The nurse is educating a client about complications of pregnancy. Which symptom requires immediate medical attention?
- A. Mild swelling in the feet.
- B. Heartburn after eating.
- C. Severe headache and visual disturbances.
- D. Frequent urination.
Correct Answer: C
Rationale: Severe headache and visual disturbances may indicate preeclampsia or other serious conditions requiring prompt evaluation.
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The pediatric nurse would be participating in the role of advocate when completing which action?
- A. Instructing parents on the side effects of vaccinations they are requesting for their child
- B. Contributing input on a task force with the aim to reduce the rate of mortality of infants and children
- C. Teaching parents to keep their prescribed medication safely out of reach of children
- D. Explaining to parents the reason for each medication their child was recently prescribed
Correct Answer: B
Rationale: The role of advocacy is being fulfilled when the nurse works to safeguard and advance the interest of children and infants through many means, including contributing to the learning and application of a task force aimed at reducing infant and children mortality.
Parents who recently experienced the death of their unborn child ask the nurse, 'What is a fetal death?' What is the nurse's best response?
- A. Fetal deaths occur later in pregnancy after 20 weeks' gestation.
- B. It refers to the intrauterine fetal death at any time during pregnancy.
- C. Fetal deaths occur earlier in pregnancy before 20 weeks' gestation.
- D. Fetal death occurs only at the birth of the newborn.
Correct Answer: B
Rationale: Fetal death refers to the spontaneous intrauterine death of a fetus at any time during pregnancy. Fetal deaths later in pregnancy (after 20 weeks of gestation) are referred to as stillbirths, and deaths earlier than 20 weeks are referred to as a miscarriage.
What is a statement about premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) that is true?
- A. PMS and PMDD affect only persons who have already reached menopause.
- B. Hormonal fluctuations are not considered potential causes of PMS and PMDD.
- C. PMS and PMDD are characterized by physical symptoms but not emotional symptoms.
- D. PMS and PMDD involve a range of physical and emotional symptoms due to fluctuating hormone levels.
Correct Answer: D
Rationale:
To meet the goal of promoting infant feeding in a breastfed baby, the nurse should teach the mother to do which of the following? Select all that apply.
- A. Feed the baby on a 3- to 4-hour schedule.
- B. Alternate breast milk and formula for each feeding.
- C. Stop breastfeeding if her nipples get sore.
- D. Maintain on-demand breastfeeding for the first 4 weeks.
Correct Answer: D
Rationale: On-demand feeding and maternal self-care promote successful breastfeeding.
What information should be included in teaching an uncircumcised male to use a condom?
- A. Apply mineral oil to the shaft of the penis after applying the condom.
- B. Pull back the foreskin before applying the condom.
- C. Create a reservoir at the tip of the condom after putting it on.
- D. Wait five minutes after ejaculating before removing the condom.
Correct Answer: B
Rationale: Pulling back the foreskin ensures proper placement of the condom.