Nokea
Which description of postpartum restoration or healing times is accurate?
- A. The cervix shortens, becomes firm, and returns to form within a month postpartum.
- B. Vaginal rugae reappear by 3 weeks postpartum.
- C. Most episiotomies heal within a week.
- D. Hemorrhoids usually decrease in size within 2 weeks of childbirth.
Correct Answer: B
Rationale: Vaginal rugae reappear by 3 weeks postpartum, though they are never as prominent as in nulliparous women.
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Which key point is important for the nurse to understand regarding the perinatal continuum of care?
- A. Begins with conception and ends with the birth
- B. Begins with family planning and continues until the infant is 1 year old
- C. Begins with prenatal care and continues until the newborn is 24 weeks old
- D. Refers to home care only
Correct Answer: B
Rationale: The perinatal continuum of care spans from family planning through to the infant's first year, including both home and healthcare facility services. It covers more than just prenatal care and birth.
Two days ago a woman gave birth to a full-term infant. Last night she awakened several times to urinate and noted that her gown and bedding were wet from profuse diaphoresis. Which physiologic alteration is the cause for the diaphoresis and diuresis that this client is experiencing?
- A. Elevated temperature caused by postpartum infection
- B. Increased basal metabolic rate after giving birth
- C. Loss of increased blood volume associated with pregnancy
- D. Increased venous pressure in the lower extremities
Correct Answer: C
Rationale: Diaphoresis and diuresis are mechanisms for reducing excess tissue fluid accumulated during pregnancy.
After delivery, excess hypertrophied tissue in the uterus undergoes a period of self-destruction. What is the correct term for this process?
- A. Autolysis
- B. Subinvolution
- C. Afterpains
- D. Diastasis
Correct Answer: A
Rationale: Autolysis is caused by a decrease in hormone levels, leading to the self-destruction of excess uterine tissue.
Which questionnaire would be best for the nurse to use when screening an adolescent client for an eating disorder?
- A. Four Cs
- B. Dietary Guidelines for America
- C. SCOFF screening tool
- D. Dual-energy x-ray absorptiometry (DEXA) scan
Correct Answer: C
Rationale: The SCOFF screening tool helps identify eating disorders, with a score of 2 or more indicating anorexia nervosa or bulimia.
The nurse states to the newly pregnant patient, “Tell me how you feel about being pregnant.” Which communication technique is the nurse using with this patient?
- A. Clarifying
- B. Paraphrasing
- C. Reflection
- D. Structuring
Correct Answer: C
Rationale: The correct answer is C: Reflection. The nurse is using a reflection communication technique by restating the patient's feelings to show understanding and empathy. This helps the patient feel heard and validated. Clarifying (A) involves seeking more information, paraphrasing (B) involves restating the patient's words, and structuring (D) involves providing organization or direction. In this scenario, the nurse is not seeking more details (Clarifying), restating the patient's words exactly (Paraphrasing), or providing organization/direction (Structuring), but rather reflecting the patient's emotions back to them.