Nokea
LGBTQIA+ families are at higher risk for certain issues more than straight, cisgender parents. What is an example of a vulnerability experienced by LGBTQIA+ families?
- A. increased cases of social exclusion
- B. fewer cases of intimate partner violence
- C. fewer incidents of family trauma
- D. increased cases of social acceptance
Correct Answer: A
Rationale: LGBTQIA+ families often face social exclusion and discrimination, increasing their vulnerability to mental and physical health challenges.
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A nurse is caring for a client who experienced a vaginal delivery 12 hr ago. When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?
- A. At the level of the umbilicus
- B. 2 cm above the umbilicus
- C. One fingerbreadth above the symphysis pubis
- D. To the right of the umbilicus
Correct Answer: C
Rationale: After a vaginal delivery, the uterus typically undergoes involution, which is the process of the uterus returning to its pre-pregnancy size and position. At 12 hours postpartum, the uterine fundus should be palpated approximately one fingerbreadth above the symphysis pubis. This position indicates proper contraction of the uterus and helps prevent postpartum hemorrhage. As time progresses, the uterine fundus will gradually descend back into the pelvis.
The nurse is educating a client about kick counts. When should the client contact the healthcare provider?
- A. Fewer than 10 movements in 2 hours.
- B. Fewer than 5 movements in 1 hour.
- C. No movements after drinking juice.
- D. No movements for 12 hours.
Correct Answer: A
Rationale: Fewer than 10 movements in 2 hours is concerning and warrants further evaluation.
Two hours after an epidural infusion has begun the patient complains of itching of her face and neck. The nurse should:
- A. Recognize this is a common side effect to follow protocol for administration of Benadryl
- B. Remove the epidural catheter and apply a band aid on the injection site
- C. Offer the patient a cool cloth and let her know itching is temporary
- D. Call anesthesia to remove epidural catheter
Correct Answer: A
Rationale: Itching of the face and neck following an epidural infusion is a common side effect known as pruritus. The nurse should recognize this symptom and follow the protocol for addressing itching associated with epidural infusions. In this case, administering Benadryl is a common intervention to help relieve the itching. Benadryl is an antihistamine that can help alleviate itching and discomfort without the need to remove the epidural catheter. It is important for the nurse to assess the patient's symptoms, follow proper protocols, and provide appropriate interventions to manage side effects like pruritus.
The nurse is performing a prenatal assessment. What finding is considered a probable sign of pregnancy?
- A. Positive pregnancy test.
- B. Fetal movement felt by the mother.
- C. Visualization of the fetus on ultrasound.
- D. Auscultation of fetal heart tones.
Correct Answer: A
Rationale: A positive pregnancy test is a probable sign but not definitive, as it could result from other conditions.
A client is experiencing uterine atony after delivery. What is the nurse's first action?
- A. Massage the fundus until firm.
- B. Increase IV fluid rate.
- C. Notify the healthcare provider.
- D. Administer prescribed oxytocin.
Correct Answer: A
Rationale: Fundal massage stimulates uterine contraction and is the initial response to uterine atony to prevent hemorrhage.