Nokea
The nurse is performing a prenatal assessment on a client with gestational diabetes. What statement by the client indicates effective teaching?
- A. I will monitor my blood sugar once a week.
- B. I will increase my physical activity if my blood sugar is high.
- C. I will check my blood sugar multiple times a day as prescribed.
- D. I can reduce my insulin dose on days I eat less.
Correct Answer: C
Rationale: Regular blood sugar monitoring is crucial to manage gestational diabetes effectively and avoid complications.
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Although circumcision continues to be a controversial procedure, many parents in the United States elect to have this surgery performed on their newborn sons. It is believed that newborns do not feel pain; therefore, this is the optimum time for the procedure to be done and no anesthesia is required.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Newborns do feel pain, and current guidelines recommend using analgesia during circumcision.
The nurse is preparing to teach a prenatal class about fetal circulation. Which statements should be included in the teaching plan?
- A. The ductus arteriosus allows blood to bypass the fetal lungs.
- B. One vein carries oxygenated blood from the placenta to the fetus.
- C. The normal fetal heart tone range is 140 to 160 beats per minute in early pregnancy.
- D. Two arteries carry deoxygenated blood and waste products away from the fetus to the placenta.
Correct Answer: A
Rationale: The ductus arteriosus bypasses fetal lungs. The umbilical vein carries oxygenated blood, and arteries carry deoxygenated blood to the placenta.
Most newborns receive a prophylactic injection of vitamin K soon after birth. Which site is appropriate for the newborn?
- A. Gluteal muscles
- B. Rectus femoris muscle
- C. Deltoid muscle
- D. Vastus lateralis muscle
Correct Answer: D
Rationale: Vastus lateralis muscle is the recommended site due to its size and safety.
What behavior indicates effective teaching about the temperature rhythm method of fertility control?
- A. The woman takes her basal body temperature before retiring each evening.
- B. The couple charts information from at least six menstrual cycles before using the method.
- C. The couple resumes having intercourse as soon as they see a rise in the basal body temperature.
- D. The woman assesses her vaginal discharge daily for changes in color and odor.
Correct Answer: B
Rationale: Charting multiple cycles helps identify the fertile window accurately.
Individuals 35 years or older at conception have an increased risk of what complication?
- A. low birth weight
- B. hypoglycemia
- C. neural tube defects
- D. chromosomal abnormalities
Correct Answer: D
Rationale: