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What is a patient statement that indicates effective teaching after a new diagnosis of nonlactational mastitis?
- A. “I will avoid wearing a bra until I feel better.”
- B. “I should take steps to stop smoking cigarettes.”
- C. “Applying an ice pack to my breasts can help reduce pain.”
- D. “I should take the prescribed antibiotics until I feel better.”
Correct Answer: D
Rationale: The statement "I should take the prescribed antibiotics until I feel better" indicates effective teaching after a new diagnosis of nonlactational mastitis. Nonlactational mastitis is commonly treated with antibiotics to help clear up the infection. It is crucial for the patient to follow the prescribed antibiotic regimen as directed by their healthcare provider to ensure the infection is fully treated and to prevent it from worsening or recurring. Compliance with the antibiotic treatment plan is essential for successful management of nonlactational mastitis.
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A nurse is assessing a newborn whose mother had gestational diabetes. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
- A. Hypertonia
- B. Jitteriness
- C. Acrocyanosis
- D. Generalized petechiae
Correct Answer: B
Rationale: Jitteriness is a common sign of neonatal hypoglycemia and should be addressed promptly.
A nurse is caring for a client who is receiving oxytocin to augment labor. The client has an intrauterine pressure catheter and an internal fetal scalp electrode for monitoring. Which of the following is an indication that the nurse should discontinue the infusion?
- A. Contraction frequency every 3 min
- B. Contraction duration of 100 seconds
- C. Fetal heart rate with moderate variability
- D. Fetal heart rate of 118/min
Correct Answer: B
Rationale: Contractions lasting longer than 90 seconds (tachysystole) can lead to fetal distress by reducing uteroplacental blood flow. Oxytocin should be discontinued if contractions become excessive. Moderate variability and normal fetal heart rate do not indicate distress.
In which culture is the father more likely to be expected to participate in the labor and delivery?
- A. Asian-American
- B. African-American
- C. European-American
- D. Hispanic
Correct Answer: C
Rationale: European-American families generally expect fathers to take an active role in the labor and delivery process compared to other cultural groups.
Which key factors play the most powerful role in the behaviors of individuals and families?
- A. Rituals and customs
- B. Beliefs and values
- C. Boundaries and channels
- D. Socialization processes
Correct Answer: B
Rationale: Beliefs and values are the most influential factors in family decision-making, especially during stressful situations. These principles guide how families respond, even when external factors like socialization or boundaries may play a role in relationships.
The nurse is interviewing a patient who is 6-weeks pregnant. The patient asks the nurse, “Why is elective abortion considered such an ethical issue?” Which response by the nurse is most appropriate? N R I G B.C M
- A. Abortion requires third-parUty cSonseNnt. T O
- B. The U.S. Supreme Court ruled that life begins at conception.
- C. Abortion law is unclear about a woman’s constitutional rights.
- D. There is a conflict between the rights of the woman and the rights of the fetus.
Correct Answer: D
Rationale: The most appropriate response by the nurse is that there is a conflict between the rights of the woman and the rights of the fetus when discussing elective abortion as an ethical issue. This response highlights the ethical dilemma involved in abortion, where one must consider the rights and autonomy of the pregnant woman as well as the potential rights of the fetus. Ethical debates often revolve around balancing these conflicting rights and interests, making elective abortion a complex and sensitive issue. It acknowledges the ethical implications of abortion without making definitive statements or legal references like the other options.