Expect contractions to occur during the test.
Correct Answer: B
Rationale: The client should press the button when fetal movements are felt, which are correlated with fetal heart rate accelerations.
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Which comment shows understanding of care for an asymptomatic woman being treated for HIV infection?
- A. If I get pregnant, my baby will be HIV positive.
- B. I should have my viral load and antibody levels checked every day.
- C. Since my partner and I are both HIV positive, we use a condom.
- D. To be safe, my partner and I engage only in oral sex.
Correct Answer: C
Rationale: Condom use reduces the risk of HIV transmission even between seroconcordant partners.
A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify
- A. Fetal attitude is in general flexion.
- B. Fetal lie is longitudinal.
- C. Maternal pelvis is gynecoid.
- D. Fetal position is persistent occiput posterior.
Correct Answer: D
Rationale: In a labor where the fetal position is persistent occiput posterior, the baby is positioned face up, which can lead to a longer and more difficult labor. In this position, the baby's head is pressing against the mother's spine, causing severe backache for the mother. This malposition can slow down the progress of labor, making it more prolonged and challenging. It can also increase the likelihood of complications such as increased risk of instrumental delivery or cesarean section. Therefore, identifying the fetal position as persistent occiput posterior as a contributing cause to the difficult, prolonged labor with severe backache is crucial for effective management and intervention.
Which comment by a woman shows understanding of diaphragm teaching?
- A. I should regularly put the diaphragm up to the light and look at it carefully.
- B. This is one method that can be used during menstruation.
- C. I can leave the diaphragm in place for a day or two.
- D. The diaphragm should be well powdered before I put it back in the case.
Correct Answer: B
Rationale: Diaphragms can be used during menstruation.
Although circumcision continues to be a controversial procedure, many parents in the United States elect to have this surgery performed on their newborn sons. It is believed that newborns do not feel pain; therefore, this is the optimum time for the procedure to be done and no anesthesia is required.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Newborns do feel pain, and current guidelines recommend using analgesia during circumcision.
What actions should the nurse advise women to take when educating them on breast self-examination (BSE)?
- A. Use the fingertips of their index, middle, and ring fingers.
- B. Use pressure in two intensities, light and deep.
- C. Look for dimpling while bending forward from the waist.
- D. Feel for lumps while encircling the breast from nipple outward.
Correct Answer: A
Rationale: Proper technique ensures accurate detection of abnormalities.