Nokea
The nurse is instructing a man considering a vasectomy. What instruction will the nurse provide to address the postoperative time period?
- A. Intercourse should be delayed for 6 weeks.
- B. Sperm will still be ejaculated for a month.
- C. Erections will be difficult to maintain.
- D. Monthly sperm counts for a year will be necessary.
Correct Answer: B
Rationale: Because sperm are distal to the severed vas deferens, sperm will be in the ejaculate for about a month. A sperm count after that period of time should be performed to confirm the absence of sperm.
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While inspecting a newborn's head, the nurse identifies a swelling of the scalp that does not cross the suture line. How would the nurse refer to this finding when documenting?
- A. Molding
- B. Caput succedaneum
- C. Cephalohematoma
- D. Enlarged fontanelle
Correct Answer: C
Rationale: A cephalohematoma is caused by a collection of blood beneath the periosteum of the cranial bone. It does not cross the suture line.
The nurse is preparing a community education program on preventive health care for women. What common screening test will the nurse plan on explaining to the women attending the program?
- A. Breast examination by a health professional
- B. Breast self-examination
- C. Breast biopsy
- D. Mammography
Correct Answer: D
Rationale: Mammography is a screening test used to detect breast cancer. A breast examination is a focused assessment, not a test. A breast self-examination is important, but not a screening test. A breast biopsy is a diagnostic test versus a test performed for basic screening purposes.
What is the nurse's best response to a mother who is voicing concern about the molding of her 2-day-old infant?
- A. Molding doesn't cause any problems. Don't worry about it.'
- B. Did you deliver vaginally or by cesarean section?'
Correct Answer: B
Rationale: Molding is a common occurrence in vaginal deliveries due to the head passing through the birth canal. Asking about the delivery method helps assess whether molding is expected and provides an opportunity to reassure the mother that it typically resolves without complications.
A 48-year-old woman tells the nurse, 'I missed my period last month. Am I in menopause?' The nurse knows that at which point is a woman considered to be menopausal?
- A. Her periods have stopped for 1 year.
- B. Her periods have been irregular and light for 12 months.
- C. She has symptoms of vasomotor instability.
- D. She experiences symptoms of decreased estrogen, such as dyspareunia.
Correct Answer: A
Rationale: When a woman's menstrual periods have stopped for 1 year, she is considered menopausal.
The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. What will she expect the characteristic of cervical mucus to be a few days before ovulation?
- A. Cloudy and tacky
- B. Scant and thick
- C. Thin and white
- D. Clear and slippery
Correct Answer: D
Rationale: Within a few days of ovulation, cervical mucus will become clear and slippery to aid the passage of sperm into the cervix.