Which client is the best candidate for birth control pills?
- A. 19-year-old with multiple sex partners.
- B. 27-year-old who bottle feeds her newborn.
- C. 29-year-old with chronic hypertension.
- D. 37-year-old who smokes one pack per day.
Correct Answer: B
Rationale: Birth control pills are generally safe for women without contraindications like smoking or hypertension.
You may also like to solve these questions
What information should be included in teaching an uncircumcised male to use a condom?
- A. Apply mineral oil to the shaft of the penis after applying the condom.
- B. Pull back the foreskin before applying the condom.
- C. Create a reservoir at the tip of the condom after putting it on.
- D. Wait five minutes after ejaculating before removing the condom.
Correct Answer: B
Rationale: Pulling back the foreskin ensures proper placement of the condom.
What is the first action when a newborn has a heart rate below 100 bpm immediately after birth?
- A. Provide chest compressions
- B. Administer oxygen and provide stimulation
- C. Delay interventions and reassess in 5 minutes
- D. Start an IV line for medications
Correct Answer: B
Rationale: Providing oxygen and stimulation helps improve heart rate and respiratory status.
A newborn is delivered vaginally in the breech presentation. When examining her baby, the mother asks if the baby has been injured during birth because of the large black and blue areas on the buttocks and legs, The nurse should respond that:
- A. This is not a birth injury probably just a birthmark
- B. These are caused by forceps used to aid in the delivery of the baby
- C. This a temporary complication that will disappear in about a week
- D. These Mongolian spots, common in dark-skinned babies, disappear within a year
Correct Answer: C
Rationale: Bruising from breech delivery is temporary.
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 monitoring a client receiving magnesium sulfate for preeclampsia. What finding indicates magnesium toxicity?
- A. Increased urine output.
- B. Deep tendon reflexes +4.
- C. Respiratory rate of 10 breaths per minute.
- D. Blood pressure of 140/90 mmHg.
Correct Answer: C
Rationale: Respiratory depression is a key sign of magnesium sulfate toxicity and requires immediate intervention.