Nokea
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.
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The nurse assess that a newborn is in respiratory distress when the infant exhibits:
- A. Apnea, grunting, wheezing, and crackles
- B. Wheezing, cyanosis, hiccups, and crackles
- C. Cyanosis, retraction, wheezing, and hiccups
- D. Tachypnea, retraction, grunting, and cyanosis
Correct Answer: D
Rationale: These are classic signs of respiratory distress.
A nurse is assessing a client who is at 31 weeks of gestation. Which of the following findings show potential prenatal complication?
- A. Periodic tingling of fingers
- B. Absence of clonus
- C. Leg cramps
- D. Blurred vision
Correct Answer: D
Rationale: Blurred vision is a potential prenatal complication during the third trimester of pregnancy and can be a sign of conditions such as preeclampsia or gestational diabetes. It is important for the nurse to further assess this finding and consult with the healthcare provider to ensure appropriate management and monitoring of the client's condition. Periodic tingling of fingers, absence of clonus, and leg cramps are common discomforts during pregnancy and do not typically indicate a prenatal complication.
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.
How does estrogen work in COC pills?
- A. inhibits ovulation through suppression of LH hormone
- B. provides most of the contraceptive effect of the COC
- C. stabilizes the endometrium for less unscheduled bleeding
- D. inhibits sperm penetration by thickening cervical mucus
Correct Answer: A
Rationale: Estrogen in combined oral contraceptive (COC) pills works primarily by inhibiting ovulation through the suppression of the luteinizing hormone (LH) surge. By maintaining consistent levels of estrogen in the body, COC pills prevent the release of eggs from the ovary. This prevents fertilization from occurring, which is one of the main mechanisms of action of COC pills to provide contraception. While estrogen also has other effects such as stabilizing the endometrium to reduce unscheduled bleeding, its main role in COC pills is to inhibit ovulation and prevent pregnancy through hormonal regulation.
The nurse is functioning in the primary role to care for a 12-year-old boy with metastatic cancer in the liver. Which activity is typical of advocacy?
- A. Instructing parents about proper home care
- B. Educating the family about choices they have
- C. Telling parents about clinical guidelines
- D. Teaching the family about types of cancers
Correct Answer: B
Rationale: Educating the family about choices they have regarding therapies for the cancer in the child's liver is an example of advocacy, in which the nurse advances the interests of the child and family by informing them of options and assisting them to make informed decisions.