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Which comment shows understanding of care for an asymptomatic woman being treated for HIV infection?
- A. If I get pregnant, my baby will be HIV positive.
- B. I should have my viral load and antibody levels checked every day.
- C. Since my partner and I are both HIV positive, we use a condom.
- D. To be safe, my partner and I engage only in oral sex.
Correct Answer: C
Rationale: Condom use reduces the risk of HIV transmission even between seroconcordant partners.
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A neonate is being discharged home with a fiber-optic blanket for treatment of physiologic jaundice. What is important for the nurse to include in the discharge instructions?
- A. Cover the infant's eyes during the treatment.
- B. Reduce the daily number of formula feedings.
- C. Encourage frequent feeding to increase intake.
- D. Expect a constipated stool until jaundice clears.
Correct Answer: C
Rationale: Frequent feeding aids in bilirubin excretion.
A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (Select all that apply).
- A. Amnionitis
- B. Urinary tract infection
- C. Polyhydramnios
- D. Leakage of amniotic fluid
Correct Answer: A
Rationale: A. Amnionitis: This is the inflammation of the amniotic sac or membranes and is a potential complication following an amniocentesis procedure. It can lead to maternal fever, fetal tachycardia, and other signs of infection.
Which finding would lead the nurse to suspect toxic shock syndrome related to tampon use?
- A. Diffuse rash with fever.
- B. Angina.
- C. Hypertension.
- D. Thrombocytopenia with pallor.
Correct Answer: A
Rationale: Toxic shock syndrome often presents with a diffuse rash and fever.
Parents who recently experienced the death of their unborn child ask the nurse, 'What is a fetal death?' What is the nurse's best response?
- A. Fetal deaths occur later in pregnancy after 20 weeks' gestation.
- B. It refers to the intrauterine fetal death at any time during pregnancy.
- C. Fetal deaths occur earlier in pregnancy before 20 weeks' gestation.
- D. Fetal death occurs only at the birth of the newborn.
Correct Answer: B
Rationale: Fetal death refers to the spontaneous intrauterine death of a fetus at any time during pregnancy. Fetal deaths later in pregnancy (after 20 weeks of gestation) are referred to as stillbirths, and deaths earlier than 20 weeks are referred to as a miscarriage.
When integrating the principles of family-centered care, the nurse would include which concept?
- A. Parents want nurses to make decisions about their child's treatment.
- B. Families are unable to make informed choices.
- C. People have taken increased responsibility for their own health.
- D. Families require little information to make appropriate decisions.
Correct Answer: C
Rationale: Due to the influence of managed care, the focus on prevention, better education, and technological advances, people have taken increased responsibility for their own health.