Nokea
The nurse is educating a client about signs of labor. Which statement indicates understanding?
- A. False labor contractions cause cervical changes.
- B. True labor contractions decrease with activity.
- C. True labor contractions become stronger and more regular.
- D. False labor contractions are felt in the back.
Correct Answer: C
Rationale: True labor is characterized by regular, strong contractions that lead to cervical changes.
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Why is it important to consider special considerations, such as age, cultural background, or specific health conditions, during a health history for a well-person exam?
- A. to tailor the examination and screening tests to the individual’s health needs
- B. to assess the risk of occupational and environmental exposures
- C. to determine the individual's immunization history
- D. to identify potential safety considerations, such as intimate partner violence or mental abuse
Correct Answer: A
Rationale:
A patient asks the nurse about using the basal body temperature method as contraception. What statement made by the patient indicates that the patient needs further teaching?
- A. “I need to take my temperature before I even sit up in bed.â€
- B. “A rise of 0.4° F above my baseline temperatures for 3 days indicates it is safe to have condomless sex.â€
- C. “I need to use a special thermometer to take my basal body temperature.â€
- D. “I know I am about to ovulate when my temperature rises at least 0.4° F.â€
Correct Answer: B
Rationale: Option B is the statement made by the patient that indicates the need for further teaching. In the basal body temperature method of contraception, a sustained temperature rise typically indicates ovulation has already occurred, making it unsafe to have condomless sex. It is the drop in temperature just before ovulation that is used to predict a fertile window. Therefore, a rise in temperature would not indicate that it is safe to have condomless sex. The patient should be educated that the temperature shift indicates the end of the fertile window and that it is safest to avoid unprotected sex during the fertile window.
A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation. Which of the following actions should the nurse the nurse takes? (Click on the "Exhibit" Button for additional information about the newborn. There are three tabs that contain separate categories of date.)
- A. Administer nitric oxide inhalation therapy to the newborn
- B. Insert an orogastric decompression tube with low wall suction.
- C. Provide the newborn with an iron-rich formula containing vitamin B12 every 2 hr.
- D. Measure the abdominal circumference at the level of the newborn's umbilicus every 2 hr.
Correct Answer: D
Rationale: Since the newborn was born at 35 weeks of gestation, with a birth weight of 2.3 kg and exhibiting clinical signs of hypoglycemia, one of the key priorities in caring for this newborn is monitoring for complications related to prematurity. Measuring the abdominal circumference at the level of the newborn's umbilicus every 2 hours is important in assessing for signs of abdominal distention, which could indicate necrotizing enterocolitis (NEC), a serious condition commonly seen in premature infants. Early detection through frequent abdominal circumference measurements can aid in timely intervention and management to prevent significant complications. Administering nitric oxide inhalation therapy, inserting an orogastric decompression tube with low wall suction, and providing iron-rich formula containing vitamin B12 every 2 hours are not indicated based on the information provided in the exhibit.
An infertility specialist is evaluating whether a woman's cervical mucus contains enough estrogen to support sperm motility. Which of the following tests is the physician conducting?
- A. Ferning capacity
- B. Basal body temperature
- C. Colposcopy
- D. Hysterotomy
Correct Answer: A
Rationale: Ferning capacity refers to the ability of cervical mucus to form a fern-like pattern under a microscope when it is close to ovulation. This pattern indicates the presence of estrogen, which is essential for supporting sperm motility. By assessing ferning capacity, the infertility specialist can determine if the woman's cervical mucus contains enough estrogen to facilitate the movement of sperm for successful fertilization. This test helps in evaluating the quality of cervical mucus and its role in the fertility process. The other options (Basal body temperature, Colposcopy, Hysterotomy) are not directly related to assessing estrogen levels in cervical mucus for sperm motility.
The nurse is assessing a client with suspected gestational diabetes. What is the most reliable diagnostic test?
- A. Random blood glucose test.
- B. Oral glucose tolerance test (OGTT).
- C. Fasting blood glucose test.
- D. Hemoglobin A1C.
Correct Answer: B
Rationale: The oral glucose tolerance test (OGTT) is the standard for diagnosing gestational diabetes.