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What information should be included in teaching a breastfeeding woman about Seasonale (ethinyl estradiol and levonorgestrel)?
- A. The woman will menstruate every 8 to 9 weeks.
- B. The pills are taken for 3 out of every 4 weeks.
- C. Breakthrough bleeding is a common side effect.
- D. Breastfeeding is compatible with the medication.
Correct Answer: C
Rationale: Breakthrough bleeding is a known side effect of hormonal contraceptives.
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Most newborns receive a prophylactic injection of vitamin K soon after birth. Which site is appropriate for the newborn?
- A. Gluteal muscles
- B. Rectus femoris muscle
- C. Deltoid muscle
- D. Vastus lateralis muscle
Correct Answer: D
Rationale: Vastus lateralis muscle is the recommended site due to its size and safety.
What should the nurse advise the client regarding Depo-Provera (medroxyprogesterone acetate)?
- A. Take the pill at the same time each day.
- B. Refrain from breastfeeding while using the method.
- C. Expect to have no periods as long as she takes the medicine.
- D. Consider switching to another birth control method in a year or so.
Correct Answer: B
Rationale: Depo-Provera can reduce milk supply and thus breastfeeding should be avoided.
The nurse is educating a client with gestational diabetes about blood sugar monitoring. What statement indicates understanding?
- A. I will check my blood sugar once a week.
- B. I should avoid all carbohydrates.
- C. I will monitor my blood sugar four times a day as prescribed.
- D. I can skip insulin on days I feel well.
Correct Answer: C
Rationale: Frequent monitoring of blood sugar is essential for managing gestational diabetes effectively.
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.
A 29-year-old low-risk primiparous patient has just placental abruption?
- A. Mild: Grade 1
- B. Moderate: Grade 2
- C. Marked: Grade 3
- D. Severe: Grade 4
Correct Answer: B
Rationale: Placental abruption is classified based on the severity of symptoms and extent of separation of the placenta from the uterine wall. In a low-risk primiparous patient like the one described, a moderate placental abruption (Grade 2) is likely when there is some vaginal bleeding, mild to moderate abdominal pain, and signs of fetal distress such as abnormal fetal heart rate patterns.