Nokea
The nurse is teaching a prenatal class about signs of labor. Which statement indicates the need for further teaching?
- A. True labor contractions increase in intensity and regularity.
- B. The baby dropping is a sign of true labor.
- C. False labor contractions often stop with activity.
- D. True labor results in cervical changes.
Correct Answer: B
Rationale: Lightening, or baby dropping, occurs weeks before labor and is not a sign of true labor.
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What actions should the nurse advise women to take when educating them on breast self-examination (BSE)?
- A. Use the fingertips of their index, middle, and ring fingers.
- B. Use pressure in two intensities, light and deep.
- C. Look for dimpling while bending forward from the waist.
- D. Feel for lumps while encircling the breast from nipple outward.
Correct Answer: A
Rationale: Proper technique ensures accurate detection of abnormalities.
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 educating a client about postpartum depression. What statement indicates understanding?
- A. It's normal to feel sad for the first 6 months postpartum.
- B. I should seek help if I have trouble bonding with my baby.
- C. Postpartum depression only occurs in first-time mothers.
- D. I should ignore feelings of hopelessness—they will pass.
Correct Answer: B
Rationale: Difficulty bonding with the baby can be a sign of postpartum depression and should be addressed.
What information should be included in teaching a breastfeeding woman about Seasonale (ethinyl estradiol and levonorgestrel)?
- A. The woman will menstruate every 8 to 9 weeks.
- B. The pills are taken for 3 out of every 4 weeks.
- C. Breakthrough bleeding is a common side effect.
- D. Breastfeeding is compatible with the medication.
Correct Answer: C
Rationale: Breakthrough bleeding is a known side effect of hormonal contraceptives.
The parents of a male newborn ask the nurse whether they should have their son circumcised. The nurse ‘s most appropriate response would be:
- A. "It would be a good idea because circumcision is known to prevent penile cancer."
- B. "That's something you both will have to decide after you discuss it thoroughly with your doctor."
- C. "The Academy of Pediatrics recommends that circumcision not be done routinely because of the risks associated with the procedure."
- D. "I'm sure you have discussed this with your doctor, but let's review the benefits and risks of circumcision'.
Correct Answer: B
Rationale: The most appropriate response for the nurse in this situation is to encourage open discussion between the parents and the doctor regarding the decision to circumcise their son. This allows the parents to make an informed decision based on their beliefs, values, and medical advice provided by the healthcare provider. It is important for parents to have all the necessary information and support to make the best decision for their child's well-being. The decision to circumcise is a personal one and should be made after careful consideration and consultation with a healthcare professional.