Nokea
What comment by a perimenopausal client indicates the need for further teaching?
- A. The calendar method is the most reliable method for me to use.
- B. If I use the IUD, I am at minimal risk for pelvic inflammatory disease.
- C. I should still use birth control even though I had only 2 periods last year.
- D. The contraceptive patch contains both estrogen and progesterone.
Correct Answer: A
Rationale: The calendar method is unreliable for perimenopausal women.
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Which sexually transmitted infection is characterized by multiple soft warts on the perineum and rectal areas?
- A. Human papillomavirus (HPV).
- B. Human immunodeficiency virus (HIV).
- C. Syphilis.
- D. Trichomoniasis.
Correct Answer: A
Rationale: HPV can cause genital warts, which appear as soft warts in the genital area.
When integrating the principles of family-centered care into the birthing process, the nurse would base care upon which belief?
- A. Birth is viewed as a medical event.
- B. Families are unable to make informed choices due to stress.
- C. Birth results in changes in relationships.
- D. Families require little information to make appropriate decisions for care.
Correct Answer: C
Rationale: Family-centered care is based on the following principles: Birth affects the entire family, and relationships will change; birth is viewed as a normal, healthy event in the life of the family; and families are capable of making decisions about their own care if given adequate information and professional support.
The nurse is reviewing a copy of the U.S. Surgeon General's Report, Healthy People 2020. Which nursing action best reflects the nurse fostering this health care agenda?
- A. The nurse signs up for classes to obtain an advanced degree in nursing.
- B. The nurse volunteers at a local health care clinic providing free vaccinations for low-income populations.
- C. The nurse performs an in-service on basic hospital equipment for student nurses.
- D. The nurse compiles nursing articles on evidence-based practices in nursing to present at a hospital training seminar.
Correct Answer: B
Rationale: Healthy People 2020 is a comprehensive health promotion and disease prevention agenda that is working toward improving the quantity and quality of life for all Americans.
The nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if which is noted on the external monitor tracing during a contraction?
- A. Variability
- B. Accelerations
- C. Early decelerations
- D. Variable decelerations
Correct Answer: D
Rationale: Variable decelerations are a hallmark sign of umbilical cord compression, requiring immediate monitoring and intervention.
Which factor should alert the nurse for the potential of a prolapsed umbilical cord?
- A. Presenting part at station minus 3 (too much empty space in between)
- B. Meconium stained amniotic fluid
- C. Pregnancy at 38 weeks' gestation
- D. Oligohydramnios
Correct Answer: A
Rationale: A presenting part at station minus 3 indicates that there is too much empty space between the presenting part (usually the fetus's head) and the pelvic inlet. This increased space raises the potential for the umbilical cord to prolapse through the cervix and into the birth canal ahead of the baby, especially when the membranes rupture. A prolapsed umbilical cord is a severe obstetric emergency that can cause fetal compromise due to umbilical cord compression and compromise of blood flow. It requires immediate intervention to relieve the pressure on the cord and increase the likelihood of a safe delivery. Therefore, a presenting part at station minus 3 should alert the nurse to the potential of a prolapsed umbilical cord.