Nokea
What nursing intervention is appropriate for a woman diagnosed with syphilis?
- A. Council the woman about how to live with a chronic infection.
- B. Question the woman regarding symptoms of other sexually transmitted infections.
- C. Assist the primary health care practitioner with cryotherapy procedures.
- D. Educate the woman regarding the safe disposal of menstrual pads.
Correct Answer: B
Rationale: Syphilis often coexists with other STIs, so questioning is important.
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The nurse is monitoring a client with severe preeclampsia. What assessment finding requires immediate intervention?
- A. Blood pressure of 150/90 mmHg.
- B. Urine output of 25 mL/hr.
- C. Headache relieved by acetaminophen.
- D. Deep tendon reflexes +2.
Correct Answer: B
Rationale: Oliguria (urine output <30 mL/hr) may indicate worsening renal function or severe complications in preeclampsia.
What is the most common sign/symptom of sexually transmitted infections?
- A. Menstrual cramping.
- B. Heavy menstrual periods.
- C. Flu-like symptoms.
- D. Lack of signs or symptoms.
Correct Answer: D
Rationale: Many STIs are asymptomatic, making regular screening important.
Which assessment finding indicates a complication in a client attempting a VBAC?
- A. Complaint of pain between the scapula (could be uterine
- C. Contraction every 3 minutes lasting 70 seconds
- D. Pain level 6 at acme of
Correct Answer: C
Rationale: A client attempting a Vaginal Birth After Cesarean (VBAC) is at higher risk for uterine rupture. A concerning assessment finding in this scenario would be the occurrence of contractions every 3 minutes that are lasting 70 seconds. This pattern of contractions could potentially indicate uterine hyperstimulation, which increases the risk of uterine rupture. It is essential to closely monitor these contractions and address any signs of distress or complications promptly to ensure the safety of both the mother and the baby.
The nurse is performing Leopold's maneuvers. What is the primary goal?
- A. Determine fetal well-being.
- B. Assess fetal position and presentation.
- C. Measure amniotic fluid volume.
- D. Evaluate uterine contractions.
Correct Answer: B
Rationale: Leopold's maneuvers are used to assess fetal position, presentation, and engagement.
The nurse is monitoring a client with gestational hypertension. What symptom requires immediate intervention?
- A. Weight gain of 1 pound in a week.
- B. Slight swelling of the hands and feet.
- C. Severe headache and vision changes.
- D. Blood pressure of 135/85 mmHg.
Correct Answer: C
Rationale: Severe headache and vision changes may indicate preeclampsia and require immediate evaluation.