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What is the recommended method of contraception for a woman who is breastfeeding?
- A. Combined oral contraceptives
- B. Depo-Provera injection
- C. Copper intrauterine device (IUD)
- D. Progestin-only pills
Correct Answer: D
Rationale: The correct answer is D: Progestin-only pills. Progestin-only pills are recommended for breastfeeding women as they do not affect milk supply. These pills are safe to use during lactation and have minimal impact on the infant. Combined oral contraceptives (A) are not recommended due to potential negative effects on milk supply. Depo-Provera injection (B) may also decrease milk supply. Copper IUD (C) is generally safe but may cause heavier periods. Progestin-only pills (D) are the most suitable option for breastfeeding women due to their minimal impact on milk production and infant health.
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A nurse is transporting a newborn back to the parent's room following a procedure. Which of the following actions should the nurse take prior to leaving the newborn with their parent?
- A. Ensure that the parent's identification band number matches the newborn's identification band number.
- B. Ask the parent to verify their name and date of birth.
- C. Check the newborn's security tag number to ensure it matches the newborn's medical record.
- D. Match the newborn's date and time of birth to the information in the parent's medical record.
Correct Answer: A
Rationale: Ensuring that the parent's identification band number matches the newborn's identification band number is a critical safety measure to prevent errors in newborn identification.
Which of the following is a potential cause of female infertility?
- A. Polycystic ovary syndrome (PCOS)
- B. Endometriosis
- C. Pelvic inflammatory disease (PID)
- D. All of the above
Correct Answer: D
Rationale: PCOS endometriosis and PID are all common causes of female infertility. These conditions can disrupt normal reproductive function making conception difficult.
A nurse is assessing a newborn who was born at 26 weeks of gestation using the New Ballard Score. Which of the following findings should the nurse expect?
- A. Minimal arm recoil
- B. Popliteal angle of 90°
- C. Creases over the entire foot sole
- D. Raised areolas with 3 to 4 mm buds
Correct Answer: A
Rationale: The correct answer is A: Minimal arm recoil. In premature newborns, the lack of muscle tone results in minimal arm recoil, which is a characteristic finding in the New Ballard Score for assessing gestational age. This is due to the immaturity of the neuromuscular system in premature infants. Choice B, popliteal angle of 90°, is incorrect as flexion of the hips and knees is more common in preterm infants. Choice C, creases over the entire foot sole, is incorrect as full development of foot sole creases is seen in term infants. Choice D, raised areolas with 3 to 4 mm buds, is incorrect as these are signs of breast development and are not specific to gestational age assessment.
A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?
- A. Increased fetal movement.
- B. Leakage of fluid from the vagina.
- C. Upper abdominal discomfort.
- D. Urinary frequency.
Correct Answer: B
Rationale: Leakage of fluid from the vagina after an amniocentesis may indicate rupture of the amniotic membranes, which is a potential complication that requires immediate medical attention.
Which of the following is a potential complication of meconium aspiration syndrome?
- A. Respiratory distress syndrome
- B. Hypoglycemia
- C. Jaundice
- D. All of the above
Correct Answer: A
Rationale: The correct answer is A: Respiratory distress syndrome. Meconium aspiration can lead to airway obstruction, inflammation, and surfactant dysfunction, resulting in respiratory distress syndrome. Hypoglycemia and jaundice are not directly associated with meconium aspiration syndrome. Therefore, choice A is the most appropriate complication.