Nokea
When providing contraceptive counseling to a woman, which of the following factors should the nurse consider? Select all that apply.
- A. Age.
- B. Obstetric history.
- C. Religious beliefs.
- D. Employment.
Correct Answer: A
Rationale: Age, obstetric history, and religious beliefs are important factors to consider when providing contraceptive counseling. Employment is less relevant to contraceptive choice.
You may also like to solve these questions
Which analysis of maternal serum is the best predictor of chromosomal abnormalities in the fetus?
- A. Biophysical profile
- B. Multiple-marker screening
- C. Lecithin-to-sphingomyelin ratio
- D. Blood type and crossmatch of maternal and fetal serum
Correct Answer: B
Rationale: The correct answer is B: Multiple-marker screening. This analysis measures levels of certain proteins and hormones in maternal serum to assess the risk of chromosomal abnormalities in the fetus. It is considered the best predictor because abnormal levels of these markers can indicate conditions like Down syndrome. Biophysical profile (A) assesses fetal well-being but does not directly predict chromosomal abnormalities. Lecithin-to-sphingomyelin ratio (C) is used to assess fetal lung maturity, not chromosomal abnormalities. Blood type and crossmatch (D) are important for identifying Rh incompatibility but do not predict chromosomal abnormalities.
A woman asks the nurse to recommend the best douche for use after menstruation. Which of the following responses by the nurse is appropriate?
- A. Tap water with white vinegar is most refreshing and least allergenic.'
- B. It is really best for women not to douche.'
- C. Any of the over-the-counter douches is satisfactory.'
- D. It is best to douche during menstruation rather than after it is over.'
Correct Answer: B
Rationale: Douching can disrupt the natural vaginal flora and increase the risk of infections, so it is generally not recommended.
A breastfeeding client asks the nurse to make sure that her newborn is positioned and latched well at the breast. Which of the following assessments would indicate that the baby is poorly latched?
- A. The baby swallows after every suckle.
- B. The baby’s body is facing the mother’s body.
- C. The baby’s lower lip is curled under.
- D. The baby is lying at the level of the mother’s breasts.
Correct Answer: C
Rationale: A curled-under lower lip indicates poor latching, which can lead to ineffective feeding and nipple damage.
Young pregnant adolescents have increased nutritional needs as compared with pregnant adults. Which of the following foods would meet those needs?
- A. Banana.
- B. Cheeseburger.
- C. Strawberries.
- D. Rice.
Correct Answer: B
Rationale: Cheeseburgers provide protein, iron, and calcium, which are essential for the increased nutritional needs of pregnant adolescents.
The nurse is caring for a client in labor and delivery with the following history: G2 P1000, 39 weeks' gestation in transition phase, FH 135 with early decelerations. The client states, 'I'm so scared. Please make sure the baby is OK!' Which of the following responses by the nurse is appropriate?
- A. There is absolutely nothing to worry about.
- B. The fetal heart rate is within normal limits.
- C. How did your first baby die?
- D. Was your first baby preterm?
Correct Answer: B
Rationale: The fetal heart rate of 135 with early decelerations is within normal limits, which is reassuring. The nurse should provide factual information to alleviate the client's anxiety.