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What information should the nurse include in a standard care plan for Mifeprex (misepristone/misoprostol)?
- A. Women should be evaluated by their health care practitioners 2 weeks after taking the medicine.
- B. This is the preferred method for terminating an ectopic pregnancy when an intrauterine device is in place.
- C. The only symptom clients should experience is bleeding 2 to 3 days after taking the medicine.
- D. Women who experience no bleeding within 3 days should immediately take a home pregnancy test.
Correct Answer: A
Rationale: Follow-up evaluation ensures completion of abortion.
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The nurse is educating a client about complications of pregnancy. Which symptom requires immediate medical attention?
- A. Mild swelling in the feet.
- B. Heartburn after eating.
- C. Severe headache and visual disturbances.
- D. Frequent urination.
Correct Answer: C
Rationale: Severe headache and visual disturbances may indicate preeclampsia or other serious conditions requiring prompt evaluation.
Which statement made by a nursing student would best indicate that her education on family-centered care was fully understood?
- A. Childbirth affects the entire family, and relationships will change.
- B. Families are usually not capable of making health care decisions for themselves, especially in stressful situations.
- C. Mothers are the only family member affected by childbirth.
- D. Since childbirth is a medical procedure, it may affect everyone.
Correct Answer: A
Rationale: Childbirth affects the entire family, and relationships will change. Childbirth is viewed as a normal life event, not a medical procedure. Families are very capable of making health care decisions about their own care with proper information and support.
A client at 32 weeks' gestation is experiencing preterm labor. What is the primary goal of tocolytic therapy?
- A. To prevent fetal hypoxia.
- B. To delay delivery and improve fetal lung maturity.
- C. To reduce maternal blood pressure.
- D. To increase uteroplacental blood flow.
Correct Answer: B
Rationale: Tocolytics are used to delay preterm delivery, allowing time for fetal lung maturity with corticosteroid administration.
Which congenital defects in a newborn are associated with long-term parenting problems? (Select all that apply.)
- A. Polydactyl
- B. Cleft lip and palate
- C. Ventral septal defect
- D. Ambiguous genitalia
Correct Answer: B
Rationale: 1. Cleft lip and palate: Parents of a newborn with a cleft lip and palate may face challenges related to feeding difficulties, speech development issues, and concerns about their child's appearance. These issues can require additional medical interventions and support, leading to long-term parenting stress and psychological strain.
To meet the goal of promoting infant feeding in a breastfed baby, the nurse should teach the mother to do which of the following? Select all that apply.
- A. Feed the baby on a 3- to 4-hour schedule.
- B. Alternate breast milk and formula for each feeding.
- C. Stop breastfeeding if her nipples get sore.
- D. Maintain on-demand breastfeeding for the first 4 weeks.
Correct Answer: D
Rationale: On-demand feeding and maternal self-care promote successful breastfeeding.