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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What is the first action when a newborn has a heart rate below 100 bpm immediately after birth?
- A. Provide chest compressions
- B. Administer oxygen and provide stimulation
- C. Delay interventions and reassess in 5 minutes
- D. Start an IV line for medications
Correct Answer: B
Rationale: Providing oxygen and stimulation helps improve heart rate and respiratory status.
A nurse is assessing a client who is at 31 weeks of gestation. Which of the following findings show potential prenatal complication?
- A. Periodic tingling of fingers
- B. Absence of clonus
- C. Leg cramps
- D. Blurred vision
Correct Answer: D
Rationale: Blurred vision is a potential prenatal complication during the third trimester of pregnancy and can be a sign of conditions such as preeclampsia or gestational diabetes. It is important for the nurse to further assess this finding and consult with the healthcare provider to ensure appropriate management and monitoring of the client's condition. Periodic tingling of fingers, absence of clonus, and leg cramps are common discomforts during pregnancy and do not typically indicate a prenatal complication.
Which comment by a woman shows understanding of diaphragm teaching?
- A. I should regularly put the diaphragm up to the light and look at it carefully.
- B. This is one method that can be used during menstruation.
- C. I can leave the diaphragm in place for a day or two.
- D. The diaphragm should be well powdered before I put it back in the case.
Correct Answer: B
Rationale: Diaphragms can be used during menstruation.
Which contraceptive method is best for a woman with multiple sex partners?
- A. Intrauterine device.
- B. Female condom.
- C. Bilateral tubal ligation.
- D. Birth control pills.
Correct Answer: B
Rationale: Female condoms provide dual protection against pregnancy and STIs.
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.