Nokea
What item represents a serving of meat?
- A. Deck of cards
- B. Paperback book
- C. Clenched fist
- D. Large tomato
Correct Answer: A
Rationale: A serving of meat is approximately the size of a deck of cards, which equates to about 3 ounces.
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A gravid woman and her husband inform the nurse that they have just moved into a three-story home that was built in the 1930s. Which of the following is critical for the nurse to advise the woman to protect the unborn child?
- A. Stay out of any rooms that are being renovated.
- B. Drink water only from the hot water tap.
- C. Refrain from entering the basement.
- D. Climb the stairs only once per day.
Correct Answer: A
Rationale: Renovations in older homes may release lead dust or asbestos, which are harmful to the developing fetus. Drinking water from the hot tap, limiting stair climbing, or avoiding basements are less critical concerns compared to exposure to renovation hazards.
A laboring person requests an epidural for pain relief. What is the nurse's priority action before the procedure?
- A. administer a test dose of anesthesia
- B. ensure informed consent is obtained
- C. administer IV fluids
- D. ensure continuous fetal monitoring
Correct Answer: A
Rationale: The correct answer is A: administer a test dose of anesthesia. Before administering an epidural, it is crucial to perform a test dose to assess the person's response and ensure correct placement of the catheter. This step helps prevent potential complications such as unintentional intravascular injection.
Summary:
B: Ensuring informed consent is important but not the priority before administering the test dose.
C: Administering IV fluids is important for hydration but not the immediate priority before the test dose.
D: Continuous fetal monitoring is essential during labor, but it is not the priority before administering the test dose of anesthesia.
What does optimal nursing care after an amniocentesis include?
- A. Pushing fluids by mouth
- B. Monitoring uterine activity
- C. Placing the patient in a supine position for 2 hours
- D. Applying a pressure dressing to the puncture site
Correct Answer: B
Rationale: Monitoring uterine activity after an amniocentesis is important to detect any contractions that may indicate complications.
A nurse is educating a postpartum person about perineal care. What is the most important teaching point?
- A. encourage the person to use a peri-bottle
- B. educate the person on wound care
- C. instruct the person to perform Kegel exercises
- D. advise the person to avoid using tampons
Correct Answer: A
Rationale: The correct answer is A: encourage the person to use a peri-bottle. This is crucial for maintaining perineal hygiene and preventing infection after childbirth. Using a peri-bottle helps keep the perineal area clean without causing irritation.
Explanation of why the other choices are incorrect:
B: Educating on wound care is important but not the most critical teaching point as keeping the area clean with a peri-bottle is the priority.
C: Kegel exercises are beneficial for pelvic floor muscles but are not directly related to perineal care.
D: Avoiding tampons is important to prevent infection, but using a peri-bottle for hygiene is more immediate and necessary postpartum.
A multigravid client is 22 weeks pregnant. Which of the following symptoms would the nurse expect the client to exhibit?
- A. Nausea.
- B. Dyspnea.
- C. Urinary frequency.
- D. Leg cramping.
Correct Answer: D
Rationale: Leg cramping is a common complaint during the second trimester. Nausea is more common in the first trimester, and dyspnea and urinary frequency are more common in the third trimester.