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What action should the nurse take regarding a young woman with low weight and excessive exercise?
- A. Ask the client the date of her last menstrual period.
- B. Encourage the client to continue her excellent exercise schedule.
- C. Congratulate the client on her ability to maintain such a good weight.
- D. Advise the client that she will have to stop swimming once soccer starts.
Correct Answer: A
Rationale: Absence of menstruation suggests potential anorexia.
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A nurse is caring for a newborn who is 24 hr. old. Which of the following Laboratory findings should the nurse report to the provider?
- A. Hgb 20 g/dL
- B. Bilirubin 2mg/dL
- C. Platelets 200 .000/mm3
- D. WBC count 32.000/mm3
Correct Answer: D
Rationale: A WBC count of 32,000/mm3 is significantly elevated and falls outside the normal range for a newborn. This could indicate an infection or other underlying health issue that requires further investigation and intervention. It is crucial for the nurse to report this abnormal finding to the healthcare provider promptly for appropriate evaluation and management. High WBC counts in newborns are often a cause for concern and may require immediate medical attention.
A pregnant client is diagnosed with anemia. What dietary recommendation should the nurse provide?
- A. Increase intake of dairy products.
- B. Consume more lean red meat.
- C. Drink tea with meals.
- D. Avoid citrus fruits.
Correct Answer: B
Rationale: Lean red meat is rich in iron, which is essential for managing anemia during pregnancy.
The best indication that correct attachment to the breast has occurred is when the:
- A. Baby's tongue is securely on top of the nipple.
- B. Baby's mouth covers most of the areolar surface
- C. Baby makes frequent loud clucking sounds while nursing at each breast d, Baby sucks each breast vigorously for five minutes before falling asleep
Correct Answer: B
Rationale: The best indication that correct attachment to the breast has occurred is when the baby's mouth covers most of the areolar surface. This is important because proper latch and attachment are crucial for effective breastfeeding. When the baby's mouth covers most of the areola, it ensures that the baby is latched onto the breast properly, allowing them to feed efficiently and receive an adequate amount of milk. This also helps prevent nipple soreness and pain for the mother. Additionally, when the baby's mouth covers most of the areola, it helps ensure that the baby is positioned correctly to effectively stimulate milk production and flow.
On which days of her cycle should a woman using the calendar method abstain from intercourse?
- A. Days 9 to 25.
- B. Days 10 to 15.
- C. Days 11 to 20.
- D. Days 12 to 17.
Correct Answer: A
Rationale: The fertile window typically occurs around days 9 to 25 of a menstrual cycle.
The nurse is preparing a handout for female adolescents on the menstrual cycle. What phase of the cycle occurs if fertilization does not take place?
- A. Menstrual
- B. Proliferative
- C. Secretory
- D. Ischemic
Correct Answer: D
Rationale: The ischemic phase of the menstrual cycle occurs when the corpus luteum degenerates in the absence of fertilization. This leads to a decline in progesterone and estrogen levels, resulting in the shedding of the uterine lining during menstruation.