Nokea
The nurse is assessing a postpartum client who is breastfeeding. What finding requires further evaluation?
- A. Engorgement on day 3 postpartum.
- B. Mild nipple tenderness.
- C. Cracked and bleeding nipples.
- D. Colostrum present in the first 48 hours.
Correct Answer: C
Rationale: Cracked and bleeding nipples may indicate poor latch or incorrect breastfeeding technique, requiring intervention.
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The nurse is teaching a pregnant client about prenatal care. What is the recommended weight gain for a client with a normal BMI?
- A. 11–20 pounds.
- B. 15–25 pounds.
- C. 25–35 pounds.
- D. 35–45 pounds.
Correct Answer: C
Rationale: For clients with a normal BMI, the recommended weight gain during pregnancy is 25–35 pounds.
The nurse is assessing a client at 28 weeks' gestation with gestational diabetes. What complication is the client at greatest risk for?
- A. Preterm labor.
- B. Placenta previa.
- C. Macrosomia.
- D. Abruptio placentae.
Correct Answer: C
Rationale: Gestational diabetes increases the risk of fetal macrosomia, which can complicate delivery.
Which aspect of client wellness has not been a focus of health during the 21st century ?
- A. Disease prevention
- B. Health promotion
- C. Wellness
- D. Analysis of morbidity and mortality
Correct Answer: D
Rationale: The focus on health has shifted to disease prevention, health promotion, and wellness. In the last century, much of the focus was on analyzing morbidity and mortality rates.
The nurse teaches a new mother that neonatal weight loss in the first 3 days of life is most often the result of:
- A. Allergy to formula
- B. a hypoglycemic response
- C. Inadequate breast or formula feeding
- D. Excretion of fluid via lungs, urinary bladder and bowels.
Correct Answer: D
Rationale: Fluid loss is the primary cause of early weight loss.
Which should be included in teaching regarding treatment for pubic lice?
- A. The antibiotics should be taken for a full 10 days.
- B. All clothing should be pretreated with bleach before wearing.
- C. Shampoo should be applied for at least 2 hours before rinsing.
- D. The pubic hair should be combed after shampoo is removed.
Correct Answer: D
Rationale: Combing removes lice and nits after treatment.