Nokea
When preparing a multigravid client who has undergone evacuation of a hydatidiform mole for discharge, the nurse explains the need for follow-up care. The nurse determines that the client understands the instruction when she says that she is at risk for developing which of the following?
- A. Ectopic pregnancy.
- B. Choriocarcinoma.
- C. Multifetal pregnancies.
- D. Infertility.
Correct Answer: B
Rationale: Clients with hydatidiform moles are at risk for choriocarcinoma.
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A postpartum multiparous client diagnosed with endometritis is to receive intravenous antibiotic therapy with ampicillin sodium (Polycillin). Before administering this drug, the nurse must do which of the following?
- A. Ask the client if she has any drug allergies.
- B. Assess the client's pulse rate.
- C. Place the client in a side-lying position.
- D. Check the client's perineal pad.
Correct Answer: A
Rationale: Checking for drug allergies is critical before administering ampicillin to prevent allergic reactions.
A nurse is counseling a client about the use of spermicides. Which of the following instructions should the nurse include?
- A. Apply spermicide 10-30 minutes before intercourse.
- B. Use spermicide alone for maximum effectiveness.
- C. Leave spermicide in place for at least 24 hours.
- D. Apply spermicide after intercourse.
Correct Answer: A
Rationale: Spermicide should be applied 10-30 minutes before intercourse for optimal effectiveness. It is not most effective alone, should not be left for 24 hours, and is applied before, not after, intercourse.
A primigravid client at 38 weeks' gestation is admitted to the labor suite in active labor. The client's physical assessment reveals a chlamydial infection. The nurse explains that if the infection is left untreated, the neonate may develop which of the following?
- A. Conjunctivitis.
- B. Heart disease.
- C. Skin lesions.
- D. Hepatitis.
Correct Answer: A
Rationale: Untreated chlamydia during delivery can cause neonatal conjunctivitis (ophthalmia neonatorum) via transmission through the birth canal. Heart disease, skin lesions, and hepatitis are not associated with chlamydia.
A client who is planning a pregnancy asks the nurse about the use of herbal supplements to enhance fertility. Which of the following responses by the nurse is most appropriate?
- A. Herbal supplements are safe and effective for enhancing fertility.
- B. Consult with your health care provider before taking any herbal supplements.
- C. Herbal supplements can replace prenatal vitamins during pregnancy.
- D. Most herbal supplements are regulated by the FDA for safety.
Correct Answer: B
Rationale: Herbal supplements can interact with medications or affect pregnancy, so consulting a healthcare provider is essential. They are not proven safe or effective for fertility, not a substitute for prenatal vitamins, and are not tightly regulated by the FDA.
The physician has ordered prostaglandin gel to be administered vaginally to a newly admitted primigravid client. Which of the following indicate that the client has had a therapeutic response to the medication?
- A. Resting period of 2 minutes between contractions.
- B. Normal patellar and elbow reflexes for the past 2 hours.
- C. Softening of the cervix and beginning effacement.
- D. Leaking of clear amniotic fluid in small amounts.
Correct Answer: C
Rationale: Prostaglandin gel is used for cervical ripening. A therapeutic response is indicated by cervical softening and effacement, preparing the cervix for labor. Resting periods and reflexes are unrelated to the gel's purpose, and leaking amniotic fluid suggests rupture of membranes, not a direct effect of the gel.