Nokea
The nurse is preparing a client for a nonstress test. What instruction should the nurse provide?
- A. Avoid eating or drinking before the test.
- B. Press the button whenever you feel the baby move.
- C. Lie flat on your back during the test.
- D. Expect contractions to occur during the test.
Correct Answer: B
Rationale: The client should press the button when fetal movements are felt, which are correlated with fetal heart rate accelerations.
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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.
A public health nurse visits the home of a young toddler. What aspect of the home environment would the nurse expect to address with the parents?
- A. The presence of power cords plugged into capped outlets
- B. Cartoons playing on a television in the child's room
- C. The family dog is present in the house during the visit
- D. The presence of pots on the stove with handles pointing toward back
Correct Answer: B
Rationale: The nurse is encouraged to ask questions regarding the amount of recreational screen time and if the child has a television or Internet-connected device in his or her bedroom. The American Academy of Pediatrics discourages any screen media before the age of 2.
The nurse's initial action when caring for an infant with a slightly decreased temperature is to:
- A. notify the physician immediately.
- B. place a cap on the infant's head and have the mother perform kangaroo care.
- C. tell the mother that the infant must be kept in the nursery and observed for the next 4 hours.
- D. change the formula, as this is a sign of formula intolerance.
Correct Answer: B
Rationale: Kangaroo care and covering the head help conserve heat.
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.
Which sexually transmitted infection is characterized by a foul-smelling, yellow-green discharge accompanied by vaginal pain and dyspareunia?
- A. Syphilis.
- B. Herpes simplex.
- C. Trichomoniasis.
- D. Condylomata acuminata.
Correct Answer: C
Rationale: Trichomoniasis causes a foul-smelling, yellow-green discharge and discomfort during intercourse.