Nokea
What information should the nurse teach a client regarding emergency contraception (EC) after a sexual assault?
- A. EC is illegal in all 50 states.
- B. The most common side effect of EC is excessive vaginal bleeding.
- C. The same medicine that is used for EC is used to induce abortions.
- D. EC is best when used within 72 hours of contact.
Correct Answer: D
Rationale: EC is most effective when administered promptly.
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How many mL of penicillin G benzathine should the nurse administer to treat syphilis if the dose is 2.4 million units and the concentration is 1,200,000 units/mL?
- A. 1 mL
- B. 2 mL
- C. 3 mL
- D. 4 mL
Correct Answer: B
Rationale: Calculation: 2.4 million units ÷ 1,200,000 units/mL = 2 mL.
What method would be most appropriate for a newly married couple wishing to delay childbearing for 3 years?
- A. Diaphragm.
- B. Cervical cap.
- C. Intrauterine device (IUD).
- D. Birth control pills (BCP).
Correct Answer: C
Rationale: IUDs are long-acting and effective for several years.
What is an appropriate reply to a woman who denies needing medical attention for gonorrhea exposure?
- A. I am sure that you are upset by the disturbing news, but there is no reason to be angry with me.
- B. I am sorry. We must have received the wrong information.
- C. That certainly could be the case. Women often report no symptoms.
- D. All right, but please tell me your contacts because it is possible for you to pass the disease on even if you have no symptoms.
Correct Answer: C
Rationale: Asymptomatic cases of gonorrhea are common, and transmission can occur without symptoms.
As a nurse assessing a newborn, what action should you take if the Apgar score of a newborn is less than 7?
- A. Immediately notify the physician
- B. Immediately administer oxygen
- C. Immediately transfer the newborn to the NICU
- D. Repeat assessment at 1-minute intervals until the newborn is stable
Correct Answer: D
Rationale: Reassessment allows continuous monitoring of the newborn's condition.
The newborn's mother is concerned about the shape of the baby's head after delivery. She states that the baby looks like a "cone head." What is the most appropriate response by the nurse?
- A. You don't need to worry about it. It is perfectly normal after birth.
- B. It is molding caused by the pressure during birth and will disappear in a few days.
- C. I will report it to the physician and recommend a diagnostic scan.
- D. It is a collection of blood related to the trauma of delivery and will absorb in a few weeks.
Correct Answer: B
Rationale: Molding is a normal finding after birth and resolves spontaneously.