Nokea
What statement by a client suggests the relationship may be in the 'honeymoon phase'?
- A. My partner said that he will never hurt me again.
- B. My partner drinks alcohol only on the weekends.
- C. My partner yells less than he used to.
- D. My partner has frequent bouts of insomnia.
Correct Answer: A
Rationale: Promises to stop abuse characterize the honeymoon phase.
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A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?
- A. "should position my baby's car seat at a 45-degree angle in the car."
- B. "should place the car seat rear facing until my baby is 12 months old."
- C. "should place the harness snugly in a slot above my baby's shoulders."
- D. "should position the retainer clip at the top of my baby's abdomen."
Correct Answer: B
Rationale: The correct statement indicating an understanding of car seat safety is "I should place the car seat rear facing until my baby is 12 months old." This statement reflects the current recommendation by the American Academy of Pediatrics (AAP), which suggests that infants should ride in a rear-facing car seat until they are at least 2 years old or until they reach the maximum height or weight limit allowed by the car seat manufacturer. This position provides the best protection for the baby's head, neck, and spine in the event of a crash. The other statements are incorrect:
Which sexually transmitted infection is characterized by a foul-smelling, yellow-green discharge accompanied by vaginal pain and dyspareunia?
- A. Syphilis.
- B. Herpes simplex.
- C. Trichomoniasis.
- D. Condylomata acuminata.
Correct Answer: C
Rationale: Trichomoniasis causes a foul-smelling, yellow-green discharge and discomfort during intercourse.
A nurse is monitoring a client with severe preeclampsia who is
- A. Which sign of toxicity of magnesium should
- C. Pulse ox 90%
- D. Absence of DTR
Correct Answer: D
Rationale: The absence of deep tendon reflexes (DTR) is a concerning sign of toxicity of magnesium sulfate in a client with preeclampsia. Magnesium sulfate is commonly used for seizure prophylaxis in preeclampsia, but toxicity can occur, leading to neuromuscular deficits. Absence of DTR indicates muscle relaxation or paralysis, which is a serious sign of magnesium toxicity and requires immediate intervention to prevent further complications. Monitoring and recognizing this symptom promptly is crucial to prevent severe outcomes such as respiratory depression or cardiac arrest. Other signs of magnesium toxicity include decreased level of consciousness, decreased respiratory rate, and cardiac arrhythmias.
The nurse is teaching a prenatal class about warning signs in pregnancy. Which symptom should be reported immediately?
- A. Mild swelling in the feet.
- B. Headache unrelieved by rest or medication.
- C. Increased appetite.
- D. Frequent urination.
Correct Answer: B
Rationale: A headache unrelieved by rest or medication may indicate preeclampsia or other serious conditions and should be reported immediately.
A client at 32 weeks' gestation is experiencing preterm labor. What is the primary goal of tocolytic therapy?
- A. To prevent fetal hypoxia.
- B. To delay delivery and improve fetal lung maturity.
- C. To reduce maternal blood pressure.
- D. To increase uteroplacental blood flow.
Correct Answer: B
Rationale: Tocolytics are used to delay preterm delivery, allowing time for fetal lung maturity with corticosteroid administration.