The nurse is teaching a prenatal class about warning signs in pregnancy. Which symptom should be reported immediately?
- A. Mild swelling in the feet.
- B. Headache unrelieved by rest or medication.
- C. Increased appetite.
- D. Frequent urination.
Correct Answer: B
Rationale: A headache unrelieved by rest or medication may indicate preeclampsia or other serious conditions and should be reported immediately.
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To meet the goal of promoting infant feeding in a breastfed baby, the nurse should teach the mother to do which of the following? Select all that apply.
- A. Feed the baby on a 3- to 4-hour schedule.
- B. Alternate breast milk and formula for each feeding.
- C. Stop breastfeeding if her nipples get sore.
- D. Maintain on-demand breastfeeding for the first 4 weeks.
Correct Answer: D
Rationale: On-demand feeding and maternal self-care promote successful breastfeeding.
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 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.
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.
Why should a woman refrain from douching while menstruating?
- A. Fibroids.
- B. Endometritis.
- C. Cervical cancer.
- D. Polyps.
Correct Answer: B
Rationale: Douching disrupts vaginal flora and increases infection risk.