What concern is unnecessary for the nurse to address before assisted reproductive therapy?
- A. Risks of multiple gestation
- B. Whether to disclose the facts of conception to offspring
- C. Freezing embryos for later use
- D. Financial ability to cover the cost of treatment
Correct Answer: D
Rationale: While financial concerns are important, they are not the nurse's responsibility to address. The nurse should focus on medical and ethical concerns related to treatment and embryo storage.
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Which situation is most representative of an extended family?
- A. It includes adoptive children.
- B. It is headed by a single-parent.
- C. It contains children from previous marriages.
- D. It is composed of children, parents, and grandparents living in the same house.
Correct Answer: D
Rationale: An extended family is a type of family unit that includes not only the nuclear family (parents and children) but also other relatives such as grandparents, aunts, uncles, cousins, etc., all living together or in close proximity. Option D, which states that the family is composed of children, parents, and grandparents living in the same house, is most representative of an extended family structure. This situation reflects the multi-generational aspect of an extended family where multiple generations live together and contribute to the household dynamics.
A woman gave birth to an infant+2:230 boy 10 hours ago. Where does the nurse expect to locate this woman's fundus?
- A. 1 centimeter above the umbilicus
- B. 2 centimeters below the umbilicus
- C. Midway between the umbilicus and the symphysis pubis
- D. Nonpalpable abdominally
Correct Answer: A
Rationale: The fundus descends approximately 1 to 2 cm every 24 hours. Within 12 hours after delivery, the fundus may be approximately 1 cm above the umbilicus.
A nurse is caring for a patient who was diagnosed with urethritis. What does the nurse identify as a possible cause?
- A. Neisseria gonorrhoeae
- B. Escherichia coli
- C. pregnancy
- D. spermicides
Correct Answer: A
Rationale: Urethritis is inflammation of the urethra usually caused by an infection. Neisseria gonorrhoeae, commonly known as gonorrhea, is a sexually transmitted bacterium known to cause urethritis. It is a common cause of urethritis in sexually active individuals. Escherichia coli is associated with urinary tract infections but not typically urethritis. Pregnancy is not a cause of urethritis. Spermicides can potentially irritate the urethra but are not a common cause of urethritis.
A nurse is caring for a client who is experiencing preterm labor and has a new prescription for terbutaline. Which of the following findings is a contraindication for the administration of this medication?
- A. Heart disease
- B. Cervical dilation of 2 cm
- C. Gestational age of 34 weeks
- D. Allergy to penicillin
Correct Answer: A
Rationale: Terbutaline is a tocolytic that can cause cardiovascular side effects and is contraindicated in clients with heart disease.
The nurse is providing care to the adult female patient who presents to the emergency department with a suspected myocardial infarction (MI). Which symptom indicates a possible MI for the female patient?
- A. Chest pain that radiates to the right arm and jaw
- B. Episodic nausea/indigestion and palpitations
- C. Sudden onset of trouble walking, and loss of balance
- D. Swelling of the feet and shortness of breath
Correct Answer: B
Rationale: For female patients, the classic symptom of a myocardial infarction (MI) is often different from that in male patients. While chest pain that radiates to the right arm and jaw is a common symptom in male patients, female patients may present with more subtle symptoms. Episodic nausea/indigestion and palpitations are more commonly seen in female patients experiencing a myocardial infarction. It is important for healthcare providers to recognize and consider these atypical symptoms in female patients to ensure timely diagnosis and treatment.