Nokea
What should be included in teaching a young woman how to use the female condom?
- A. Reuse female condoms no more than five times.
- B. Refrain from using lubricant because the condom may slip out of the vagina.
- C. Wear both female and male condoms together to maximize effectiveness.
- D. Remove the condom by twisting the outer ring and pulling gently.
Correct Answer: D
Rationale: Twisting the outer ring prevents spillage of semen.
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A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previa. Which of the following actions should the nurse plan to take?
- A. Initiate continuous monitoring of the FHR.
- B. Administer a dose of betamethasone.
- C. Check the cervix for dilation every 8 hr.
- D. Request that the provider prescribe misoprostol PRN.
Correct Answer: A
Rationale: In placenta previa, the placenta partially or completely covers the cervix, which can lead to vaginal bleeding. Continuous monitoring of the fetal heart rate (FHR) is crucial in this situation to assess the well-being of the fetus. Any signs of distress or changes in the FHR can indicate potential complications, such as fetal hypoxia. This monitoring allows for prompt intervention if necessary to ensure the safety of both the mother and the baby. Administering betamethasone may be indicated to promote fetal lung maturity in cases of anticipated preterm birth, but it is not the priority in this scenario where monitoring the fetal well-being is crucial. Checking the cervix for dilation every 8 hours is not necessary and may increase the risk of further bleeding. Misoprostol, a medication used to induce labor, is contraindicated in cases of placenta previa because it can cause further
What is the priority nursing intervention for a newborn with a low Apgar score of 4 at 1 minute?
- A. Place the baby in skin-to-skin contact with the mother
- B. Administer oxygen and stimulate the baby
- C. Delay interventions and reassess in 5 minutes
- D. Begin chest compressions immediately
Correct Answer: B
Rationale: A low Apgar score indicates poor adaptation; oxygen improves function.
The nurse is working with a group of community health members to develop a plan to address the special health needs of women. Which educational program would the group most likely identify as the priority?
- A. risk reduction strategies for diabetes
- B. methods for smoking cessation
- C. ways to adopt a heart-healthy lifestyle
- D. importance of cancer screening and early detection
Correct Answer: C
Rationale: The group needs to address cardiovascular disease, the number one cause of death in women regardless of racial or ethnic group. Thus, education for adopting a heart-healthy lifestyle would be the priority.
The nurse is providing discharge teaching to a 20-year-old mother who has had her first male child. Which statement by the mother demonstrates that she understands the discharge teaching regarding his circumcision?
- A. I will observe the whitish-yellow drainage on his penis, but I will not remove it.
- B. I will bring him back to the clinic in 3 days to have the drainage removed.
- C. I will use antibiotic ointment on his penis with every diaper change.
- D. I will rub the area briskly with a washcloth to remove the drainage.
Correct Answer: A
Rationale: Whitish-yellow drainage is normal and should not be removed.
A pregnant woman is to undergo an invasive procedure to evaluate the status of her fetus. To ensure informed consent, which action would be the priority responsibility of the nurse providing care to this woman?
- A. Asking relevant questions to determine the client's understanding
- B. Providing a detailed description of the risks and benefits of the procedure
- C. Explaining the exact steps that will occur during the procedure
- D. Offering suggestions for alternative options for treatment
Correct Answer: A
Rationale: The nurse's responsibilities related to informed consent include: Ensuring the consent form is completed with signatures from the client; serving as a witness to the signature process; and determining whether the client understands what she is signing by asking her pertinent questions.