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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The nurse is working with a group of community health members to develop a plan to address the special health needs of women. Which educational program would the group most likely identify as the priority?
- A. risk reduction strategies for diabetes
- B. methods for smoking cessation
- C. ways to adopt a heart-healthy lifestyle
- D. importance of cancer screening and early detection
Correct Answer: C
Rationale: The group needs to address cardiovascular disease, the number one cause of death in women regardless of racial or ethnic group. Thus, education for adopting a heart-healthy lifestyle would be the priority.
Which of the following is an example of healthy grieving?
- A. The mother exhibits an absence of crying or expression of feelings.
- B. The parents do not mention the baby in conversation with family members.
- C. The mother asks that the baby be taken away from the delivery area quickly.
- D. While holding the baby, the mother says to her husband, "He has your eyes and nose."
Correct Answer: D
Rationale: Option D, while holding the baby, the mother saying to her husband, "He has your eyes and nose," is an example of healthy grieving. In this scenario, the mother is acknowledging the baby, expressing emotions, and involving her partner in the process. Verbalizing thoughts and emotions, as well as creating meaningful connections with relevant support persons, are important aspects of healthy grieving. Sharing memories and recognizing the physical similarities between the baby and family members can be therapeutic in the grieving process.
In teaching parents to use a bulb syringe to suction an infant, the nurse should teach them to:
- A. suction the back of the throat vigorously.
- B. always suction the nose before suctioning the mouth.
- C. use it only once a day.
- D. insert the syringe into the sides of the mouth.
Correct Answer: B
Rationale: Suctioning the nose first prevents pushing secretions further down the throat.
A patient is prescribed birth control pills. What should the nurse include in the patient education regarding missed doses?
- A. Take two doses the next day if you miss a dose.
- B. You should take the missed dose as soon as you remember, and take the next dose at the regular time.
- C. If you miss a dose, skip that day and continue as usual the next day.
- D. You should stop taking the pills if you miss a dose and contact your healthcare provider.
Correct Answer: B
Rationale: If a dose is missed, it should be taken as soon as remembered and the next dose taken at the usual time. Choice A is incorrect because taking two doses at once may cause side effects. Choice C is incorrect because missing a dose does not require skipping the next dose. Choice D is incorrect because missing a dose does not typically require stopping the pills, but rather following instructions to compensate for the missed dose.
The nurse is assessing a postpartum client who is breastfeeding. What finding requires further evaluation?
- A. Engorgement on day 3 postpartum.
- B. Mild nipple tenderness.
- C. Cracked and bleeding nipples.
- D. Colostrum present in the first 48 hours.
Correct Answer: C
Rationale: Cracked and bleeding nipples may indicate poor latch or incorrect breastfeeding technique, requiring intervention.