Nokea
When developing the teaching plan for a primigravid client at 30 weeks' gestation diagnosed with mild preeclampsia who is being treated at home, which of the following would the nurse identify as the most appropriate client-centered goal?
- A. Return visit to the prenatal clinic in approximately 4 weeks.
- B. Decreased edema after 1 week of a low-protein, low-fiber diet.
- C. Bed rest on the left side during the day, with bathroom privileges.
- D. Immediate reporting of adverse reactions to magnesium sulfate therapy.
Correct Answer: C
Rationale: Bed rest on the left side enhances placental perfusion and reduces blood pressure.
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A client asks about the use of over-the-counter contraceptives. Which of the following would the nurse recommend?
- A. Spermicides and male condoms.
- B. Female condoms and oral contraceptives.
- C. The contraceptive sponge and the patch.
- D. Emergency contraception pills and the diaphragm.
Correct Answer: A
Rationale: Spermicides and male condoms are available over-the-counter and effective when used correctly. Female condoms are also over-the-counter, but oral contraceptives, the patch, and diaphragms require prescriptions. Emergency contraception is over-the-counter but not for regular use.
The nurse in the labor and delivery area receives a telephone call from the emergency room announcing that a multigravid client in active labor is being transferred to the labor area. The client has been successful care, when the client arrives by stretcher, she says, 'I think the baby's coming ... Help!' The fetal skull is crowning. The nurse should obtain which of the following information first?
- A. Estimated date of delivery.
- B. Amniotic fluid status.
- C. Gravida and parity.
- D. Prenatal history.
Correct Answer: A
Rationale: With crowning, delivery is imminent, and confirming the estimated date of delivery ensures the neonate's gestational age is known for resuscitation planning. Fluid status, gravida/parity, and prenatal history are secondary.
A client asks about the risks of the copper IUD. Which of the following would the nurse include?
- A. It may increase menstrual bleeding and cramping.
- B. It causes permanent infertility.
- C. It requires daily replacement.
- D. It increases the risk of breast cancer.
Correct Answer: A
Rationale: The copper IUD may increase menstrual bleeding and cramping, especially initially. It does not cause permanent infertility, require daily replacement, or increase breast cancer risk.
A multigravid client thought to be at 14 weeks' gestation reports that she is experiencing such severe morning sickness that "she has not been able to keep anything down for a week." The nurse should assess for signs and symptoms of which of the following?
- A. Hypercalcemia.
- B. Hypobilirubinemia.
- C. Hypokalemia.
- D. Hyperglycemia.
Correct Answer: C
Rationale: Persistent vomiting can lead to hypokalemia.
A nurse is teaching a client about the use of the contraceptive patch. Which of the following instructions should the nurse include?
- A. Apply the patch to the genital area.
- B. Change the patch weekly for three weeks, then have a patch-free week.
- C. Wear the patch for one month without changing.
- D. Apply a new patch daily.
Correct Answer: B
Rationale: The contraceptive patch is changed weekly for three weeks, followed by a patch-free week to allow a withdrawal bleed. It is not applied to the genital area, worn for a month, or changed daily.