Nokea
Which factor should alert the nurse for the potential of a prolapsed umbilical cord?
- A. Presenting part at station minus 3 (too much empty space in between)
- B. Meconium stained amniotic fluid
- C. Pregnancy at 38 weeks' gestation
- D. Oligohydramnios
Correct Answer: A
Rationale: A presenting part at station minus 3 indicates that there is too much empty space between the presenting part (usually the fetus's head) and the pelvic inlet. This increased space raises the potential for the umbilical cord to prolapse through the cervix and into the birth canal ahead of the baby, especially when the membranes rupture. A prolapsed umbilical cord is a severe obstetric emergency that can cause fetal compromise due to umbilical cord compression and compromise of blood flow. It requires immediate intervention to relieve the pressure on the cord and increase the likelihood of a safe delivery. Therefore, a presenting part at station minus 3 should alert the nurse to the potential of a prolapsed umbilical cord.
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When integrating the principles of family-centered care into the birthing process, the nurse would base care upon which belief?
- A. Birth is viewed as a medical event.
- B. Families are unable to make informed choices due to stress.
- C. Birth results in changes in relationships.
- D. Families require little information to make appropriate decisions for care.
Correct Answer: C
Rationale: Family-centered care is based on the following principles: Birth affects the entire family, and relationships will change; birth is viewed as a normal, healthy event in the life of the family; and families are capable of making decisions about their own care if given adequate information and professional support.
Which foods control option. Which is the most effective and should she discuss?
- A. Whole grains
- B. Copper intrauterine device
- C. Meats
- D. Cervical cap
Correct Answer: B
Rationale: Among the options provided, the most effective birth control method is the copper intrauterine device (IUD). IUDs are over 99% effective at preventing pregnancy and provide long-term contraception without the need for daily management. Copper IUDs work by releasing copper ions that are toxic to sperm, thus preventing fertilization. It is a reversible form of birth control and can be easily removed if a person decides to become pregnant. Additionally, IUDs do not contain hormones, making them a suitable option for individuals who prefer non-hormonal birth control methods. It is advisable for the individual to discuss the possibility of using a copper IUD with their healthcare provider to determine if it is the right choice for them based on their specific health needs and preferences.
A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previa. Which of the following actions should the nurse plan to take?
- A. Initiate continuous monitoring of the FHR.
- B. Administer a dose of betamethasone.
- C. Check the cervix for dilation every 8 hr.
- D. Request that the provider prescribe misoprostol PRN.
Correct Answer: A
Rationale: In placenta previa, the placenta partially or completely covers the cervix, which can lead to vaginal bleeding. Continuous monitoring of the fetal heart rate (FHR) is crucial in this situation to assess the well-being of the fetus. Any signs of distress or changes in the FHR can indicate potential complications, such as fetal hypoxia. This monitoring allows for prompt intervention if necessary to ensure the safety of both the mother and the baby. Administering betamethasone may be indicated to promote fetal lung maturity in cases of anticipated preterm birth, but it is not the priority in this scenario where monitoring the fetal well-being is crucial. Checking the cervix for dilation every 8 hours is not necessary and may increase the risk of further bleeding. Misoprostol, a medication used to induce labor, is contraindicated in cases of placenta previa because it can cause further
The nurse is providing discharge teaching to a 20-year-old mother who has had her first male child. Which statement by the mother demonstrates that she understands the discharge teaching regarding his circumcision?
- A. I will observe the whitish-yellow drainage on his penis, but I will not remove it.
- B. I will bring him back to the clinic in 3 days to have the drainage removed.
- C. I will use antibiotic ointment on his penis with every diaper change.
- D. I will rub the area briskly with a washcloth to remove the drainage.
Correct Answer: A
Rationale: Whitish-yellow drainage is normal and should not be removed.
What cancer type is the leading cause of death in persons AFAB?
- A. breast cancer
- B. lung cancer
- C. cervical cancer
- D. ovarian cancer
Correct Answer: A
Rationale: