Nokea
Two days ago a woman gave birth to a full-term infant. Last night she awakened several times to urinate and noted that her gown and bedding were wet from profuse diaphoresis. Which physiologic alteration is the cause for the diaphoresis and diuresis that this client is experiencing?
- A. Elevated temperature caused by postpartum infection
- B. Increased basal metabolic rate after giving birth
- C. Loss of increased blood volume associated with pregnancy
- D. Increased venous pressure in the lower extremities
Correct Answer: C
Rationale: Diaphoresis and diuresis are mechanisms for reducing excess tissue fluid accumulated during pregnancy.
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Which statement regarding the Family Systems Theory is inaccurate?
- A. Family system is part of a larger suprasystem.
- B. Family, as a whole, is equal to the sum of the individual members.
- C. Changes in one family member affect all family members.
- D. Family is able to create a balance between change and stability.
Correct Answer: B
Rationale: Family Systems Theory posits that the family as a whole is greater than the sum of its individual members, meaning the family's dynamics are more complex than just the sum of each individual. The other statements are accurate according to this theory.
The nurse is reviewing the principles of family-centered care with a primiparous patient. Which patient statement will the nurse need to correct?
- A. “Remaining focused on my family will help benefit me and my baby.”
- B. “Most of the time, childbirth is uncomplicated and a healthy event for the family.”
- C. “Because childbirth is normal, after my baby’s birth our family dynamics will not N R I G B.C M U S N T O change.”
- D. “With correct information, I am able to make decisions regarding my health care while I am pregnant.”
Correct Answer: C
Rationale: The correct answer is C because it is important for the nurse to clarify that childbirth can indeed bring about changes in family dynamics, as adding a new member can impact relationships and roles. This is a key principle of family-centered care. Choice A emphasizes the importance of family support, which aligns with the concept. Choice B highlights the commonality of uncomplicated childbirth, which is also relevant. Choice D emphasizes the patient's autonomy in decision-making, which is another important aspect of family-centered care.
A nurse is caring for a patient who has just been diagnosed with chlamydia and wants to know when she can have sex with her boyfriend again. What is the best response from the nurse?
- A. “You should not have sex until 7 days after you complete treatment and your partner gets treatment.”
- B. “You can have sex as soon as you finish the medicine.”
- C. “You can have sex once your partner takes the medicine.”
- D. “There is no need to wait.”
Correct Answer: A
Rationale: The correct answer is A because chlamydia is a sexually transmitted infection that requires treatment for both the infected person and their partner to prevent reinfection. The recommended practice is to abstain from sex until 7 days after completing treatment to ensure the infection is fully cleared from both individuals. This approach helps to prevent the spread of the infection and reduces the risk of complications.
Choice B is incorrect because simply finishing the medicine without waiting for the partner's treatment can lead to reinfection. Choice C is incorrect as it solely focuses on the partner's treatment without considering the completion of the patient's own treatment. Choice D is incorrect as it disregards the importance of completing treatment and waiting for the specified period before resuming sexual activity.
Which description of postpartum restoration or healing times is accurate?
- A. The cervix shortens, becomes firm, and returns to form within a month postpartum.
- B. Vaginal rugae reappear by 3 weeks postpartum.
- C. Most episiotomies heal within a week.
- D. Hemorrhoids usually decrease in size within 2 weeks of childbirth.
Correct Answer: B
Rationale: Vaginal rugae reappear by 3 weeks postpartum, though they are never as prominent as in nulliparous women.
A nurse caring for a pregnant client should be aware that the U.S. birth rate shows what trend?
- A. Births to unmarried women are more likely to have less favorable outcomes.
- B. Birth rates for women 40 to 44 years of age are declining
- C. Cigarette smoking among pregnant women continues to increase.
- D. Rates of pregnancy and abortion among teenagers are lower in the United States than in any other industrialized country.
Correct Answer: A
Rationale: LBW infants and preterm births are more likely because of the large number of teenagers in the unmarried group.